Document Type : Research Article


1 Ph. D. in Health Psychology, Department of Psychology, Rahman Institute of Higher Education. Ramsar, Iran

2 Master in Clinical Psychology, Department of Psychology, Islamic Azad University, Lahijan Branch, Lahijan, Iran



Coronary heart disease is the most common type of heart disease in which the arteries of the heart become narrow and stiff. The purpose of this study was to determine the relationship between resilience and depression among patients with cardiovascular disease. This study is descriptive and correlational. The statistical population of this research includes all cardiovascular patients in East Guilan province in 2018. From the target population, 150 patients were selected using purposeful sampling, and then resilience (CD-RIS) and depression (questionnaires ZSD) were administered on them, and then the data were analyzed using correlation and regression methods. were analyzed multiple times. The findings showed that there is a negative relationship between resilience and depression among patients with cardiovascular disease (P<0.01). Also, resilience negatively and depression positively predicted the severity of heart disease (P<0.01). The results emphasize the need to strengthen resilience in order to reduce depression in cardiovascular patients.


Main Subjects

American Psychiatric Association, DSM-5 Task Force. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). American Psychiatric Publishing, Inc.
Bigdeli, I., Najafy, M., Rostami, M. (2013). The Relation of Attachment Styles, Emotion Regulation, and Resilience to Well-being among Students of Medical Sciences. Iranian Journal of Medical Education,13(9), 721-729.
Comín-Colet, J., Anguita, M., Formiga, F., Almenar, L., Crespo-Leiro, M. G., Manzano, L, et al. (2016). Health-related quality of life of patients with chronic systolic heart failure in Spain: results of the VIDA-IC study. Revista Española de Cardiología (English Edition); 69(3):256-71
Compell-Sills, L., Stein, M. B. (2007). Psychometric analysis and refinement of the Conner-Davidson Resilience scale (CD-RISC): Validation of a 10 item measure of resilience. Journal of Traumatic Stress, 20(6), 1019-1028.
Connor, K. M., Davidson, J. R. (2003). Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression Anxiety, 18(2): 76-82.
Denneson, L. M, Cromer, R., Williams, H. B., Pisciotta, M., Dobscha, S. K. (2017).  A qualitative analysis of how online access to mental health notes is changing clinician perceptions of power and the therapeutic relationship. Journal of medical Internet research,19(6), e6915.
DoustdarTousi, S. A., Golshani, S. (2014). Effect of Resilience in Patients Hospitalized with Cardiovascular Diseases. Journal of Mazandaran University of Medical Sciences, 24 (116), 102-109.
Harper, K., Joseph, K., & Graven, L. (2016). Effects of cardiac rehabilitation on psychological wellbeing in individuals with heart failure: A systematic review. Thesis, Florida States University Libraries.
Hashemi, Z., Aghajanihashjin, T., Shokrgozar, A. R. (2022). The Relationship of Spiritual Wellbeing with Mental Health, Resilience and Life Expectancy in Cardiovascular Patients of Jam Hospital in Tehran. JRRH 8(3), 38-52.
Merkt, H., Sadeghi Bahmani, D., Calabrese, P., Naegelin, Y., Gerber, M., Pühse, U., Holsboer-Trachsler, E., Brand, S. (2017). Multiple Sclerosis: Associations Between Physical Disability and Depression Are Not Mediated by Self-Reported Physical Activity. Percept Mot Skills, 124(5), 974-991.
Momeni, K. H. M., Alikhani, M. (2013). Relationship between family functioning, differentiation, and resilience to stress, anxiety and depression among married women in Kermanshah. Family Counseling and Psychotherapy, 3(2), 297-320.
Nardini, M., Papazacharias, A. (2019). The relationship between depression and cognitive deficits. Psychiatria Danubina24(suppl 1), 179-182.
Oshio, A., Kaneko, H., Nagamine, S. & Nakaya, M. (2003) Construct validity of the adolescent resilience scale. Psychological Reports, 93,1217-1222.
Rezai, S., Dehghanzadeh, S., Akbari, B. (2018). Spiritual well-being of people with heart failure: The role of resiliency and life expectancy. Journal of Cardiovascular nursing 4(7), 14-23
Samani, S, Jokar, B., Sahragard, N. (2007). Resilience, mental Health, Satisfaction of Life. Journal of Psychiatry and Clinical psychology, 13(3), 290- 295.
Sanderson, B., Brewer, M. (2017). What do we know about student resilience in health professional education? As coping review of the literature. Nurse Education Today, 58, 65-71.
Zung, W. W. (1976). A Self-Rating Depression Scale. Archives Of General Psychiatry, 12, 63-70.