Breathing exercise combined with cognitive behavioural intervention improves sleep quality and heart rate variability in major depression

Chien, RN Hui-Ching; Chung, RN Yu-Chu; Yeh, RN Mei-Ling; Lee, Jia-Fu

doi:10.1111/jocn.12972

Cited by 47 publications

(30 citation statements)

References 43 publications

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“…14 Daily breathing exercises can reduce insomnia. 15 Chien et al, supported the hypothesis that the cognitive behavioral intervention combined with a breathing relaxation exercise could improve sleep quality and heart rate variability in patients with major depression 16 Although deep breathing exercises have an obvious impact on preventing further postoperative pulmonary problems in cardiac surgery, 17,18 few investigations have focused on the association between deep breathing exercise and sleep quality, 19 with almost no studies investigating the influence of deep breathing exercises on sleep duration and quality among patients undergoing coronary artery bypass graft during hospitalization. Therefore, this study set out to determine the effects of deep-breathing exercises on postoperative sleep duration and quality in patients undergoing coronary artery bypass graft (CABG).…”

Section: Introductionmentioning

confidence: 94%

The Effects of Deep-Breathing Exercises on Postoperative Sleep Duration and Quality in Patients Undergoing Coronary Artery Bypass Graft (CABG): a Randomized Clinical Trial

et al. 2019

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Introduction: Disordered sleep occurs frequently in patients who have undergone coronary bypass graft surgery, and it contributes to increased morbidity, mortality, and resource utilization. The present study aimed to determine the effects of deep-breathing exercises on postoperative sleep duration and quality in patients undergoing coronary artery bypass graft. Methods: This study was a clinical trial. The study sample included 64 patients who were coronary artery bypass graft hospitalized from January 2015 to April 2015 in Qazvin Booali-Sina hospital. The patients were selected by convenient sampling and then the participants were randomly allocated to the intervention and control groups. The baseline and postoperative (day 7) sleep duration and quality metrics were measured. The St Mary's Hospital Sleep Questionnaire was used to evaluate sleep quality in two groups. Results: Baseline night sleep duration was 5.72 (1.63) hours in the control group and 5.58 (1.07) hours in the intervention group. The initial findings showed that the mean of sleep quality score of patients in the intervention and control groups were 19.72 (2.68) and 18.22 (3.81) respectively. These measurements did not decline postoperatively in the intervention group while night sleep duration and quality declined in the control group. Deep breathing exercise program had a significant effect on sleep quality score in the intervention group compared to the control group. Conclusion: The results indicated that deep breathing exercises prevent decline in sleep quality postoperatively. It seems to be a safe method with no side effects for these patients. Furthermore, it is a simple method to implement and does not impose a high cost.

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Section: Introductionmentioning

confidence: 94%

The Effects of Deep-Breathing Exercises on Postoperative Sleep Duration and Quality in Patients Undergoing Coronary Artery Bypass Graft (CABG): a Randomized Clinical Trial

et al. 2019

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“…Whilst there were too few studies reporting on selfperceived efficacy of self-care products and practices used for ID or IS (and none for SDB, RLS and other sleep disturbances) to form reliable generalizations, there was a significant level of satisfaction amongst participants for various types of self-care use including yoga, OTC medications (such as antihistamines and acetaminophen), relaxation and deep breathing. While research has shown deep breathing, relaxation and yoga exercises can help alleviate overall sleep quality (Sarris and Byrne 2011;Chien et al 2015;Orsal et al 2014) further research is required regarding the prevalence, safety and efficacy of self-care treatments such as OTC medications used frequently for sleep disturbances. ; safety concerns for antihistamines in particular have been highlighted (Goh et al 2009;Zhang et al 2010).…”

Section: Discussionmentioning

confidence: 99%

A critical review of self-care for sleep disturbances: prevalence, profile, motivation, perceived effectiveness and medical provider communication

Meredith

Frawley

Sibbritt

et al. 2020

Sleep Science Practice

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Objective: This study aims to undertake the first critical review of self-care use among adults with sleep disturbances by focusing on the prevalence of self-care-the self-determined and self-administered use of products or practices-by adults with sleep disturbances. Methods: A comprehensive search of 2006-2016 international literature in CINAHL, AMED, Medline and EMBASE databases was conducted. The search was confined to empirical research findings regarding sleep disturbances -as indicated by a validated sleep scale/index or clinician diagnosis. Results: Of the 21 articles included in this review, only three reported on sleep disturbances other than insomnia disorder (ID) or insomnia symptoms (IS). Overall, a high prevalence of self-care use is reported among adults with sleep disturbances, particularly for ID and IS. Self-care products and practices are more likely to be used by adults with sleep disturbances, than those without sleep disturbances. Commonly used self-care products and practices include OTC hypnotics, antihistamines, diphenhydramine products, diet, exercise, painkillers, herbal medicines, vitamins, minerals and dietary supplements, yoga, tai chi, Qigong, meditation, exercise and relaxation. Conclusions: Many adults with sleep disturbances-particularly ID or IS-frequently use self-care products and practices. Self-care products are also used concomitantly with conventional prescription medications without disclosure to medical professionals. The current literature is of varied methodological caliber, frequently relies on small sample sizes and low-quality data collection therefore further rigorous health services research is required. There is an especial paucity of data regarding self-care for sleep disturbances such as restless legs syndrome and obstructive sleep apnea. Healthcare providers may find it beneficial to actively ask patients about their use of self-care for sleep disturbances to help avoid harmful drug-drug or drug-herb interactions.

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“…Slow, deep breathing actually helps the body override the sympathetic system which controls the fightor-flight response, and lets the parasympathetic system control the ability to relax (Pramanik et al, 2010). Another study by Chien et al (2015), conducted among clients with major depression, reported that cognitive behavioural intervention combined with a breathing relaxation exercise improved their sleep quality and heart rate variability. Though statistically not significant, there was marginal increment in attentional control in the control group.…”

Section: Discussionmentioning

confidence: 99%

Effects of Trampoline Exercise on Attentional Control and Daytime Sleepiness among Young Adults with Anxiety Disorders in Malaysia

Kutty

Jabbar

Ving

2018

DCID

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Breathing exercise combined with cognitive behavioural intervention improves sleep quality and heart rate variability in major depression

Cited by 47 publications

References 43 publications

The Effects of Deep-Breathing Exercises on Postoperative Sleep Duration and Quality in Patients Undergoing Coronary Artery Bypass Graft (CABG): a Randomized Clinical Trial

The Effects of Deep-Breathing Exercises on Postoperative Sleep Duration and Quality in Patients Undergoing Coronary Artery Bypass Graft (CABG): a Randomized Clinical Trial

A critical review of self-care for sleep disturbances: prevalence, profile, motivation, perceived effectiveness and medical provider communication

Effects of Trampoline Exercise on Attentional Control and Daytime Sleepiness among Young Adults with Anxiety Disorders in Malaysia

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