Efficacy of progressive muscle relaxation training in reducing anxiety in patients with acute schizophrenia

Wen Chun Chen, Hsin Chu, Ru-Band Lu, Yuan Hwa Chou, Chung Hua Chen, Yue Cune Chang, Anthony Paul O'Brien, Kuei Ru Chou

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Aim and objectives. The objective of this study was to examine the efficacy of progressive muscle relaxation training on anxiety in patients with acute schizophrenia. Background. Many empirical studies have found progressive muscle relaxation training beneficial in reducing the psychological effects of anxiety. Progressive muscle relaxation training is also effective in reducing the distress symptoms associated with the symptomatology of schizophrenia. Design. An experimental randomised controlled trial using repeated measures. Method. The study was designed to examine the effects of progressive muscle relaxation training on patients diagnosed with schizophrenia. Study participants were acute psychiatric inpatients in Taiwan. Eighteen patients were block randomised and then assigned to an experimental or control group. The experimental group received progressive muscle relaxation training and the control group received a placebo intervention. Results from the Beck anxiety inventory were compared between groups as a pretest before intervention, on day 11 of intervention and one week post-test after the intervention was completed. Changes in finger temperature were measured throughout the experiment. Results. The degree of anxiety improvement was significantly higher in the progressive muscle relaxation training group than in the control group after progressive muscle relaxation training intervention (p < 0·0001) and at follow-up (p = 0·0446; the mean BAI score fell from 16·4 pretest to -5·8 post-test. After adjusting for the change in patient finger temperature, the mean change in temperature was significantly different between the two patient groups. The average body temperature increased significantly after applying the progressive muscle relaxation training to patients with schizophrenia. Conclusion. This study demonstrated that progressive muscle relaxation training can effectively alleviate anxiety in patients with schizophrenia. Relevance to clinical practice. Progressive muscle relaxation training is potentially an effective nursing intervention in the reduction of anxiety in patients diagnosed with schizophrenia, depending on the quality of their mental status at the time of intervention. Progressive muscle relaxation training is a useful intervention as it is proven to reduce anxiety levels across a spectrum of psychiatric disorders.

Original languageEnglish
Pages (from-to)2187-2196
Number of pages10
JournalJournal of Clinical Nursing
Volume18
Issue number15
DOIs
Publication statusPublished - 2009 Aug 1

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Autogenic Training
Schizophrenia
Anxiety
Control Groups
Fingers
Temperature
Psychiatry
Body Temperature
Taiwan
Inpatients

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

Chen, Wen Chun ; Chu, Hsin ; Lu, Ru-Band ; Chou, Yuan Hwa ; Chen, Chung Hua ; Chang, Yue Cune ; O'Brien, Anthony Paul ; Chou, Kuei Ru. / Efficacy of progressive muscle relaxation training in reducing anxiety in patients with acute schizophrenia. In: Journal of Clinical Nursing. 2009 ; Vol. 18, No. 15. pp. 2187-2196.
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abstract = "Aim and objectives. The objective of this study was to examine the efficacy of progressive muscle relaxation training on anxiety in patients with acute schizophrenia. Background. Many empirical studies have found progressive muscle relaxation training beneficial in reducing the psychological effects of anxiety. Progressive muscle relaxation training is also effective in reducing the distress symptoms associated with the symptomatology of schizophrenia. Design. An experimental randomised controlled trial using repeated measures. Method. The study was designed to examine the effects of progressive muscle relaxation training on patients diagnosed with schizophrenia. Study participants were acute psychiatric inpatients in Taiwan. Eighteen patients were block randomised and then assigned to an experimental or control group. The experimental group received progressive muscle relaxation training and the control group received a placebo intervention. Results from the Beck anxiety inventory were compared between groups as a pretest before intervention, on day 11 of intervention and one week post-test after the intervention was completed. Changes in finger temperature were measured throughout the experiment. Results. The degree of anxiety improvement was significantly higher in the progressive muscle relaxation training group than in the control group after progressive muscle relaxation training intervention (p < 0·0001) and at follow-up (p = 0·0446; the mean BAI score fell from 16·4 pretest to -5·8 post-test. After adjusting for the change in patient finger temperature, the mean change in temperature was significantly different between the two patient groups. The average body temperature increased significantly after applying the progressive muscle relaxation training to patients with schizophrenia. Conclusion. This study demonstrated that progressive muscle relaxation training can effectively alleviate anxiety in patients with schizophrenia. Relevance to clinical practice. Progressive muscle relaxation training is potentially an effective nursing intervention in the reduction of anxiety in patients diagnosed with schizophrenia, depending on the quality of their mental status at the time of intervention. Progressive muscle relaxation training is a useful intervention as it is proven to reduce anxiety levels across a spectrum of psychiatric disorders.",
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Chen, WC, Chu, H, Lu, R-B, Chou, YH, Chen, CH, Chang, YC, O'Brien, AP & Chou, KR 2009, 'Efficacy of progressive muscle relaxation training in reducing anxiety in patients with acute schizophrenia', Journal of Clinical Nursing, vol. 18, no. 15, pp. 2187-2196. https://doi.org/10.1111/j.1365-2702.2008.02773.x

Efficacy of progressive muscle relaxation training in reducing anxiety in patients with acute schizophrenia. / Chen, Wen Chun; Chu, Hsin; Lu, Ru-Band; Chou, Yuan Hwa; Chen, Chung Hua; Chang, Yue Cune; O'Brien, Anthony Paul; Chou, Kuei Ru.

In: Journal of Clinical Nursing, Vol. 18, No. 15, 01.08.2009, p. 2187-2196.

Research output: Contribution to journalArticle

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