The Effectiveness of Relaxation in Relieving Pain of Women with Rheumatoid Arthritis

Dulski, Theresa P.; Newman, Ann Mabe

doi:10.1007/978-1-349-13397-0_19

Cited by 8 publications

(8 citation statements)

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“…The other seven ( Okeson et al . 1983 , Funch & Gale 1984, Shaw & Ehrlich 1987, Dulski & Newman 1989, Seers 1993, Donaldson et al . 1994 , Gunther et al .…”

Section: Resultsmentioning

confidence: 99%

“…Four studies used a waiting list control ( Shaw & Ehrlich 1987, Dulski & Newman 1989, Seers 1993, Sloman et al 1994 ). Of these only one used an attention control ( Seers 1993).…”

Section: Resultsmentioning

confidence: 99%

“…Of the five studies in chronic non‐malignant pain that reported within group (pre‐post test) differences two showed that relaxation had a significant difference for at least one pain outcome and/or other outcomes ( Dulski & Newman 1989, Seers 1993) and three did not.…”

Section: Resultsmentioning

confidence: 99%

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Relaxation for the relief of chronic pain: a systematic review

Carroll

Seers

1998

Journal of Advanced Nursing

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The effectiveness of relaxation techniques in the management of chronic pain was determined in this systematic review of published randomized controlled trials. Reports were sought by searching MEDLINE, psycLIT, CINAHL, EMBASE and the Oxford Pain Relief Database. Studies were included in this review if they were randomized controlled trials of relaxation techniques in chronic pain. Studies which investigated the effects of relaxation in combination with other interventions were not considered. Nine studies involving 414 patients met the predefined inclusion criteria and are critically appraised in this review. Meta-analysis was not possible, due to lack of quantitative data in the primary studies. Studies involved patients with a range of chronic pain conditions. The McGill Pain Questionnaire was the most common pain outcome used. Whilst four studies were able to show a significant difference for the pain outcomes in favour of relaxation for the pre- and post-treatment assessments, few statistically significant differences were reported in favour of relaxation when between treatment comparisons were used. Only three studies reported statistically significant differences in favour of relaxation (judged as a significant difference for at least 1 of the pain outcomes) compared to the other treatment groups. In rheumatoid arthritis the McGill Pain Questionnaire scores were significantly lower for patients receiving relaxation compared to those who were in the routine treatment control group. In ulcerative colitis significant differences were reported for six of seven different pain outcome measures in favour of progressive muscle relaxation compared to patients in the waiting list control group. In one of the two cancer pain studies, relaxation taught by nurses produced significantly lower pain sensation scores compared to the control group. Two studies reported significant differences in favour of the experimental control groups rather than for relaxation. There is insufficient evidence to confirm that relaxation can reduce chronic pain. Many of the studies both positive and negative suffer methodological inadequacies. Recommendations for future research into the effectiveness of relaxation techniques for chronic pain are made.

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“…The other seven ( Okeson et al . 1983 , Funch & Gale 1984, Shaw & Ehrlich 1987, Dulski & Newman 1989, Seers 1993, Donaldson et al . 1994 , Gunther et al .…”

Section: Resultsmentioning

confidence: 99%

“…Four studies used a waiting list control ( Shaw & Ehrlich 1987, Dulski & Newman 1989, Seers 1993, Sloman et al 1994 ). Of these only one used an attention control ( Seers 1993).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Relaxation for the relief of chronic pain: a systematic review

Carroll

Seers

1998

Journal of Advanced Nursing

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“…They reviewed nine randomized controlled trial which included a total of 414 patients. Three studies found relaxation to be effective (Shaw & Ehrlich 1987, Dulski & Newman 1989, Sloman et al. 1994).…”

Section: Psychophysiological Approaches (Including Relaxation)mentioning

confidence: 99%

Psychological approaches to chronic pain management: part 1

Adams¹,

Poole²,

Richardson³

2006

Journal of Clinical Nursing

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“…Only 2 out of 7 studies focusing on non-malignant pain (e.g. rheumatoid arthritis and fibromyalgia) reported significant pain reductions at post-treatment 10,11 . Three of these studies conducted follow-ups 11,12,13 at time intervals ranging from 4 weeks to 4 months but none found that significant improvements were maintained.…”

Section: Evidence For Relaxation and Painmentioning

confidence: 99%

Relaxation and Mindfulness in Pain: A Review

Dunford¹,

Thompson²

2010

Reviews in Pain

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• This article reviews the existing, peer-reviewed evidence for the use of relaxation and mindfulness in both acute and chronic pain. • There is some evidence that relaxation can reduce pain outcomes in both acute and chronic pain, however there is evidence that these improvements are not maintained over time. • More limited research suggests that mindfulness can lead to improvements in psychological measures and physical functioning and these improvements appear to be maintained at follow-up. • Further research is needed. Both researchers and practitioners need to be clearer on the outcomes that their techniques best facilitate and the processes which are active within them.

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The Effectiveness of Relaxation in Relieving Pain of Women with Rheumatoid Arthritis

Cited by 8 publications

References 0 publications

Relaxation for the relief of chronic pain: a systematic review

Relaxation for the relief of chronic pain: a systematic review

Psychological approaches to chronic pain management: part 1

Relaxation and Mindfulness in Pain: A Review

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