Effect of relaxation-breathing training on anxiety and asthma signs/symptoms of children with moderate-to-severe asthma: A randomized controlled trial

International Journal of Nursing Studies

Volumn 46, Issue 8, 2009, Pages 1061-1070

  Chiang, Li Chi ^a   Ma, Wei Fen ^a   Huang, Jing Long ^b   Tseng, Li Feng ^c   Hsueh, Kai Chung ^a  

^a CHINA MEDICAL UNIVERSITY HOSPITAL   (Taiwan)

^b CHANG GUNG CHILDREN S HOSPITAL   (Taiwan)

^c NATIONAL TAICHUNG UNIVERSITY OF SCIENCE AND TECHNOLOGY   (Taiwan)

Author keywords

Anxiety; Asthma; Children; Chronic illness; Relaxation breathing training

Indexed keywords

ANTIASTHMATIC AGENT;

ADOLESCENT; ANXIETY; ARTICLE; ASTHMA; BREATHING; CHILD; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; HOSPITALIZATION; HUMAN; MALE; PATHOPHYSIOLOGY; PEAK EXPIRATORY FLOW; PSYCHOLOGICAL ASPECT; RANDOMIZED CONTROLLED TRIAL; RELAXATION TRAINING; SELF CARE;

ADOLESCENT; ANTI-ASTHMATIC AGENTS; ANXIETY; ASTHMA; CHILD; FEMALE; HUMANS; MALE; PEAK EXPIRATORY FLOW RATE; RELAXATION THERAPY; RESPIRATION; SELF CARE; SEVERITY OF ILLNESS INDEX;

EID: 67649088074     PISSN: 00207489     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijnurstu.2009.01.013     Document Type: Article

References (58)

1. Aas K. Heterogeneity of bronchial asthma, sub-populations- or different stages of the disease. Allergy 36 (1981) 3-14
2. Alexander A.B., Cropp J.A., and Chai H. Effects of relaxation training on pulmonary mechanics in children with asthma. Journal of Applied Behavior Analysis 12 (1979) 27-35
3. Castes M., Hagel I., Palenque M., Canelones P., Corao A., and Lynch N.R. Immunological changes associated with clinical improvement of asthmatic children subjected to psychosocial intervention. Brain, Behavior, & Immunity 13 1 (1999) 1-13
4. Castaneda A., McCandless B.R., and Palermo D.S. The children's form of the manifest anxiety scale. Child Development 27 3 (1956) 317-326
5. Chan Y.H. Biostatistics 301A: repeated measurement analysis (Mixed Models). Singapore Medical Journal 45 (2004) 354-369
6. Chiang L.C. Exploring the health-related quality of life among children with moderate asthma. The Journal of Nursing Research 13 1 (2005) 31-40
7. Chiang L.C., Chen Y.H., Hsueh K.C., and Huang J.L. Prevalence and severity of symptoms of asthma, allergic rhinitis, and eczema in 10- to 15-year-old schoolchildren in central Taiwan. Asian Pacific Journal of Allergy and Immunology 25 (2007) 1-5
8. Chiang L.C., Tseng L.F., Huang J.L., and Fu L.S. Testing a Questionnaire to measure Asthma-related quality of life among children. Journal of Nursing Scholarship 38 4 (2006) 383-386
9. Chiang L.C., Huang J.L., and Fu L.H. Physical activity and physical self-concept: comparison between children with and without asthma. Journal of Advanced Nursing 54 6 (2006) 653-662
10. Cohen J. A power primer. Psychological Bulletin 112 (1992) 155-159
11. Davis M.H., Saunders D.R., Creer T.L., and Chai H. Relaxation training facilitated by biofeedback apparatus as a supplemental treatment in bronchial asthma. Journal of Psychosomatic Research 17 (1973) 121-128
12. Dennis, J., 2000. Alexander technique for chronic asthma. Cochrane Database of Systematic Reviews, CD000995.
13. Deter H.C., and Allert G. Group therapy for asthma patients: a concept for the psychosomatic treatment of patients in a medical clinic-a controlled study. Psychotherapy and Psychosomatics 40 (1983) 365-372
14. Devine E.C. Meta-analysis of the effects of psychoeducational care in adults with asthma. Research in Nursing & Health 19 (1996) 367-376
15. Erskine-Milliss J., and Schonell M. Relaxation therapy in asthma: a critical review. Psychosomatic Medicine 43 (1981) 365-372
16. Ernst E. Breathing techniques: adjunctive treatment modalities for asthma? A systematic review. The European Respiratory Journal 15 (2000) 969-972
17. Green S. Power analysis in repeated measures analysis of variance with heterogeneity correlated trials. Paper presented at the annual meeting of the American Educational Research Association. Boston, MA (1990)
18. Guevara J.P., Wolf F.M., Grum C.M., and Clark N.M. Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis. British Medical Journal 14 (2003) 1308-1309
19. Holloway E.A., and West R.J. Integrated breathing and relaxation training (the Pap worth method) for adults with asthma in primary care: a randomized controlled trial. Thorax 62 (2007) 1039-1042
20. Huntley A., White A.R., and Ernst E. Relaxation therapies for asthma: a systematic review. Thorax 5 2 (2002) 127-131
21. Juniper E.F., Guyatt G.H., Feeny D.H., Ferrie P.J., Griffith L.E., and Townsend M. Measuring quality of life in children with asthma. Quality of Life Research 5 (1996) 35-46
22. Kaplan G.A., and Camacho T. Perceived health and mortality: a nine-year follow-up of the Human Population Laboratory cohort. American Journal of Epidemiology 117 (1988) 292-304
23. Katon W.J., Richardson L., Lozano P., and McCauley E. The relationship of asthma and anxiety disorders. Psychosomatic Medicine 66 (2004) 349-355
24. Kemper K.J. Complementary and alternative medicine for children: does it work?. Archives Disease in Childhood 84 (2000) 6-9
25. Kern-Buell C.L., McGrady A.V., Conran P.B., and Nelson L.A. Asthma severity, psychophysiological indicators of arousal, and immune function in asthma patients undergoing biofeedback-assisted relaxation. Applied Psychophysiology Biofeedback 25 (2000) 79-91
26. Kohen D.P., and Wynne E. Applying hypnosis in a preschool family asthma education program: uses of storytelling, imagery, and relaxation. American Journal of Clinical Hypnosis 39 3 (1997) 169-181
27. Kotses H., Glaus K.D., Bricel S.K., Edwards J.E., and Crawford P.L. Operant muscular relaxation and peak expiratory flow rate in asthmatic children. Journal Psychosomatics Research 22 (1978) 17-23
28. Lamontagne L.L., Mason K.R., and Hepworth J.T. Effects of relaxation on anxiety in children: implications for coping with stress. Nursing Research 34 (1985) 289-292
29. Lehrer P.M. Emotionally triggered asthma: a review of research literature and some hypotheses for self-regulation therapies. Applied Psychophysiology and Biofeedback 23 (1998) 13-41
30. Lehrer P.M., Sargunaraj D., and Hochron S. Psychological approaches to the treatment of asthma. Journal of Consulting and Clinical Psychology 60 (1992) 639-643
31. Li H.C., and Lopez V. Do trait anxiety and age predict state anxiety of school-age children?. Journal of Clinical Nursing 14 (2005) 1083-1089
32. Lin B.F., Yan G.S., Mao Y., and Yan Y.W. Refine the Chinese children anxiety scale. In: Yan G.S., and Chang C.X. (Eds). The Development of Chinese Children's Behavior (1973), Uniworld Publisher, Taipei 465-518
33. Malhi P. Psychosocial issues in the management and treatment of children and adolescents with asthma. Indian Journal Pediatrics 68 Suppl. 4 (2001) S48-S52
34. Mathe A.A., and Knappe P.H. Emotional and adrenal reactions to stress in bronchial asthma. Psychosomatic Medicine 33 (1971) 323-340
35. McQuaid E.L., and Nassau J.H. Empirically supported treatments of disease-related symptoms in pediatric psychology: asthma, diabetes, and cancer. Journal Pediatrics Psychology 24 (1999) 305-328
36. Miles A., Sawyer M., and Kennedy D. A preliminary study of factors that influence children's sense of competence to management their asthma. Journal of Asthma 32 6 (1995) 437-444
37. Muellner M. Evidence-Based Medicine (2002), Springer, Wein, New York
38. National Heart, Lung, and Blood Institute, 2007. Expert Panel Report 3: guidelines for the diagnosis and management of asthma. Available at: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.pdf (accessed September 26, 2008).
39. Norton M., Holm J.E., and McSherry W.C. Behavioral assessment of relaxation: the validity of a behavioral rating scale. Journal of Behavioral Therapy and Experimental Psychiatry 28 2 (1997) 129-137
40. Pagliari, C., Shuldham, C., Fleming, S., Churchill, R., 2002. Psychotherapeutic interventions for the children with asthma. The Cochrane Database of Systematic Reviews, 3, No pagination.
41. Polit D.F., and Beck C.T. Essentials of Nursing Research: Methods, Appraisal, and Utilization (2005), Lippincott Williams & Wilkins
42. Ran A. Self-hypnosis for management of chronic dyspnea in pediatric patients. Pediatrics 107 2 (2001) E21
43. Raymer R., and Poppen R. Behavioral relaxation training with hyperactive children. Journal of Behavioral Therapy and Experimental Psychiatry 16 (1985) 309-316
44. Richter R., and Dahme B. There is little evidence for the effectiveness of behavioral therapy and relaxation. Journal of Psychosomatics Research 26 (1982) 533-540
45. Ritz T. Relaxation therapy in adult asthma: Is there new evidence for its effectives?. Behavior Modification 25 4 (2001) 640-666
46. Rydstrom I., Englund A.D., and Sandman P. Being a child with asthma. Pediatric Nursing 25 6 (1999) 589-595
47. Sandberg S., Paton J.Y., Ahola S., McCann D.C., McGuinness D., Hillary C.R., and Oja H. The role of acute and chronic stress in asthma attacks in children. The Lancet 356 16 (2000) 982-987
48. Santanello N.C., Davies G., Galant S.P., Pedinoff A., Sveum R., Seltzer J., Seidenberg B., and Knorr B.A. Validation of an asthma symptom diary for interventional studies. Archives of Disease in Childhood 80 (1999) 414-420
49. Sarason S.B., Davidson K.S., Lighthall F.F., Waite R.R., and Ruebush B.K. Anxiety in Elementary School Children (1960), Wiley, New York
50. Scherr M.S., Crawford P.L., Sergent C.B., and Scherr C.A. Effects of biofeedback techniques on chronic asthma in a summer camp environment. Annals of Allergy 35 (1975) 289-295
51. Smith J.R., Mugford M., Holland R., Candy B., Noble M.J., Harrison B.D.W., Koutantji M., Upton C., and Harvey I. A systematic review to examine the impact of psycho-educational interventions on health outcomes and costs in adults and children with difficult asthma. Health Technology Assessment 9 23 (2005) 1-167 iii-iv
52. Stores G., Ellis A.J., Wiggs L., Crawford C., and Thomson A. Sleep and psychological disturbance in nocturnal asthma. Archives of Disease in Childhood 78 (1997) 419-431
53. Titlebaum H. Relaxation. In: Zahourek R.P. (Ed). Relaxation and Imagery: Tools for Therapeutic Communication and Intervention (1988), Saunders, W.B., Philadelphia
54. Tseng T.C. An assessment study on cognition and adaptive behaviors between high-anxiety and low-anxiety children. Chia I Shih Yuan Hsueh Pao 7 (1993) 19-76
55. Tzeng L.F., and Chiang L.C. Developing a hospital-based asthma case management program. The Journal of Nursing 52 5 (2005) 71-76
56. Vazquez I., and Buceta J. Psychological treatment of asthma: effectiveness of self-management program with and without relaxation training. Journal of Asthma 30 (1993) 171-183
57. Vazquez I., and Buceta J. Relaxation therapy in the treatment of bronchial asthma: effects on basal spirometric values. Psychotherapy & Psychosomatics 60 (1993) 106-112
58. Wolf, F.M., Guevara, J.P., Grum, C.M., Clark, N.M., Cates, C.J., 2003. Educational interventions for asthma in children. Cochrane Database Systematic Review, 1 (ID #CD000326).