Effects of progressive muscle relaxation on health-related outcomes in cancer patients: A systematic review and meta-analysis of randomized controlled trials

Tan, Lanhui; Fang, Pei; Cui, Jiaxin; Yu, Huidan; Yu, Liping

doi:10.1016/j.ctcp.2022.101676

Cited by 8 publications

(6 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In cancer patients, it has been reported to reduce anxiety and pain and improve quality of life. 44 In college students, it was associated with lower scores on risk of burnout. 15 In a systematic review of burnout among teachers, PMR was reported to reduce stress.…”

Section: Discussionmentioning

confidence: 99%

Evaluation and Comparison of Relaxation-Related Workplace Interventions Among Office Workers at an Insurance Institution: An Intervention Study

Lehmann,

Otte,

Kraus

et al. 2024

INQUIRY

View full text Add to dashboard Cite

Relaxation-related workplace interventions can be counterstrategies for stress due to office work and should be evaluated for success after implementation. This study reports on the evaluation and comparison of 3 relaxation techniques introduced as an intervention for health promotion. A Germany-wide multicenter evaluation of a 3-month relaxation intervention (30 min, once a week) including autogenic training, progressive muscle relaxation (PMR) or Tai Chi was conducted at 14 locations as an intervention study. Anonymous questionnaires ( n = 244) were used to collect self-reports of perceived stress after the courses. Status before the courses (pre) and after completion (post) were reported at the end of the intervention. All 3 relaxation techniques were able to improve the subjective perception of stress (SPS) score. Autogenic training was reported to improve all singular items with large effects, whereas only 2 items showed change for Tai Chi and none for PMR. Singular items were also influenced by the location of the courses. All 3 methods were able to improve stress-related outcomes in terms of stress perception and individual aspects of stress management. For this specific intervention autogenic training yielded the largest and wide-ranging effects. Tai Chi was also effective, but additional effect due to an associated increase in physical activity were not found. For a workplace intervention PMR could not be recommended based on this study. The literature on workplace interventions is surprisingly scarce, and future studies should focus on the selection of appropriate participants while avoiding potential bias.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation and Comparison of Relaxation-Related Workplace Interventions Among Office Workers at an Insurance Institution: An Intervention Study

Lehmann,

Otte,

Kraus

et al. 2024

INQUIRY

View full text Add to dashboard Cite

show abstract

“…141 Thus, the benefits of yoga for people with metastatic cancer and intervention duration in people with localized or regionally advanced cancer requires further study. Hypnosis RCT 9 Anxiety [39][40][41][42][43][44][45] Anxiety and depression 46,47 Mindfulness-based interventions SR 7 Anxiety and depression [48][49][50][51][52][53][54] RCT 7 Depression 55,56 Anxiety and depression [57][58][59][60][61] Music therapy and music-based interventions SR 4 Anxiety and depression [62][63][64][65] RCT 4 Anxiety [66][67][68] Reflexology RCT 9 Anxiety [69][70][71][72] Anxiety and depression [73][74][75][76][77] Relaxation techniques SR 4 Anxiety and depression [78][79][80][81] RCT 5 Anxiety and depression [82][83]…”

Section: Recommendationsmentioning

confidence: 99%

“…The evidence for relaxation therapies during treatment for depression symptoms is not as strong as for anxiety, but enough studies exist to make a weaker recommendation. In the 2022 SR of PMR, 78 two included studies (n 5 492) measured depression as an outcome during active treatment and saw statistical improvements, but meta-analysis could not be performed due to variability in outcome measures.…”

Section: Depressionmentioning

confidence: 99%

“…A 2022 SR of 12 RCTs of PMR included nine studies in a meta-analysis. 78 All of the studies were conducted during chemotherapy, radiation, or recovery from surgery, and included patients with lung, breast, colorectal, and mixed cancer types. Six of the RCTs (n = 742) measured anxiety and found a large overall SMD of –1.32 comparing PMR to various controls, including usual care, education, and exercise.…”

Section: Recommendationsmentioning

confidence: 99%

See 1 more Smart Citation

Integrative Oncology Care of Symptoms of Anxiety and Depression in Adults With Cancer: Society for Integrative Oncology–ASCO Guideline

Carlson,

Ismaila,

Addington

et al. 2023

JCO

View full text Add to dashboard Cite

PURPOSE To provide evidence-based recommendations to health care providers on integrative approaches to managing anxiety and depression symptoms in adults living with cancer. METHODS The Society for Integrative Oncology and ASCO convened an expert panel of integrative oncology, medical oncology, radiation oncology, surgical oncology, palliative oncology, social sciences, mind-body medicine, nursing, methodology, and patient advocacy representatives. The literature search included systematic reviews, meta-analyses, and randomized controlled trials published from 1990 through 2023. Outcomes of interest included anxiety or depression symptoms as measured by validated psychometric tools, and adverse events. Expert panel members used this evidence and informal consensus with the Guidelines into Decision Support methodology to develop evidence-based guideline recommendations. RESULTS The literature search identified 110 relevant studies (30 systematic reviews and 80 randomized controlled trials) to inform the evidence base for this guideline. RECOMMENDATIONS Recommendations were made for mindfulness-based interventions (MBIs), yoga, relaxation, music therapy, reflexology, and aromatherapy (using inhalation) for treating symptoms of anxiety during active treatment; and MBIs, yoga, acupuncture, tai chi and/or qigong, and reflexology for treating anxiety symptoms after cancer treatment. For depression symptoms, MBIs, yoga, music therapy, relaxation, and reflexology were recommended during treatment, and MBIs, yoga, and tai chi and/or qigong were recommended post-treatment. DISCUSSION Issues of patient-health care provider communication, health disparities, comorbid medical conditions, cost implications, guideline implementation, provider training and credentialing, and quality assurance of natural health products are discussed. While several approaches such as MBIs and yoga appear effective, limitations of the evidence base including assessment of risk of bias, nonstandardization of therapies, lack of diversity in study samples, and lack of active control conditions as well as future research directions are discussed. Additional information is available at www.asco.org/survivorship-guidelines .

show abstract

“…Systematic reviews on PMR by previous scholars have focused on the impact of the exercises on patients with serious illnesses such as cancer patients, schizophrenic patients, and those who are undergoing surgery 14 , 21 , 22 in reducing their mental health problems. However, to our knowledge, there are no systematic reviews that assess the efficacy of PMR interventions on stress, anxiety, and depression of the general adult population, thus contributing to the current body of knowledge.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Progressive Muscle Relaxation in Adults for Stress, Anxiety, and Depression: A Systematic Review

Muhammad Khir,

Wan Mohd Yunus,

Mahmud

et al. 2024

PRBM

View full text Add to dashboard Cite

Background The rise in the prevalence of mental health problems among adults worldwide has raised concerns, highlighting the critical need for evidence-based mental health interventions that are accessible, comprehensive, and effective. Previous research suggests that Progressive Muscle Relaxation (PMR) is a promising intervention widely used to reduce mental health problems. Nevertheless, the current literature on the efficacy of PMR among adults globally is fragmented, indicating a potential gap in this research area. Hence, this paper aims to systematically compile the research evidence on the efficacy of PMR in adults for stress, anxiety, and depression. Methods The Scopus, Web of Sciences, PubMed, PsycINFO, and Cochrane Central Register of Controlled Trials were searched from the earliest available evidence to 28th March 2023. The PRISMA (Preferred Reporting Items of Systematic Reviews and Meta-analyses) guidelines were followed, and the protocol was registered on the Open Science Framework. Joanna Briggs Institute (JBI) Critical Appraisal Tools were used to assess the quality of the included studies. Results A total of forty-six (46) publications from sixteen (16) countries covering more than 3402 adults were included in the review. The results show that PMR are effective in reducing stress, anxiety, and depression in adults. When PMR is combined with other interventions, the combined techniques have also consistently exhibited enhanced efficacy. Moreover, findings also indicate that the efficacy of PMR is heightened when implemented in conjunction with other interventions, surpassing its standalone efficacy. Funding and Registration This research was supported/funded by the Ministry of Higher Education (MoHE) under the Fundamental Research Grant Scheme (FRGS) (FRGS/1/2020/SS0/UTM/02/23). The review was registered on Open Science Framework (OSF) on the 7th of March 2023; DOI: https://doi.org/10.17605/OSF.IO/U2HZP .

show abstract

Effects of progressive muscle relaxation on health-related outcomes in cancer patients: A systematic review and meta-analysis of randomized controlled trials

Cited by 8 publications

References 44 publications

Evaluation and Comparison of Relaxation-Related Workplace Interventions Among Office Workers at an Insurance Institution: An Intervention Study

Evaluation and Comparison of Relaxation-Related Workplace Interventions Among Office Workers at an Insurance Institution: An Intervention Study

Integrative Oncology Care of Symptoms of Anxiety and Depression in Adults With Cancer: Society for Integrative Oncology–ASCO Guideline

Efficacy of Progressive Muscle Relaxation in Adults for Stress, Anxiety, and Depression: A Systematic Review

Contact Info

Product

Resources

About