Highlights
- •PMR exercises were found to decrease depressive symptoms severity in PWE.
- •PMR exercises were found to increase quality of sleep in PWE.
- •PMR exercises were found to increase quality of life in PWE.
Abstract
Objective
This study aims to evaluate the effects of progressive relaxation exercises applied
to patients with epilepsy on patients’ depressive symptom severity, quality of sleep,
and quality of life.
Methods
The study was designed as a randomized controlled interventional study with a control
group and pre-and post-test intervention. It was conducted with 70 patients with epilepsy,
35 in the intervention group and 35 in the control group, between November 1, 2021,
and April 15, 2022. The patients in the intervention group were required to perform
12 progressive muscle relaxation exercise sessions 3 days a week for a total of 4
weeks. No interventions were made in the control group during the study. The data
were collected with a “Personal Information Form,” “Pittsburgh Sleep Quality Index
(PSQI),” “Beck Depression Inventory (BDI),” and “Quality of Life in Epilepsy Inventory
(QUOLIE -31).”
Results
The mean PSQI total score, subscale scores, and mean BDI total scores of the patients
in the intervention group decreased significantly compared to those in the control
group after the intervention (p<0.05). Additionally, a significant difference was found between the mean QUOLIE-31
total scores and subscale scores of the patients in the intervention and control group
after the intervention (p<0.05), the mean scores of the intervention group were significantly higher than those
of the control group (p<0.05).
Conclusion
Progressive muscle relaxation exercises decreased depressive symptoms severity and
improved sleep and life quality in patients with epilepsy. Progressive relaxation
exercises may be recommended as a complementary nursing intervention in treating epilepsy.
Keywords
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References
Altuğ, F., Ören, G. and Cavlak, U.Epilepsi ve Egzersiz. Türkiye Fizyoterapistler Derneği Nörolojik Fizyoterapi Grup Bülteni 2019; 5:1–17.
- Anxiety in patients with epilepsy: systematic review and suggestions for clinical management.Epilepsy Behav. 2005; 7: 161-171
- Mood disorders in patients with epilepsy.CNS Drugs. 2002; 16: 291-302
- Patient Health Questionnaire (PHQ-9): a depression screening tool for people with epilepsy in Vietnam.Epilepsy Behav. 2021; 125108446
- What is depression in epilepsy?.Front Neurol. 2011; 2: 79
- Insomnia moderates the association between recurrent seizures and emotional instability in persons with epilepsy.Epilepsy Behav. 2021; 125108414
- Turkiye Klinikleri J Intern Med Nurs-Special Topics. 2017; 3: 176-182
- Correlates of depression and quality of life among patients with epilepsy in Nigeria.Epilepsy Res. 2020; 164106344
- Prevalence and risk factors for depression and anxiety in adult patients with epilepsy: caregivers’ anxiety and place of residence do mater.Epilepsy Behav. 2022; 129108628
- Epilepsili hastalarda psikososyal destek.Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2018; 7: 218-225
- Behavioral interventions in epilepsy.Curr Opin Neurol. 2019; 32: 227-236
- Progresif gevşeme egzersizlerinin kanser ve tedavi sürecinde kullanımı.Adıyaman Üniversitesi Sağlık Bilimleri Dergisi. 2020; 6: 258-267
- Effects of progressive muscle relaxation on the life quality of patients with Rheumatoid Arthritis: a clinical trial.Prevent Care Nurs Midwifery J. 2017; 7: 49-57
- Effectiveness of progressive muscle relaxation, deep breathing, and guided imagery in promoting psychological and physiological states of relaxation.Evid-Based Complement Altern Med. 2021; : 2021
- Effect of progressive muscle relaxation technique on stress, anxiety, and depression after hysterectomy.J Nurs Educ Pract. 2017; 7: 77-86
- The effect of progressive muscle relaxation on sleep quality and fatigue in patients with rheumatoid arthritis: a randomized controlled trial.Int J Nurs Pract. 2021; : e13015
- The effects of progressive muscular relaxation exercise among geriatric patients with psychiatric illness.Int J Sci Res. 2015; 4: 963-966
- Effectiveness of progressive muscle relaxation (Pmr) in alleviating psychophysical disorders-a systematic review (1982-2012).Global J Res Anal. 2014; 3: 113-115
- Effects of progressive relaxation on epilepsy: analysis of a series of cases.Psychol Rep. 1985; 57: 1203-1212
- Effects of progressive muscular relaxation training on quality of life in anxious patients after coronary artery bypass graft surgery.Indian J Med Res. 2009; 129: 603
- Effects of progressive muscle relaxation on nausea, vomiting, fatigue, anxiety, and depression in cancer patients undergoing chemotherapy.J Korean Oncol Nurs. 2010; 10: 171-179
- Effect of progressive relaxation exercises on fatigue and sleep quality in patients with chronic obstructive lung disease (COPD).Complement Ther Clin Pract. 2015; 21: 277-281
- Gevşeme Eğitiminin Meme Kanserli Hastalarda Anksiyete ve Depresyon Belirtileri Üzerine Etkisi.TAF Prevent Med Bull. 2011; 10
- Beck depression inventory (BDI).Arch Gen Psychiatry. 1961; 4: 561-571
- Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi.(A reliability and validity study of Beck Depression Inventory in a university student sample).J Psychol. 1989; 7: 3-13
- The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research.Psychiatry Res. 1989; 28: 193-213
- Pittsburgh uyku kalitesi indeksinin geçerliği ve güvenirliği.Türk Psikiyatri Dergisi. 1996; 7: 107-115
- Validity and reliability of the quality of life in epilepsy inventory (QOLIE-31) for Turkey.Nöro Psikiyatri Arşivi. 2015; 52: 289
- Effect of progressive muscle relaxation on caregiver satisfaction, caregiver burden and depression levels of the caregivers of older patients: a randomized control trial.Eur J Integr Med. 2022; 50102114
- The effect of progressive muscle relaxation on depressive symptoms in elderly people.J Nurs Midwifery Sci. 2020; 7: 248
- Efficacy of progressive muscular relaxation on coping strategies and management of stress, anxiety and depression.Int J Indian Psychol. 2018; 6: 106-124
- Progressive muscle relaxation improves anxiety and depression of pulmonary arterial hypertension patients.Evid-Based Complement Altern Med 2015. 2015;
- Effects of progressive muscle relaxation training on anxiety and depression in patients enrolled in an outpatient pulmonary rehabilitation program.Psychother Psychosom. 2008; 77: 119-125
- The effect of progressive muscle relaxation and guided imagery on stress, anxiety, and depression of pregnant women referred to health centers.J Educ Health Promot. 2018; 7
- Is there any effect of progressive muscle relaxation exercise on anxiety and depression of the patient with coronary artery disease?.Int J Pharma Res Health Sci. 2020; 8: 3231-3236
- Effectiveness of progressive muscle relaxation in reducing depression, anxiety and stress among haemodialysis patients attending a public hospital at Central Java Indonesia.IIUM Med J Malaysia. 2019; 18
- Effects of progressive muscle relaxation exercises accompanied by music on low back pain and quality of life during pregnancy.J Midwifery Womens Health. 2014; 59: 503-509
- Evaluation of the effect of progressive relaxation exercises on fatigue and sleep quality in patients with multiple sclerosis.J Alternat Complement Med. 2012; 18: 983-987
- The effect of progressive muscle relaxation technique on the quality of sleep and fatigue in patients with multiple sclerosis.Nursing And Midwifery Journal. 2018; 15: 911-920
- Effect of Benson and progressive muscle relaxation techniques on sleep quality after coronary artery bypass graft: a randomized controlled trial.Complement Ther Med. 2021; 63102784
- The effects of progressive relaxation exercises following lumbar surgery: a randomized controlled trial.Complement Med Res. 2021; 28: 114-122
- Effectiveness of applying progressive muscle relaxation technique on quality of life of patients with multiple sclerosis.J Clin Nurs. 2009; 18: 2171-2179
- The effectiveness of progressive muscle relaxation on the postpartum quality of life: a randomized controlled trial.Asian Nurs Res (Korean Soc Nurs Sci). 2018; 12: 86-90
- Effect of progressive muscle relaxation on the fatigue and quality of life among Iranian aging persons.Acta Med Iran. 2016; : 430-436
- The impact of muscle relaxation techniques on the quality of life of cancer patients, as measured by the FACT-G questionnaire.PLoS One. 2017; 12e0184147
Safi, Z., Moein, L. and Sahami, S. Effectiveness of applying progressive muscle relaxation technique on quality of life of patients with multiple sclerosis. 2011.
- Effects of progressive muscular relaxation training on anxiety, depression and quality of life of endometriosis patients under gonadotrophin-releasing hormone agonist therapy.Eur J Obstetrics Gynecol Reproductive Biol. 2012; 162: 211-215
- The effect of progressive relaxation exercises on pain, fatigue, and quality of life in dialysis patients.Holist Nurs Pract. 2020; 34: 121-128
- Effects of progressive relaxation on anxiety and quality of life in female students: a non-randomized controlled trial.Complement Ther Med. 2011; 19: 194-200
- Effects of progressive relaxation exercises on anxiety and comfort of Turkish breast cancer patients receiving chemotherapy.Asian Pac J Cancer Prev. 2015; 16: 217-220
Dasth, B.B., Majdinasab, N., Sabeti, Z., Alıjani, R.H. and Latifi, S. The effect of progressive muscular relaxation on quality of life in adolescents with epilepsy. 2010.
- Alternative approaches to epilepsy treatment.Curr Neurol Neurosci Rep. 2009; 9: 313-318
- Cognitive-behavioral group treatment program for adults with epilepsy in Hong Kong.Epilepsy Behav. 2003; 4: 441-446
- Psychological treatments for people with epilepsy (Review).Cochrane Database of Systematic Rev. 2017; 10: 1-98
- Behavioral interventions as an adjunctive treatment for canine epilepsy: a missing part of the epilepsy management toolkit?.Front Veterinary Sci. 2019; 6: 3
- Epilepsy and quality of life in Iranian epileptic patients.J Patient-Reported Outcomes. 2021; 5: 1-7
- Quality of life, fatigue and seizure severity in people living with epilepsy in a selected Nigerian population.Seizure. 2021; 84: 1-5
- Progressive muscle relaxation.J Hum Behav Soc Environ. 2006; 13: 51-66
- Progressive muscle relaxation increases slow-wave sleep during a daytime nap.J Sleep Res. 2022; : e13574
Article info
Publication history
Published online: January 03, 2023
Accepted:
January 2,
2023
Received in revised form:
January 1,
2023
Received:
October 12,
2022
Identification
Copyright
© 2023 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.
