An Evidence-Based Review on Guided Imagery Utilization in Adult Cardiac Surgery

Casida, Jesus; Lemanski, Suzanne A.

doi:10.1891/1939-2095.3.1.22

Cited by 19 publications

(13 citation statements)

References 11 publications

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“…Numerous studies, across a wide range of populations, have demonstrated a link between GI and anxiety ( Ayres and Hopf, 1985 ; Speck, 1990 ; Stephens, 1992 ; Rees, 1995 ; Casida and Lemanski, 2010 ; Thomas and Sethares, 2010 ; Vineeta et al, 2010 ; Serra et al, 2012 ). For example, a study conducted by Holmes and Mathews (2005) found that imagery of aversive events led to greater reporting of increased anxiety, as opposed to when the same aversive events were described verbally.…”

Section: Introductionmentioning

confidence: 99%

Nature-Based Guided Imagery as an Intervention for State Anxiety

Nguyen

Brymer

2018

Front. Psychol.

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Anxiety is a significant mental health issue in modern society and empirical research into effective interventions to address anxiety has been extensive. Spending time in nature is one approach that has demonstrated anxiolytic effects. However, in some situations and contexts spending time in nature in order to reduce anxiety symptoms may not be possible. For example, in therapeutic settings delivered in a space with no access or exposure to any nature stimuli in the immediate surrounding environment. Guided imagery (GI) has also proven to be effective for reducing anxiety symptoms. Thus, nature-based GI might help to overcome the limitation of access to nature and strengthen the impact of GI interventions. The current study investigated the effectiveness of nature-based GI on anxiety reduction. Participants (n = 48, 18 males, 30 females, Mage = 34.54, SDage = 12.91, age range = 19 – 71 years) with moderate levels of either trait or state anxiety as measured by the state-trait anxiety inventory (STAI) were recruited. Participants undertook both a nature-based GI session and a traditional non-nature-based GI session and their pre- and post- state anxiety levels were measured in each GI session. It was anticipated that post state anxiety scores would be significantly lower for both GI conditions and that a significantly greater anxiety reduction would be found in the nature-based GI than the urban-based GI. A two-way analysis of variance for repeated measures revealed results that supported both hypotheses. This study was the first to compare a nature based GI intervention with a traditional (non-nature based) GI intervention. Findings indicate that nature-based GI interventions are effective anxiety management interventions that have the added benefit of being cost-effective and easily accessible.

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Section: Introductionmentioning

confidence: 99%

Nature-Based Guided Imagery as an Intervention for State Anxiety

Nguyen

Brymer

2018

Front. Psychol.

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“…27 Several of the cognitive-behavioral strategies used as components of CBT have beneficial effects when applied as single strategies, outside of the “therapy” context. For example, relaxation, guided imagery, and distraction strategies have been found to reduce pain 28–32 , dyspnea 23,33–34 , fatigue 35–36 , and sleep disturbance 37–39 in various health conditions. Recent research has demonstrated initial efficacy of these strategies across clustered symptoms, including co-occurring pain, fatigue, and sleep disturbance in patients with advanced cancer.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Relaxation, Meditation, and Guided Imagery Strategies for Symptom Management in Heart Failure

Kwekkeboom

Bratzke

2016

J Cardiovasc Nurs

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Background Pain, dyspnea, fatigue, and sleep disturbance are prevalent and distressing symptoms in persons with advanced heart failure. Although many lifestyle and self-care interventions have been developed to control heart failure progression, very few studies have explored treatments exclusively for symptom palliation. Cognitive-behavioral strategies may be effective treatment for these symptoms in advanced heart failure. Objective A systemic review was conducted to describe the effect of cognitive-behavioral strategies on pain, dyspnea, fatigue, and sleep disturbance in patients with heart failure. Methods CINAHL, Medline, and PsychINFO were searched from inception through December 2014. Articles were selected for inclusion if they tested a cognitive-behavioral strategy using a quasi-experimental or experimental design, involved a sample of adults with heart failure, and measured pain, dyspnea, fatigue, sleep disturbance, or symptom-related quality of life (QoL). The two authors evaluated study quality, abstracted data elements from each study, and synthesized findings. Results Thirteen articles describing nine unique studies met criteria and were included in the review. Five studies tested relaxation strategies, three tested meditation strategies, and one tested a guided imagery strategy. Seven of the nine studies demonstrated some improvement in symptom outcomes. Relaxation, meditation, guided imagery, or combinations of these strategies resulted in less dyspnea and better sleep compared to attention control or usual care conditions, and reduced pain, dyspnea, fatigue and sleep disturbance within treatment groups (pre- to post-treatment). Symptom-related QoL was improved with meditation compared to attention control and usual care conditions, and improved pre- to post-guided imagery. Conclusions Studies exploring cognitive-behavioral symptom management strategies in heart failure vary in quality and report mixed findings, but indicate potential beneficial effects of relaxation, meditation, and guided imagery on heart failure-related symptoms. Future research should test cognitive-behavioral strategies in rigorously designed efficacy trials, using samples selected for their symptom experience, and measure pain, dyspnea, fatigue, and sleep disturbance outcomes with targeted symptom measures.

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“…1 The power of imagination is used to promote physiologic changes as an aid to healing via its effect on the immune system. 4,5 Guided imagery has no adverse reactions, however, it isn't recommended for patients susceptible to psychosis or with histories of delusions or delirium. 3 It can also reduce anxiety, pain, and length of stay in cardiac surgery patients and has been shown to be an effective treatment option for fatigue.…”

Section: Evidence-based Practicementioning

confidence: 99%