Journal of Psychosomatic Research
Volume 59, Issue 6 , Pages 393-398 , December 2005

Effect of progressive muscle relaxation in adolescent female bronchial asthma patients: A randomized, double-blind, controlled study

  • Cerstin Nickel

      Affiliations

    • Clinic of Psychosomatic Medicine and Psychotherapy, Inntalklinik, Simbach am Inn, Germany
    • ,
  • Christian Kettler

      Affiliations

    • Clinic of Psychosomatic Medicine and Psychotherapy, Inntalklinik, Simbach am Inn, Germany
    • ,
  • Moritz Muehlbacher

      Affiliations

    • University Clinic for Psychiatry 1, PMU, Salzburg, Austria
    • ,
  • Claas Lahmann

      Affiliations

    • Department of Psychosomatic Medicine, University Clinic, Regensburg, Germany
    • ,
  • Karin Tritt

      Affiliations

    • Department of Psychosomatic Medicine, University Clinic, Regensburg, Germany
    • ,
  • Rainhold Fartacek

      Affiliations

    • University Clinic for Psychiatry 1, PMU, Salzburg, Austria
    • ,
  • Egon Bachler

      Affiliations

    • Clinic of Psychosomatic Medicine and Psychotherapy, Inntalklinik, Simbach am Inn, Germany
    • ,
  • Nadine Rother

      Affiliations

    • Clinic of Psychosomatic Medicine and Psychotherapy, Inntalklinik, Simbach am Inn, Germany
    • ,
  • Christoph Egger

      Affiliations

    • University Clinic for Psychiatry 1, PMU, Salzburg, Austria
    • ,
  • Wolfhardt K. Rother

      Affiliations

    • Clinic of Psychosomatic Medicine and Psychotherapy, Inntalklinik, Simbach am Inn, Germany
    • ,
  • Thomas H. Loew

      Affiliations

    • Department of Psychosomatic Medicine, University Clinic, Regensburg, Germany
    • ,
  • Marius K. Nickel

      Affiliations

    • Clinic of Psychosomatic Medicine and Psychotherapy, Inntalklinik, Simbach am Inn, Germany
    • Department of Psychosomatic Medicine, University Clinic, Regensburg, Germany
    • University Clinic for Psychiatry 1, PMU, Salzburg, Austria
    • Corresponding Author InformationCorresponding author. Inntalklinik, 84359 Simbach am Inn, Germany. Tel.: +49 8571 985302; fax: +49 8571 985303.

Received 1 December 2004 ,Revised 5 April 2005 ,Accepted 5 April 2005.

References 

  1. Larson MR, Ader R, Moynihan JA. Heart rate, neuroendocrine, and immunological reactivity in response to an acute laboratory stressor. Psychosom Med. 2001;63:493–501
  2. Lehrer PM, Vaschillo E, Vaschillo B, Lu SE, Scardella A, Siddique M, et al. Biofeedback treatment for asthma. Chest. 2004;126:352–361
  3. Vaschillo E, Lehrer P, Rishe N, Konstantinov M. Heart rate variability biofeedback as a method for assessing baroreflex function: a preliminary study of resonance in the cardiovascular system. Appl Psychophysiol Biofeedback. 2002;27:1–27
  4. McQuaid EL, Fritz GK, Nassau JH, Lilly MK, Mansell A, Klein RB. Stress and airway resistance in children with asthma. J Psychosom Res. 2000;49:239–245
  5. Price JF. Issues in adolescent asthma: what are the needs?. Thorax. 1996;51(Suppl 1):13–17
  6. Buston KM, Wood SF. Non-compliance amongst adolescents with asthma: listening to what they tell us about self-management. Fam Pract. 2000;17:134–138
  7. Blaisdell CJ. The adolescent with asthma: strategies for improved outcomes. Md Med. 2002;3:42–44
  8. Escher J, Evequoz D. Music and heart rate variability. Study of the effect of music on heart rate variability in healthy adolescents. Schweiz Rundsch Med Prax. 1999;20:951–952
  9. Vickers A, Zollman C. ABC of complementary medicine. Hypnosis and relaxation therapies. BMJ. 1999;319:1346–1349
  10. Gustafsson D, Olofsson N, Andersson F, Linderberg B, Schollin J. Effect of asthma in childhood on psycho-social problems in the family. J Psychosom Res. 2002;53:1071–1075
  11. Vempati RP, Telles S. Yoga-based guided relaxation reduces sympathetic activity judged from baseline levels. Psychol Rep. 2002;90:487–494
  12. White JM. Effects of relaxing music on cardiac autonomic balance and anxiety after acute myocardial infarction. Am J Crit Care. 1999;8:220–230
  13. Stout C, Kotses H, Creer TL. Improving perception of air flow obstruction in asthma patients. Psychosom Med. 1997;59:201–206
  14. Du J, He J, Wang Y. A study of heart rate variability in asthma. Zhonghua Jie He He Hu Xi Za Zhi. 2001;24:744–745
  15. Fujii H, Fukutomi O, Inoue R, Shinoda S, Okammoto H, Teramoto T, et al. Autonomic regulation after exercise evidenced by spectral analysis of heart rate variability in asthmatic children. Ann Allergy Asthma Immunol. 2000;85:233–317
  16. Kazuma N, Otsuka K, Matsuoka M. Heart rate variability during 24 hours in asthmatic children. Chronobiol Int. 1997;14:597–606
  17. Affleck G, Apter A, Tennen H, Reisine S, Barrows E, Willard A, et al. Mood states associated with transitory changes in asthma symptoms and peak expiratory flow. Psychosom Med. 2000;62:61–68
  18. Lehrer PM, Hochron SM, Mayne TM, Isenberg S, Lasoski AM, Carlson V, et al. Relationship between changes in EMG and respiratory sinus arrhythmia in a study of relaxation therapy for asthma. Appl Psychophysiol Biofeedback. 1997;22:183–191
  19. Richter R, Dahme B. Bronchial asthma in adults: there is little evidence for the effectiveness of behavioral therapy and relaxation. J Psychosom Res. 1982;26:533–540
  20. Lehrer PM, Hochron SM, McCann B, Swartzman L, Reba P. Relaxation decreases large-airway but not small-airway asthma. J Psychosom Res. 1986;30:13–25
  21. Lehrer PM, Hochron SM, Mayne T, Isenberg S, Carlson V, Lasoski AM, et al. Relaxation and music therapies for asthma among patients prestabilized on asthma medication. J Behav Med. 1994;17:1–24
  22. Vazquez I, Buceta J. Relaxation therapy in the treatment of bronchial asthma: effects on basal spirometric values. Psychother Psychosom. 1993;60:106–112
  23. Vazquez I, Buceta J. Effectiveness of self-management programmes and relaxation training in the treatment of bronchial asthma: relationship with trait anxiety and emotional attack triggers. J Psychosom Res. 1993;37:71–81
  24. Vazquez I, Buceta J. Psychological treatment of asthma: effectiveness of a self-management program with and without relaxation training. J Asthma. 1993;30:171–183
  25. Huntley A, White AR, Ernst E. Relaxation therapies for asthma: a systematic review. Thorax. 2002;57:127–131
  26. Ritz T. Relaxation therapy in adult asthma. Is there new evidence for its effectiveness?. Behav Modif. 2001;25:640–666
  27. McQuaid EL, Nassau JH. Empirically supported treatment of disease-related symptoms in pediatric psychology: asthma, diabetes, and cancer. J Pediatr Psychol. 1999;24:305–328
  28. Carney RM, Freedland KE, Stein PK. Anxiety, depression, and heart rate variability. Psychosom Med. 2000;62:84–87
  29. Rechlin T. Effect of psychopharmacologic therapy on heart rate variation. Nervenarzt. 1995;66:678–685
  30. Rossinen J, Partanen J, Stenius-Aarniala B, Nieminen MS. Salbutamol inhalation has no effect on myocardial ischaemia, arrhythmias and heart-rate variability in patients with coronary artery disease plus asthma or chronic obstructive pulmonary disease. J Intern Med. 1998;243:361–366
  31. Eryonucu B, Uzun K, Guler N, Bilge M. Comparison of the acute effects of salbutamol and terbutaline on heart rate variability in adult asthmatic patients. Eur Respir J. 2001;17:863–867
  32. Muellner M. Evidence based medicine. Wien: Springer; 2002;
  33. Lehrer PM, Vaschillo E, Vaschillo B, Lu SE, Eckberg DL, Edelberg L, et al. Heart rate variability biofeedback increases baroreflex gain and peak expiratory flow. Psychosom Med. 2003;65:796–805
  34. Tunnicliffe WS, Hilton MF, Harrison RM, Ayers JG. The effect of sulphur dioxide exposure on indices of heart rate variability in normal and asthmatic adults. Eur Respir J. 2001;17:604–608
  35. Ritz T, Dahme B, Roth WT. Behavioral interventions in asthma: biofeedback techniques. J Psychosom Res. 2004;56:711–720
  36. Counil FP, Varray A, Matecki S, Beurey A, Marchal P, Voisin M, et al. Training of aerobic and anaerobic fitness in children with asthma. J Pediatr. 2003;142:179–184

PII: S0022-3999(05)00097-8

doi: 10.1016/j.jpsychores.2005.04.008

Journal of Psychosomatic Research
Volume 59, Issue 6 , Pages 393-398 , December 2005

Article Tools

* Image Usage & Resolution