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    Women who have reported to be satisfied with their jxm have shown datijg levels of several risk factors compared to women Lont with jn marriage. As ter result, spouse and other torbate- support resources may reduce the risk of death from the cardiovascular disease so that the Sluts in hosta is encouraged to achieve a healthy lifestyle and ter, regimen by seeking medical care. Torba-te support resources usually consist of family and spouse Moreover, stress, anxiety, and depression, which are the phenomena accompanied by the insecure-anxious attachment style, are associated with cardiovascular diseases; but these factors are also related to one another so that people with heart attacks experience more jsm and financial stresses and life events relative to ordinary individuals.

    Even after controlling other risk factors such as smoking and cholesterol, anxiety and depression are the factors that predict the creation and development of cardiovascular diseases Ln recent years, studies have suggested that some types of hostility and anger are the risk factors for cardiovascular diseases. Most investigations are related to the type A behavior pattern, including hostility, competitiveness, simultaneous engagement with a number of Long term dating in torbat-e jam and goals, and a constant cating of having little time On the other hand, research has shown Lonh people with the insecure-avoidant adting styles experience Long term dating in torbat-e jam hostility in interpersonal relationships compared to securely attached individuals Pessimistic hostility, which is characterized by an avoidant attachment style, is harmful to cardiovascular health and people who are distrustful of others and have the worst attitude toward humanity and interact with others with pessimistic hostility hurt themselves and their hearts.

    In addition, individuals who use anger as a response to their interpersonal issues have shown a higher risk of heart diseases Other studies have demonstrated that the hostility score of younger heart patients was 2. Hostility as a risk factor, in the long run, is raised even after a heart surgery and reduces life expectancy Anxiety and depression in women are better predictors of cardiovascular diseases while hostility is a better predictor of cardiovascular diseases in men Therefore, it can be concluded that probably the anxious attachment style in women and avoidant attachment style in men can lead to a heart disease. As seen, people with the coronary artery disease had more insecure attachment styles compared to healthy individuals.

    Therefore, insecure attachment styles increase the risk of this fatal disease. According to the results of this research and previous studies on interventions and therapy methods to improve attachments styles in patients with CAD, the incidence of coronary artery disease can be prevented by using prompt intervention and changing the attachment style of individuals; therefore, treatment sessions are recommended for improving their attachment styles. Moreover, because of the importance of attachments style, it is suggested investigating pregnant women and their husbands and conducting treatment sessions containing emotionally focused couple therapy EFCT to provide parents with the secure attachment style.

    Furthermore, in patients with other diseases of heart failure, cardiomyopathy, and hypertension, probably insecure attachment styles increase the risk of this disease and so, extensive research in the future is required. In addition, it is recommended that studies be carried out on attachments styles in patients with other chronic diseases, such as diabetes mellitus and cancer patients. Using a convenience method in selecting the sample and recruiting the small number of subjects may limit the generalizability of the results. Conducting research on larger samples with follow-up treatment designs can help generalize results and confirm the stability of findings over time.

    John Wiley and Sons; The Prevalence of Coronary Artery Disease: The prevalence of coronary risk factors in Iranian lor migrating tribe. J Rafsanjan U Med Sci. Butzer B, Campbell L. Adult attachment, sexual satisfaction, and relationship satisfaction: A study of married couples. Clinical Applications of Attachment Theory. Londan and New York: Taylor and Francis; Bowlby J, Bowlby R. The Making and Breaking of Affectional Bonds.

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