Immunological Changes Associated with Clinical Improvement of Asthmatic Children Subjected to Psychosocial Intervention

Castes, M; Hagel, Isabel; Palenque, Miguel; Canelones, Pablo; Corao, Alejandra; Lynch, Neil R.

doi:10.1006/brbi.1999.0551

Cited by 42 publications

(17 citation statements)

References 30 publications

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“…Therefore, the overall results suggest that RGI is a promising intervention in the treatment of children with asthma as an adjunct to medical intervention. The findings of this investigation are in keeping with similar studies done with adults (Freeman, 1998;Slater, 1993) and children (Castes et al, 1999). However, the present investigation uniquely demonstrated that RGI alone can improve lung function and anxiety.…”

Section: Discussionsupporting

confidence: 91%

Relaxation and guided imagery: A school‐based intervention for children with asthma

Peck¹,

Bray²,

Kehle³

2003

Psychology in the Schools

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Asthma, a disease of the respiratory system, is the most common chronic medical condition among children. School-aged children with asthma evidence increased absenteeism, decreased school performance, restriction of various activities, poor peer relationships, and emotional and behavioral difficulties. Asthma can be triggered and exacerbated by emotions and stress, and therefore, it has been treated with psychological interventions. Relaxation and guided imagery (RGI), an intervention based on the theoretical position that the mind and body interact in determining health, has been shown to be effective in improving mental and physical health outcomes with a myriad of medical conditions, yet it has not been adequately studied with childhood asthma. This investigation analyzed the effect of RGI on lung function [forced expiratory volume in 1 second (FEV 1 ) and forced expiratory flow 25-75 (FEF 25-75 )] and anxiety by employing a multiple baseline design across four middle school students with asthma. With the introduction of the intervention, it was found that FEV 1 improved and anxiety decreased in all students. FEF 25-75 improved in three of the four participants. The effect sizes for the four participants ranged from Ϫ0.98 to Ϫ1.88 for FEV 1 , 0.20 to Ϫ1.93 for FEF , and 2.19 to 4.06 for anxiety.

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Section: Discussionsupporting

confidence: 91%

Relaxation and guided imagery: A school‐based intervention for children with asthma

Peck¹,

Bray²,

Kehle³

2003

Psychology in the Schools

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“…As all patients included in the present trial suffered from allergic, and therefore immunoglobulin-E (IgE)-mediated asthma, the effects may be partially due to a modulation of allergic antibody responses. Castés et al [30] demonstrated that a 6-month psychosocial intervention program, including relaxation, GI and self-esteem training, led not only to a clinically significant improvement, but also to a significant reduction in the specific IgE responses against Ascaris lumbricoides (the most important allergen in the children in that study). Beyond potential modulation of the IgE-mediated inflammatory response, the observed benefits could be partially due to direct bronchodilatatory effects caused by FR or GI.…”

Section: Discussionmentioning

confidence: 93%

Functional Relaxation and Guided Imagery as Complementary Therapy in Asthma: A Randomized Controlled Clinical Trial

Lahmann

Nickel²,

Schuster³

et al. 2009

Psychother Psychosom

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Background: Asthma is a frequently disabling and almost invariably distressing disease that has a high overall prevalence. Although relaxation techniques and hypnotherapeutic interventions have proven their effectiveness in numerous trials, relaxation therapies are still not recommended in treatment guidelines due to a lack of methodological quality in many of the trials. Therefore, this study aims to investigate the efficacy of the brief relaxation technique of functional relaxation (FR) and guided imagery (GI) in adult asthmatics in a randomized controlled trial. Methods: 64 patients with extrinsic bronchial asthma were treated over a 4-week period and assessed at baseline, after treatment and after 4 months, for follow-up. 16 patients completed FR, 14 GI, 15 both FR and GI (FR/GI) and 13 received a placebo relaxation technique as the control intervention (CI). The forced expiratory volume in the first second (FEV₁) as well as the specific airway resistance (sR_aw) were employed as primary outcome measures. Results: Participation in FR, GI and FR/GI led to increases in FEV₁ (% predicted) of 7.6 ± 13.2, 3.3 ± 9.8, and 8.3 ± 21.0, respectively, as compared to –1.8 ± 11.1 in the CI group at the end of the therapy. After follow-up, the increases in FEV₁ were 6.9 ± 10.3 in the FR group, 4.4 ± 7.3 in the GI and 4.5 ± 8.1 in the FR/GI, compared to –2.8 ± 9.2 in the CI. Improvements in sR_aw (% predicted) were in keeping with the changes in FEV₁ in all groups. Conclusions: Our study confirms a positive effect of FR on respiratory parameters and suggests a clinically relevant long-term benefit from FR as a nonpharmacological and complementary therapy treatment option.

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“…These include asthma, 41,[121][122][123][124] tinnitus, 35 diabetes, 38,[125][126][127][128][129][130] chronic obstructive pulmonary disease, 40 recovery after stroke (muscle re-education using biofeedback), 45,54 dermatologic conditions, 131,132 allergies, 133 irritable bowel syndrome, 134 -140 peptic ulcer, 141 pregnancy outcomes (where there is strong evidence that emotional support, ie, presence of a doula, has beneficial effects), 59,142 and human immunodeficiency virus infection. 143,144 …”

Section: Additional Clinical Areasmentioning

confidence: 99%

Mind-Body Medicine: State of the Science, Implications for Practice

Astin¹,

Shapiro²,

Eisenberg³

et al. 2003

The Journal of the American Board of Family Medicine

426

255

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Background: Although emerging evidence during the past several decades suggests that psychosocial factors can directly influence both physiologic function and health outcomes, medicine had failed to move beyond the biomedical model, in part because of lack of exposure to the evidence base supporting the biopsychosocial model. The literature was reviewed to examine the efficacy of representative psychosocial-mind-body interventions, including relaxation, (cognitive) behavioral therapies, meditation, imagery, biofeedback, and hypnosis for several common clinical conditions.Methods: An electronic search was undertaken of the MEDLINE, PsycLIT, and the Cochrane Library databases and a manual search of the reference sections of relevant articles for related clinical trials and reviews of the literature. Studies examining mind-body interventions for psychological disorders were excluded. Owing to space limitations, studies examining more body-based therapies, such as yoga and tai chi chuan, were also not included. Data were extracted from relevant systematic reviews, metaanalyses, and randomized controlled trials.Results: Drawing principally from systematic reviews and meta-analyses, there is considerable evidence of efficacy for several mind-body therapies in the treatment of coronary artery disease (eg, cardiac rehabilitation), headaches, insomnia, incontinence, chronic low back pain, disease and treatmentrelated symptoms of cancer, and improving postsurgical outcomes. We found moderate evidence of efficacy for mind-body therapies in the areas of hypertension and arthritis. Additional research is required to clarify the relative efficacy of different mind-body therapies, factors (such as specific patient characteristics) that might predict more or less successful outcomes, and mechanisms of action. Research is also necessary to examine the cost offsets associated with mind-body therapies.Conclusions: There is now considerable evidence that an array of mind-body therapies can be used as effective adjuncts to conventional medical treatment for a number of common clinical conditions. Evidence emerging within the past several decades suggests that psychosocial factors from emotional states, such as depression, behavioral dispositions, such as hostility, and psychosocial stress can directly influence both physiologic function and health outcomes. [1][2][3][4] Evidence from several converging lines of research, however, also suggests that despite seemingly widespread acknowledgment of and support for the importance of the biopsychosocial model, 5-7 psycho-

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Immunological Changes Associated with Clinical Improvement of Asthmatic Children Subjected to Psychosocial Intervention

Cited by 42 publications

References 30 publications

Relaxation and guided imagery: A school‐based intervention for children with asthma

Relaxation and guided imagery: A school‐based intervention for children with asthma

Functional Relaxation and Guided Imagery as Complementary Therapy in Asthma: A Randomized Controlled Clinical Trial

Mind-Body Medicine: State of the Science, Implications for Practice

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