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Evidence-Based Complementary and Alternative Medicine
Volume 2014, Article ID 840923, 13 pages
Research Article

Guided Imagery for Stress and Symptom Management in Pregnant African American Women

1Virginia Commonwealth University, School of Nursing, P.O. Box 980567, Richmond, VA 23298, USA
2Texas Tech University, Gayle Greve Hunt School of Nursing, 415 East Yandell, El Paso, TX 79902, USA
3Riverside Medical Group, 856 J Clyde Morris, Newport News, VA 23602, USA

Received 13 November 2013; Revised 17 January 2014; Accepted 18 January 2014; Published 25 February 2014

Academic Editor: Mark Moss

Copyright © 2014 Nancy Jallo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The purpose of this study was to evaluate the efficacy of a guided imagery (GI) intervention for stress reduction in pregnant African American women beginning early in the second trimester. This prospective longitudinal study of 72 women used a randomized controlled experimental design with two groups conducted over 12 weeks. The intervention was a CD with 4 professionally recorded tracts designed and sequenced to influence study variables. Participants in both GI and usual care (UC) completed measures and donated 5 cc of blood at baseline, 8 weeks and 12 weeks. Participants also completed a daily stress scale. A mixed-effects linear model tested for differences between groups for self-reported measures of stress, anxiety, and fatigue as well as corticotrophin releasing hormone (CRH), a biologic marker of stress. Significant differences in perceived stress daily scores and at week 8 but not week 12 were found in the GI group compared to UC group. The GI group reported significantly less fatigue and anxiety than the UC group at week 8 but not week 12. There were no significant differences in CRH levels between groups. Results suggest that GI intervention may be effective in reducing perceived stress, anxiety, and fatigue measures among pregnant African American women.