Effectiveness of progressive muscle relaxation and laughter therapy on mental health and treatment outcomes in women undergoing in vitro fertilization: A randomized controlled trial

Kiyak, Sibel; Kocoglu‐Tanyer, Deniz

doi:10.1002/nur.22187

Cited by 6 publications

(13 citation statements)

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“… The studies represent seven countries from three continents. The majority of them were performed in Asia: China n = 1 [ 45 ], Iran n = 2 [ 49 , 50 ], Israel n = 1 [ 27 ], Turkey n = 3 [ 44 , 51 , 52 ]. Two studies were performed in North America: USA n = 2 [ 46 , 47 ] and one in Europe: Denmark n = 1 [ 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…Other studies used Beta hcG as evidence of pregnancy. Two author teams mentioned a pregnancy test [ 49 ] and a blood pregnancy test [ 51 ] as evidence, respectively. One study collected self-reports from the patients [ 46 ].…”

Section: Resultsmentioning

confidence: 99%

“…The psychosocial interventions ranged from music therapy [ 44 ] to gratitude, mindfulness [ 45 ], relaxation techniques such as progressive muscle relaxation [ 27 ] and diaphragmatic breathing [ 28 , 46 , 47 ], yoga [ 50 ], assertiveness training [ 46 ], cognitive-behavioural stress reduction, imagination, expressive writing [ 48 ] and laughter therapy [ 51 ]. One study also included nutrition and exercise [ 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most authors utilised different software to calculate the power and described their calculations and values they used [ 44 , 47 , 49 , 51 ]. Frederiksen et al [ 48 ] did not describe the sample size estimation or power calculation in detail.…”

Section: Method-critical Evaluationmentioning

confidence: 99%

“…Bai et al [ 45 ] used the possibility of this allocation type. In two groups of authors, it was explicitly mentioned that the randomisation was done by a person, who was not responsible for the intervention [ 47 , 51 ].…”

Section: Method-critical Evaluationmentioning

confidence: 99%

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Effectiveness of psychosocial interventions for infertile women: A systematic review and meta-analysis with a focus on a method-critical evaluation

Kremer

Ditzen²,

Wischmann³

2023

PLoS ONE

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Background Approximately seven to nine percent of couples of reproductive age do not get pregnant despite regular and unprotected sexual intercourse. Various psychosocial interventions for women and men with fertility disorders are repeatedly found in the literature. The effects of these interventions on outcomes such as anxiety and depression, as well as on the probability of pregnancy, do not currently allow for reliable generalisable statements. This review includes studies published since 2015 performing a method-critical evaluation of the studies. Furthermore, we suggest how interventions could be implemented in the future to improve anxiety, depression, and pregnancy rates. Method The project was registered with Prospero (CRD42021242683 13 April 2021). The literature search was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Six databases were searched and 479 potential studies were discovered. After reviewing the full texts, ten studies were included for the synthesis. Not all studies reported the three outcomes: four studies each for depression, three for anxiety and nine studies for pregnancy rates were included in the meta-analysis, which was conducted using the Comprehensive meta-analysis (CMA) software. Results Psychosocial interventions do not significantly change women’s anxiety (Hedges’ g -0,006; CI: -0,667 to 0,655; p = 0,985), but they have a significant impact on depression in infertile women (Hedges’ g -0,893; CI: -1,644 to -0,145; p = 0,026). Implementations of psychosocial interventions during assisted reproductive technology (ART) treatment do not increase pregnancy rates (odds ratio 1,337; 95% CI 0,983 to 1,820; p = 0,064). The methodological critical evaluation indicates heterogeneous study design and samples. The results of the studies were determined with different methods and make comparability difficult. All these factors do not allow for a uniform conclusion. Methodological critical evaluation Study design (duration and timing of intervention, type of intervention, type of data collection) and samples (age of women, reason for infertility, duration of infertility) are very heterogeneous. The results of the studies were determined with different methods and make comparability difficult. All these factors do not allow for a uniform conclusion. Conclusion In order to be able to better compare psychosocial interventions and their influence on ART treatment and thus also to achieve valid results, a standardised procedure to the mentioned factors is necessary.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Method-critical Evaluationmentioning

confidence: 99%

Section: Method-critical Evaluationmentioning

confidence: 99%

See 3 more Smart Citations

Effectiveness of psychosocial interventions for infertile women: A systematic review and meta-analysis with a focus on a method-critical evaluation

Kremer

Ditzen²,

Wischmann³

2023

PLoS ONE

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The impact of humor therapy on people suffering from depression or anxiety: An integrative literature review

et al. 2023

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ObjectivesTo identify and synthesize existing research on the effectiveness and feasibility of multiform humor therapy on people suffering from depression or anxiety, with the hope of benefiting future research.MethodsAn integrative literature review of quantitative, qualitative, and mixed studies was performed. The PubMed, Cochrane Library, Web of Science, Embase, and CINAHL databases were searched up to March 2022. Two independent reviewers conducted each stage of the review process, by assessing eligibility using preferred reporting items for systematic review and meta‐analyses (PRISMA) and quality appraisal using the Mixed Methods Appraisal Tool, and data extraction.ResultsIn this integrative review, 29 papers were included, containing 2964 participants across a diverse range of studies, including quantitative, qualitative, and mixed methods. The articles were from the United States, Australia, Italy, Turkey, South Korea, Iran, Israel, China, and Germany. The findings indicated that most of the subjects thought humor therapy was effective in improving depression and anxiety while a few participants considered the effect insignificant. However, more high‐quality studies will be needed to confirm these conclusions.DiscussionThis review collated and summarized findings from studies examining the impact of humor therapy (medical clowns, laughter therapy/yoga) on people with depression or anxiety, including children undergoing surgery or anesthesia, older people in nursing homes, patients with Parkinson's disease, cancer, mental illness, and undergoing dialysis, retired women, and college students. The results from this review may help inform future research, policy, and practice in humor therapy to improve people's symptoms of depression and anxiety.ImpactThis systematic review objectively evaluated the effect of humor therapy on depression and anxiety. As a simple and feasible complementary alternative therapy, humor therapy may provide a favorable alternative for clinicians, nurses, and patients in the future.

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A randomized controlled trial to evaluate the progressive muscle relaxation technique in hip fracture patients

Mashhadi-Naser,

Shirvani,

Vasli

2024

Sci Rep

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The purpose of this research was to ascertain how progressive muscle relaxation (PMR) technique affected hip fracture patients' anxiety, sleep quality, and post-operative pain. This parallel randomized controlled trial was conducted on 100 patients with hip fracture hospitalized in one of the reference orthopedic hospitals in Tehran, Iran who were selected using convenience sampling and randomly were placed in two PMR group (n = 50) and control group (n = 50). Data were collected by Demographic information questionnaire, Visual analogue scale for pain rating, Pittsburgh Sleep Quality Index and State-Trait Anxiety Inventory. The PMR technique was the progressive muscle relaxation technique, which was started the night after the surgery for three nights before going to bed. Data were collected on two occasions, including before the PMR technique and the day after the last stage of the PMR technique. The data were analyzed by SPSS software using descriptive and inferential statistics. The results revealed significant within-group changes in both groups' post-operative pain, sleep quality, and anxiety scores (P < 0.001). The progressive muscle relaxation group experienced decreased post-operative pain and anxiety scores and increased sleep quality scores (P < 0.001). The linear mixed model showed that the absolute changes in the follow-up post-operative pain, sleep quality, and anxiety scores were 1.19 and 7.94 units, significantly lower than the baseline, respectively. The results revealed significant within-group changes in both groups' post-operative pain, sleep quality, and anxiety scores (P < 0.001). The progressive muscle relaxation group experienced decreased post-operative pain and anxiety scores and increased sleep quality scores (P < 0.001). The study's findings demonstrated the beneficial effects of progressive muscle relaxation on hip fracture patients' outcomes, such as their level of anxiety, sleep quality, and post-operative pain. The study's findings can be applied by medical professionals to improve patient satisfaction and care quality.This clinical trial has been registered with the Iranian Registry of Clinical Trials under the code IRCT20231120060119N1, which was approved on 7/12/2023.

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Effectiveness of progressive muscle relaxation and laughter therapy on mental health and treatment outcomes in women undergoing in vitro fertilization: A randomized controlled trial

Cited by 6 publications

References 59 publications

Effectiveness of psychosocial interventions for infertile women: A systematic review and meta-analysis with a focus on a method-critical evaluation

Effectiveness of psychosocial interventions for infertile women: A systematic review and meta-analysis with a focus on a method-critical evaluation

The impact of humor therapy on people suffering from depression or anxiety: An integrative literature review

A randomized controlled trial to evaluate the progressive muscle relaxation technique in hip fracture patients

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