“…The inclusion criteria are as follow: Age ≤ 65 years, having undergone first-time CABG surgery (4 weeks after surgery), having received follow-up treatment in Tuba Clinic, fluency in Farsi, junior high school degree, or higher level of education, willingness to participate and provide written consent, meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria for anxiety and depression ( 39 ), Score ≥ 8 for anxiety and depression on the Persian version of the Hospital Anxiety and Depression Scale (HADS)( 40 ), and being religious (based on self-reports) ( 32 ). The exclusion criteria are as follow History of psychiatric disorders such as schizophrenia, bipolar disorder, and serious suicidal thoughts confirmed by clinical interviews performed by a psychiatrist based on the DSM-IV history of any physical conditions preventing the patients from participating in treatment sessions, history of attending RCBT, CBT, or any other types of psychotherapy programs, and using sertraline during the 2-week period prior to the study.…”