Table of Contents Author Guidelines Submit a Manuscript
Evidence-Based Complementary and Alternative Medicine
Volume 2015 (2015), Article ID 628365, 22 pages
http://dx.doi.org/10.1155/2015/628365
Research Article

Relaxation Techniques for People with Chronic Obstructive Pulmonary Disease: A Systematic Review and a Meta-Analysis

1Department of Psychology, Università Cattolica del Sacro Cuore, 20123 Milan, Italy
2Department of Neuromuscular Disease, Fondazione Don Carlo Gnocchi, 20149 Milan, Italy
3Dartmouth College, Hanover, NH 03755, USA
4Niguarda Ca’ Granda Hospital, 20162 Milan, Italy

Received 25 March 2015; Accepted 28 May 2015

Academic Editor: Waris Qidwai

Copyright © 2015 Eleonora Volpato 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.

Linked References

  1. R. A. Pauwels, A. S. Buist, P. M. A. Calverley, C. R. Jenkins, and S. S. Hurd, “Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: National Heart, Lung, and Blood Institute and World Health Organization Global Initiative for Chronic Obstructive Lung Disease (GOLD): executive summary,” Respiratory Care, vol. 46, no. 8, pp. 798–825, 2001. View at Google Scholar · View at Scopus
  2. A. D. Lopez, K. Shibuya, C. Rao et al., “Chronic obstructive pulmonary disease: current burden and future projections,” European Respiratory Journal, vol. 27, no. 2, pp. 397–412, 2006. View at Publisher · View at Google Scholar · View at Scopus
  3. C. J. L. Murray and A. D. Lopez, “Alternative projections of mortality and disability by cause 1990–2020: global Burden of Disease Study,” The Lancet, vol. 349, no. 9064, pp. 1498–1504, 1997. View at Publisher · View at Google Scholar · View at Scopus
  4. K. R. Chapmann, D. M. Mannino, J. B. Soriano et al., “Epidemiology and costs of chronic obstructive pulmonary disease,” European Respiratory Journal, vol. 27, no. 1, pp. 188–207, 2006. View at Publisher · View at Google Scholar · View at Scopus
  5. D. M. Mannino and A. S. Buist, “Global burden of COPD: risk factors, prevalence, and future trends,” The Lancet, vol. 370, no. 9589, pp. 765–773, 2007. View at Publisher · View at Google Scholar · View at Scopus
  6. E. Stahl, A. Lindberg, S.-A. Jansson et al., “Health-related quality of life is related to COPD disease severity,” Health and Quality of Life Outcomes, vol. 3, no. 1, article 56, 2005. View at Publisher · View at Google Scholar · View at Scopus
  7. C. P. Engström, L. O. Persson, S. Larsson, and M. Sullivan, “Health-related quality of life in COPD: why both disease-specific and generic measures should be used,” European Respiratory Journal, vol. 18, no. 1, pp. 69–76, 2001. View at Publisher · View at Google Scholar · View at Scopus
  8. M. E. Kunik, K. Roundy, C. Veazey et al., “Surprisingly high prevalence of anxiety and depression in chronic breathing disorders,” Chest, vol. 127, no. 4, pp. 1205–1211, 2005. View at Publisher · View at Google Scholar · View at Scopus
  9. L. C. Elofsson and J. Öhlén, “Meanings of being old and living with chronic obstructive pulmonary disease,” Palliative Medicine, vol. 18, no. 7, pp. 611–618, 2004. View at Publisher · View at Google Scholar · View at Scopus
  10. T. R. Fried and J. R. O'Leary, “Using the experiences of bereaved caregivers to inform patient- and caregiver-centered advance care planning,” Journal of General Internal Medicine, vol. 23, no. 10, pp. 1602–1607, 2008. View at Publisher · View at Google Scholar · View at Scopus
  11. S. M. Oliver, “Living with failing lungs: the doctor–patient relationship,” Family Practice, vol. 18, no. 4, pp. 430–439, 2001. View at Publisher · View at Google Scholar · View at Scopus
  12. J. B. Wempe and P. J. Wijkstra, “The influence of rehabilitation on behaviour modification in COPD,” Patient Education and Counseling, vol. 52, no. 3, pp. 237–241, 2004. View at Publisher · View at Google Scholar · View at Scopus
  13. S. Krachman, O. A. Minai, and S. M. Scharf, “Sleep abnormalities and treatment in emphysema,” Proceedings of the American Thoracic Society, vol. 5, no. 4, pp. 536–542, 2008. View at Publisher · View at Google Scholar · View at Scopus
  14. T. A. Omachi, P. D. Blanc, D. M. Claman et al., “Disturbed sleep among COPD patients is longitudinally associated with mortality and adverse COPD outcomes,” Sleep Medicine, vol. 13, no. 5, pp. 476–483, 2012. View at Publisher · View at Google Scholar · View at Scopus
  15. F. Karadag, H. Ozcan, M. Eskin et al., “Psychological distress in chronic obstructive pulmonary disease patients,” Stress and Health, vol. 24, no. 2, pp. 115–122, 2008. View at Publisher · View at Google Scholar · View at Scopus
  16. A. Baraniak and D. Sheffield, “The efficacy of psychologically based interventions to improve anxiety, depression and quality of life in COPD: a systematic review and meta-analysis,” Patient Education and Counseling, vol. 83, no. 1, pp. 29–36, 2011. View at Publisher · View at Google Scholar · View at Scopus
  17. S. W.-S. Louie, “The effects of guided imagery relaxation in people with COPD,” Occupational Therapy International, vol. 11, no. 3, pp. 145–159, 2004. View at Publisher · View at Google Scholar · View at Scopus
  18. L. E. Moody, M. Fraser, and H. Yarandi, “Effects of guided imagery in patients with chronic bronchitis and emphysema,” Clinical Nursing Research, vol. 2, no. 4, pp. 478–486, 1993. View at Publisher · View at Google Scholar · View at Scopus
  19. C. F. Emery, N. E. Leatherman, E. J. Burker, and N. R. MacIntyre, “Psychological outcomes of a pulmonary rehabilitation program,” Chest, vol. 100, no. 3, pp. 613–617, 1991. View at Publisher · View at Google Scholar · View at Scopus
  20. G. Garuti, C. Cilione, D. Dell'Orso et al., “Impact of comprehensive pulmonary rehabilitation on anxiety and depression in hospitalized COPD patients,” Monaldi Archives for Chest Disease, vol. 59, no. 1, pp. 56–61, 2003. View at Google Scholar · View at Scopus
  21. S. Lolak, G. L. Connors, M. J. Sheridan, and T. N. Wise, “Effects of progressive muscle relaxation training on anxiety and depression in patients enrolled in an outpatient pulmonary rehabilitation program,” Psychotherapy and Psychosomatics, vol. 77, no. 2, pp. 119–125, 2008. View at Publisher · View at Google Scholar · View at Scopus
  22. A. L. Ries, R. M. Kaplan, T. M. Limberg, and L. M. Prewitt, “Effects of pulmonary rehabilitation on physiologic and psychosocial outcomes in patients with chronic obstructive pulmonary disease,” Annals of Internal Medicine, vol. 122, no. 11, pp. 823–832, 1995. View at Publisher · View at Google Scholar · View at Scopus
  23. M. B. Parshall, R. M. Schwartzstein, L. Adams et al., “An official American thoracic society statement: update on the mechanisms, assessment, and management of dyspnea,” American Journal of Respiratory and Critical Care Medicine, vol. 185, no. 4, pp. 435–452, 2012. View at Publisher · View at Google Scholar · View at Scopus
  24. D. Donesky-Cuenco, H. Q. Nguyen, S. Paul, and V. Carrieri-Kohlman, “Yoga therapy decreases dyspnea-related distress and improves functional performance in people with chronic obstructive pulmonary disease: a pilot study,” The Journal of Alternative and Complementary Medicine, vol. 15, no. 3, pp. 225–234, 2009. View at Publisher · View at Google Scholar · View at Scopus
  25. S. Katiyar and S. Bihari, “Role of pranayama in rehabilitation of COPD patients—a randomized controlled study,” Indian Journal of Allergy, Asthma and Immunology, vol. 20, no. 2, pp. 98–104, 2006. View at Google Scholar
  26. K. J. Sherman, D. C. Cherkin, R. D. Wellman et al., “A randomized trial comparing yoga, stretching, and a self-care book for chronic low back pain,” Archives of Internal Medicine, vol. 171, no. 22, pp. 2019–2026, 2011. View at Publisher · View at Google Scholar · View at Scopus
  27. C. Woodyard, “Exploring the therapeutic effects of yoga and its ability to increase quality of life,” International Journal of Yoga, vol. 4, no. 2, p. 49, 2011. View at Publisher · View at Google Scholar
  28. J.-H. Yan, Y.-Z. Guo, H.-M. Yao, and L. Pan, “Effects of Tai Chi in patients with chronic obstructive pulmonary disease: preliminary evidence,” PLoS ONE, vol. 8, no. 4, Article ID e61806, 2013. View at Publisher · View at Google Scholar · View at Scopus
  29. G. Y. Yeh, E. P. McCarthy, P. M. Wayne et al., “Tai Chi exercise in patients with chronic heart failure. A randomized clinical trial,” Archives of Internal Medicine, vol. 171, no. 8, pp. 750–757, 2011. View at Publisher · View at Google Scholar · View at Scopus
  30. D. L. Dudley, E. M. Glaser, B. N. Jorgenson, and D. L. Logan, “Psychosocial concomitants to rehabilitation in chronic obstructive pulmonary disease. Part II. Psychosocial treatment,” Chest, vol. 77, no. 4, pp. 544–551, 1980. View at Publisher · View at Google Scholar · View at Scopus
  31. E. Green and A. Green, “Biofeedback and states of consciousness,” Subtle Energies & Energy Medicine Journal Archives, vol. 10, no. 1, 1999. View at Google Scholar
  32. A. J. R. van Gestel, M. Kohler, J. Steier, S. Teschler, E. W. Russi, and H. Teschler, “The effects of controlled breathing during pulmonary rehabilitation in patients with COPD,” Respiration, vol. 83, no. 2, pp. 115–124, 2012. View at Publisher · View at Google Scholar · View at Scopus
  33. K. Heslop, A. de Soyza, C. R. Baker, C. Stenton, and G. P. Burns, “Using individualised cognitive behavioural therapy as a treatment for people with COPD,” Nursing times, vol. 105, no. 14, pp. 14–17, 2009. View at Google Scholar · View at Scopus
  34. G. S. Bauldoff, L. A. Hoffman, T. G. Zullo, and F. C. Sciurba, “Exercise maintenance following pulmonary rehabilitation: effect of distractive stimuli,” Chest, vol. 122, no. 3, pp. 948–954, 2002. View at Publisher · View at Google Scholar · View at Scopus
  35. M. A. Thornby, F. Haas, and K. Axen, “Effect of distractive auditory stimuli on exercise tolerance in patients with COPD,” Chest, vol. 107, no. 5, pp. 1213–1217, 1995. View at Publisher · View at Google Scholar · View at Scopus
  36. H.-S. Wu, S.-C. Wu, J.-G. Lin, and L.-C. Lin, “Effectiveness of acupressure in improving dyspnoea in chronic obstructive pulmonary disease,” Journal of Advanced Nursing, vol. 45, no. 3, pp. 252–259, 2004. View at Publisher · View at Google Scholar · View at Scopus
  37. E. G. Collins, W. E. Langbein, L. Fehr et al., “Can ventilation-feedback training augment exercise tolerance in patients with chronic obstructive pulmonary disease?” American Journal of Respiratory and Critical Care Medicine, vol. 177, no. 8, pp. 844–852, 2008. View at Publisher · View at Google Scholar · View at Scopus
  38. G. B. Diette, N. Lechtzin, E. Haponik, A. Devrotes, and H. R. Rubin, “Distraction therapy with nature sights and sounds reduces pain during flexible bronchoscopy: a complementary approach to routine analgesia,” Chest, vol. 123, no. 3, pp. 941–948, 2003. View at Publisher · View at Google Scholar · View at Scopus
  39. D. E. Sassi-Dambron, E. G. Eakin, A. L. Ries, and R. M. Kaplan, “Treatment of dyspnea in COPD: a controlled clinical trial of dyspnea management strategies,” Chest, vol. 107, no. 3, pp. 724–729, 1995. View at Publisher · View at Google Scholar · View at Scopus
  40. M. A. Nield, G. W. Soo Hoo, J. M. Roper, and S. Santiago, “Efficacy of pursed-lips breathing: a breathing pattern retraining strategy for dyspnea reduction,” Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 27, no. 4, pp. 237–244, 2007. View at Publisher · View at Google Scholar · View at Scopus
  41. W. P. Yamaguti, R. C. Claudino, A. P. Neto et al., “Diaphragmatic breathing training program improves abdominal motion during natural breathing in patients with chronic obstructive pulmonary disease: a randomized controlled trial,” Archives of Physical Medicine and Rehabilitation, vol. 93, no. 4, pp. 571–577, 2012. View at Publisher · View at Google Scholar · View at Scopus
  42. A. G. Bonilha, F. Onofre, M. L. Vieira, M. Y. Almeida Prado, and J. A. B. Martinez, “Effects of singing classes on pulmonary function and quality of life of COPD patients,” International Journal of Chronic Obstructive Pulmonary Disease, vol. 4, no. 1, p. 1, 2009. View at Google Scholar · View at Scopus
  43. V. M. Lord, P. Cave, V. J. Hume et al., “Singing teaching as a therapy for chronic respiratory disease—a randomised controlled trial and qualitative evaluation,” BMC Pulmonary Medicine, vol. 10, no. 1, article 41, 2010. View at Publisher · View at Google Scholar · View at Scopus
  44. A. W. Chan, A. Lee, L. K. P. Suen, and W. S. Tam, “Effectiveness of a Tai chi Qigong program in promoting health-related quality of life and perceived social support in chronic obstructive pulmonary disease clients,” Quality of Life Research, vol. 19, no. 5, pp. 653–664, 2010. View at Google Scholar
  45. B. H. P. Ng, H. W. H. Tsang, A. Y. M. Jones, C. T. So, and T. Y. W. Mok, “Functional and psychosocial effects of health qigong in patients with COPD: a randomized controlled trial,” Journal of Alternative and Complementary Medicine, vol. 17, no. 3, pp. 243–251, 2011. View at Publisher · View at Google Scholar · View at Scopus
  46. V. M. Lord, V. J. Hume, J. L. Kelly et al., “Singing classes for chronic obstructive pulmonary disease: a randomized controlled trial,” BMC Pulmonary Medicine, vol. 12, no. 1, article 69, 2012. View at Publisher · View at Google Scholar · View at Scopus
  47. M. K. Tandon, “Adjunct treatment with yoga in chronic severe airways obstruction,” Thorax, vol. 33, no. 4, pp. 514–517, 1978. View at Publisher · View at Google Scholar · View at Scopus
  48. H. Paz-Díaz, M. Montes de Oca, J. M. López, and B. R. Celli, “Pulmonary rehabilitation improves depression, anxiety, dyspnea and health status in patients with COPD,” American Journal of Physical Medicine & Rehabilitation, vol. 86, no. 1, pp. 30–36, 2007. View at Publisher · View at Google Scholar · View at Scopus
  49. L. Ng, L. K. Chiang, R. Tang et al., “Effectiveness of incorporating Tai Chi in a pulmonary rehabilitation program for Chronic Obstructive Pulmonary Disease (COPD) in primary care—a pilot randomized controlled trial,” European Journal of Integrative Medicine, vol. 6, no. 3, pp. 248–258, 2014. View at Publisher · View at Google Scholar · View at Scopus
  50. R. W. M. Leung, Z. J. McKeough, M. J. Peters, and J. A. Alison, “Short-form Sun-style t'ai chi as an exercise training modality in people with COPD,” European Respiratory Journal, vol. 41, no. 5, pp. 1051–1057, 2013. View at Publisher · View at Google Scholar · View at Scopus
  51. A. G. Gift, T. Moore, and K. Soeken, “Relaxation to reduce dyspnea and anxiety in COPD patients,” Nursing Research, vol. 41, no. 4, pp. 242–246, 1992. View at Google Scholar · View at Scopus
  52. M. E. Kunik, U. Braun, M. A. Stanley et al., “One session cognitive behavioural therapy for elderly patients with chronic obstructive pulmonary disease,” Psychological Medicine, vol. 31, no. 4, pp. 717–723, 2001. View at Publisher · View at Google Scholar · View at Scopus
  53. N. Eiser, C. West, S. Evans, A. Jeffers, and F. Quirk, “Effects of psychotherapy in moderately severe COPD: a pilot study,” European Respiratory Journal, vol. 10, no. 7, pp. 1581–1584, 1997. View at Publisher · View at Google Scholar · View at Scopus
  54. V. P. Singh, V. Rao, V. Prem, R. C. Sahoo, and P. K. Keshav, “Comparison of the effectiveness of music and progressive muscle relaxation for anxiety in COPD—a randomized controlled pilot study,” Chronic Respiratory Disease, vol. 6, no. 4, pp. 209–216, 2009. View at Publisher · View at Google Scholar · View at Scopus
  55. E. Volpato, P. Banfi, S. M. Rogers, and F. Pagnini, “Relax and breathe deeply: a quick relaxation training for people with Chronic Obstructive Pulmonary Disease,” Psychology, Health and Medicine. Under review.
  56. J. P. T. Higgins, D. G. Altman, P. C. Gøtzsche et al., “The Cochrane Collaboration's tool for assessing risk of bias in randomised trials,” The British Medical Journal, vol. 343, no. 7829, Article ID d5928, 2011. View at Publisher · View at Google Scholar · View at Scopus
  57. A. P. Verhagen, H. C. W. De Vet, R. A. De Bie et al., “The Delphi list: a criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus,” Journal of Clinical Epidemiology, vol. 51, no. 12, pp. 1235–1241, 1998. View at Publisher · View at Google Scholar · View at Scopus
  58. J. Cohen, Statistical Power Analysis for the Behavioral Sciences, Psychology Press, 1988.
  59. R. B. Kline and American Psychological Association, Beyond Significance Testing: Reforming Data Analysis Methods in Behavioral Research, American Psychological Association, 2004.
  60. S. di Nuovo, La meta-analisi. Fondamenti teorici e applicazioni nella ricerca psicologica, Borla, 1995.
  61. J. Cohen, Statistical Power Analysis for the Behavioral Sciences (rev), Lawrence Erlbaum Associates, 1977.
  62. L. V. Hedges, “Estimation of effect size from a series of independent experiments,” Psychological Bulletin, vol. 92, no. 2, pp. 490–499, 1982. View at Publisher · View at Google Scholar · View at Scopus
  63. L. V. Hedges and I. Olkin, Statistical Method for Meta-Analysis, Academic Press, New York, NY, USA, 1985.
  64. R. Rosenthal, Meta-Analytic Procedures for Social Research, vol. 6, Sage, 1991. View at Publisher · View at Google Scholar
  65. E. C. Devine and J. Pearcy, “Meta-analysis of the effects of psychoeducational care in adults with chronic obstructive pulmonary disease,” Patient Education and Counseling, vol. 29, no. 2, pp. 167–178, 1996. View at Publisher · View at Google Scholar · View at Scopus
  66. C. Rose, L. Wallace, R. Dickson et al., “The most effective psychologically-based treatments to reduce anxiety and panic in patients with chronic obstructive pulmonary disease (COPD): a systematic review,” Patient Education and Counseling, vol. 47, no. 4, pp. 311–318, 2002. View at Publisher · View at Google Scholar · View at Scopus
  67. A. B. Lorenc, Y. Wang, S. Madge, X. Hu, A. Mian, and N. Robinson, “Meditative movement for respiratory function: a systematic review,” Respir Care, vol. 59, no. 3, pp. 427–440, 2014. View at Google Scholar
  68. C. Bausewein, S. Booth, M. Gysels, and I. Higginson, “Non-pharmacological interventions for breathlessness in advanced stages of malignant and non-malignant diseases,” Cochrane Database of Systematic Reviews, no. 2, Article ID CD005623, 2008. View at Google Scholar · View at Scopus
  69. N. Dazzi, V. Lingiardi, and A. Colli, La ricerca empirica in psicoterapia, Raffaello Cortina, Milan, Italy, 2006.
  70. J. R. Weisz, S. S. Han, D. A. Granger, B. Weiss, and T. Morton, “Effects of psychotherapy with children and adolescents revisited: a meta-analysis of treatment outcome studies,” Psychological Bulletin, vol. 117, no. 3, pp. 450–468, 1995. View at Publisher · View at Google Scholar · View at Scopus
  71. K. Luebbert, B. Dahme, and M. Hasenbring, “The effectiveness of relaxation training in reducing treatment-related symptoms and improving emotional adjustment in acute non-surgical cancer treatment: a meta-analytical review,” Psycho-Oncology, vol. 10, no. 6, pp. 490–502, 2001. View at Publisher · View at Google Scholar · View at Scopus
  72. D. Carroll and K. Seers, “Relaxation for the relief of chronic pain: a systematic review,” Journal of Advanced Nursing, vol. 27, no. 3, pp. 476–487, 1998. View at Publisher · View at Google Scholar · View at Scopus
  73. G. M. Manzoni, F. Pagnini, G. Castelnuovo, and E. Molinari, “Relaxation training for anxiety: a ten-years systematic review with meta-analysis,” BMC Psychiatry, vol. 8, article 41, 2008. View at Publisher · View at Google Scholar · View at Scopus