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Drake AC, Hasan F, Gibson A, Kam JWY. The effect of nature on creativity through mental imagery. PLoS One 2025; 20:e0315141. [PMID: 39787122 PMCID: PMC11717296 DOI: 10.1371/journal.pone.0315141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Accepted: 11/20/2024] [Indexed: 01/12/2025] Open
Abstract
Immersion in nature has been linked to wide-ranging benefits on mental health and cognitive functions, from reducing stress to enhancing creativity. However, a walk in nature is not always feasible, and whether a proxy for nature immersion via a mental walk in nature can elicit the same benefits as a physical walk remains largely unknown. Accordingly, the current study utilized guided imagery to examine whether a mental walk in nature would improve creativity in general and when compared to a mental walk in an urban environment. We implemented a within-subjects design, wherein participants completed both mental walk conditions (in a nature and urban environment) at least five days apart in counterbalanced order on an online platform. During each session, participants (N = 97) completed two pre-walk tasks assessing convergent (measured by the Remote Associates Test) and divergent creative thinking (measured by the Alternate Uses Test), followed by a mental walk in either a nature or urban environment, then finally the identical two post-walk creativity tasks. After five days, they repeated the same procedure with a mental walk in the other environment. While comparisons of post-walk creativity scores between the nature and urban environment did not significantly differ from each other, the comparisons between the pre- and post-walk creativity scores revealed a significant improvement in convergent creative thinking in the nature environment condition, but not the urban environment condition. Our results suggest that taking a mental walk in nature can enhance at least one aspect of creativity, therefore providing preliminary evidence for the potential to access the creative benefits of mentally immersing ourselves in nature. These findings have important implications for those who wish to enjoy the benefits of nature but are unable to readily access nature physically.
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Affiliation(s)
- Aaron C. Drake
- Department of Psychology, University of Calgary, Calgary, Alberta, Canada
| | - Fiza Hasan
- Department of Psychology, University of Calgary, Calgary, Alberta, Canada
| | - Arianna Gibson
- Department of Psychology, University of Calgary, Calgary, Alberta, Canada
| | - Julia W. Y. Kam
- Department of Psychology, University of Calgary, Calgary, Alberta, Canada
- Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
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Boselie JJLM, Vancleef LMG, van Hooren S, Peters ML. The effectiveness and equivalence of different versions of a brief online Best Possible Self (BPS) manipulation to temporary increase optimism and affect. J Behav Ther Exp Psychiatry 2023; 79:101837. [PMID: 36724699 DOI: 10.1016/j.jbtep.2023.101837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 12/23/2022] [Accepted: 01/21/2023] [Indexed: 01/24/2023]
Abstract
BACKGROUND AND OBJECTIVES The Best Possible Self (BPS) has been found to be an effective manipulation to temporarily improve optimism and affect. The BPS has been used in different formats. In some versions, participants just write about their best possible future, while in others this is combined with imagery. An imagery only version has not been tested yet. The aim of the current study was to examine the effectiveness of three different versions of the BPS and their equivalence in improving optimism and affect. METHODS In an online study format, participants (N = 141) were randomly assigned to one of four conditions: (1) writing and imagery BPS; (2) writing BPS; (3) imagery BPS; and (4) a typical day (TD) control condition. RESULTS Results showed that each BPS condition significantly improved optimism (i.e. increased positive future expectancies and decreased negative future expectancies) and affect (i.e. increased positive affect and decreased negative affect). Equivalence testing showed that all online BPS conditions were equivalent in increasing optimism and affect, thereby confirming that both the writing and imagery elements of the BPS can independently from each other increase optimism and positive affect in a healthy population. LIMITATIONS Only the immediate effects of the BPS formats on increasing optimism and affect were measured. CONCLUSIONS The BPS manipulation can be employed in different ways for potential future exploration, depending on the research question, design and context and/or E-mental health applications for the treatment of individuals suffering from psychological complaints.
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Affiliation(s)
| | - Linda M G Vancleef
- Clinical Psychological Science, Maastricht University, 6200 MD, Maastricht, the Netherlands.
| | - Susan van Hooren
- Clinical Psychology, Open University, 6401 DL, Heerlen, the Netherlands.
| | - Madelon L Peters
- Clinical Psychological Science, Maastricht University, 6200 MD, Maastricht, the Netherlands.
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Demerouti E. Effective employee strategies for remote working: An online self-training intervention. JOURNAL OF VOCATIONAL BEHAVIOR 2023. [DOI: 10.1016/j.jvb.2023.103857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
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Shapira S, Yeshua-Katz D, Sarid O. Effect of distinct psychological interventions on changes in self-reported distress, depression and loneliness among older adults during COVID-19. World J Psychiatry 2022; 12:970-981. [PMID: 36051606 PMCID: PMC9331450 DOI: 10.5498/wjp.v12.i7.970] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2022] [Revised: 04/24/2022] [Accepted: 06/16/2022] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Older adults have been considered a primary at-risk population during the coronavirus disease 2019 (COVID-19) pandemic, and many efforts have been and still are directed toward supporting them and enhancing their capacity to cope with the pandemic. Evidence shows that by enhancing proactive coping abilities through psychological interventions, in which cognitive-behavioral and mindfulness techniques are taught and practiced effectively, these interventions have supported older adults throughout the pandemic. However, the underlying mechanisms by which specific intervention components affect various mental states such as distress, depression and loneliness among older adults remain unclear and warrant investigation.
AIM To determine the effect of an intervention using cognitive-behavioral and mindfulness techniques on changes in distress, depression and loneliness.
METHODS We performed a secondary analysis on data from a previous study in which community-dwelling older adults attended a short-term, internet-based intervention during the first COVID-19 wave in Israel. The intervention included seven sessions during which various cognitive-behavioral and mindfulness techniques were learned and practiced. In-session changes in psychological distress were measured using the Subjective Units of Distress Scale (SUDS), which participants rated at the beginning and end of each session. Participants also filled out questionnaires that evaluated levels of depression [Patient Health Ques-tionnaire (PHQ-9)] and loneliness (UCLA loneliness Scale) prior to and after the entire intervention process. The effect of in-session changes in the SUDS on changes in post-intervention depression and loneliness levels were assessed, as a proxy for distinct technique effectiveness.
RESULTS The findings indicated in-session differences in terms of a decrease in psychological distress (SUDS). Sessions that included relaxation exercises and guided imagery, as well as sessions that included cognitive restructuring and mindfulness meditation, demonstrated the largest decreases in in-session psychological distress (≥ 35%). Two multivariate regression models, one for levels of post-intervention depression (PHQ-9 score) and the other for levels of post-intervention loneliness (UCLA loneliness score), were fitted. The results revealed two statistically significant explanatory variables for depression: The SUDS difference for sessions in which cognitive restructuring and mindfulness meditation were practiced, beta = -0.25, 95%CI: -1.23 to -0.1, and the pre-intervention level of depression, beta = 0.62, 95%CI: 0.37-0.75. The second model for loneliness revealed only one significant explanatory variable: The SUDS difference for sessions in which relaxation and guided imagery were practiced, beta = 0.41, 95%CI: 0.14-0.65.
CONCLUSION Different psychological techniques seem to have different effects on distress, loneliness and depression. Understanding the pathways by which distinct techniques affect negative mental symptoms has implications for future intervention design.
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Affiliation(s)
- Stav Shapira
- School of Public Health, Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel
| | - Daphna Yeshua-Katz
- The Spitzer Department of Social Work, Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel
| | - Orly Sarid
- The Spitzer Department of Social Work, Ben-Gurion University of the Negev, Beer Sheva 8410501, Israel
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Gupta M, Chakraverty S. Effect of Tele-Guided Imagery on Stress among Caregivers of Chronic Neurological Patients: A Randomized Controlled Trial. J Neurosci Rural Pract 2022; 13:333-335. [PMID: 35694051 PMCID: PMC9187374 DOI: 10.1055/s-0042-1744119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Background and Objectives
Chronic neurological conditions impose a burden on caregivers as they are a major contributor for disability-adjusted life years of patients. Stress is the common psychological concern of caregivers. This randomized controlled study examined the effect of tele-guided imagery on stress among caregivers of these neurological patients.
Methods
Thirty caregivers were selected for participation in study as per the inclusion criteria and were randomly assigned into experimental and control groups. Initial caregivers' mental health screening was performed with the mini-mental state examination tool. For outcome measure, perceived stress scale (PSS) score tool was utilized and both pre- and postintervention scores were noted. Effect of tele-guided intervention was compared with the control group.
Results
Significant difference was noted in the PSS scores among the caregivers receiving tele-guided imagery when compared with controlled group caregivers.
Conclusion
Tele-guided imagery is an effective tool for stress management among caregivers. Also, it improves the individual's mental health aspect.
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Affiliation(s)
- Minakshi Gupta
- Department of Physiotherapy, Galgotias University, Greater Noida, Uttar Pradesh, India
| | - Sneha Chakraverty
- Department of Physiotherapy, Galgotias University, Greater Noida, Uttar Pradesh, India
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Mitchell AD, Martin LE, Baldwin AS, Levens SM. Mindfulness-Informed Guided Imagery to Target Physical Activity: A Mixed Method Feasibility and Acceptability Pilot Study. Front Psychol 2021; 12:742989. [PMID: 34975632 PMCID: PMC8719519 DOI: 10.3389/fpsyg.2021.742989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2021] [Accepted: 11/15/2021] [Indexed: 11/13/2022] Open
Abstract
Physical activity offers substantial mind-body health benefits and reduced mortality, yet many individuals are chronically underactive. Physical activity interventions may benefit from integrative approaches that join components of mindfulness and neurobiological models of behavior. Mindfulness increases one’s awareness of cognitions and physical sensations to potentially facilitate self-regulation, while neurobiological models such as the dual system model of health behavior offer guidance on improving physical activity intervention targets. This 2-phase study includes an initial development process to create brief (∼4 min) mindfulness informed guided imagery audio files that target distinct cognitive and affective processes to promote physical activity. In the second phase, participants completed a 2-week pilot intervention study to gather qualitative and quantitative data on intervention feasibility and acceptability. Participants endorsed the mindfulness informed guided imagery as easy to use, enjoyable and helpful. Over a 2-week intervention period participants reported positive shifts in behavior change, physical activity enjoyment, increased mindfulness during physical activity, and increased physical exercise self-efficacy and satisfaction. Interview data revealed that participants increased their frequency of physical activity and tended to experience positive affect during physical activity, engaged in future oriented thinking and were able to view physical activity in a more positive light. Findings support the feasibility and acceptability of an integrative online mindfulness informed guided imagery intervention to promote physical activity enjoyment and engagement. This study extends health behavior change intervention research and provides supporting evidence for a flexible and tailorable online mindfulness-based intervention.
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Affiliation(s)
- Alexis D. Mitchell
- Department of Psychological Science, University of North Carolina at Charlotte, Charlotte, NC, United States
- *Correspondence: Alexis D. Mitchell,
| | - Laura E. Martin
- Department of Population Health, University of Kansas Medical Center, Kansas City, KS, United States
| | - Austin S. Baldwin
- Department of Psychology, Southern Methodist University, Dallas, TX, United States
| | - Sara M. Levens
- Department of Psychological Science, University of North Carolina at Charlotte, Charlotte, NC, United States
- *Correspondence: Alexis D. Mitchell,
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Gilboa Y, Perlman S. Intrapartum ultrasound for the management of the active pushing phase. Am J Obstet Gynecol MFM 2021; 3:100422. [PMID: 34126251 DOI: 10.1016/j.ajogmf.2021.100422] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 05/14/2021] [Accepted: 05/26/2021] [Indexed: 01/02/2023]
Abstract
The anxiety and anticipation that accompany pregnancy, labor, and delivery may be relieved by education, providing knowledge regarding the physiological process of childbirth. Intrapartum ultrasound is an available, simple, intuitive, real-time tool that enables visualization of the fetal head within the birth canal. Both the attending staff and expectant parent can assess its movements and descent in response to the pushing efforts during the active pushing phase. This review described the potential obstetrical and psychological advantages of intrapartum ultrasound in managing the active pushing phase.
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Affiliation(s)
- Yinon Gilboa
- Ultrasound Unit, Helen Schneider Hospital for Women, Rabin Medical Center, Petah Tikva, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Sharon Perlman
- Ultrasound Unit, Helen Schneider Hospital for Women, Rabin Medical Center, Petah Tikva, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
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Jamea E. The role of sensuality, imagination, and curiosity in high and optimal sexual satisfaction. SEXUAL AND RELATIONSHIP THERAPY 2020. [DOI: 10.1080/14681994.2020.1714023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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de Wit M, Leijten P, van der Put C, Asscher J, Bouwmeester-Landweer M, Deković M. Study protocol: randomized controlled trial of manualized components in home visitation to reduce mothers' risk for child maltreatment. BMC Public Health 2020; 20:136. [PMID: 32000744 PMCID: PMC6993430 DOI: 10.1186/s12889-020-8237-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Accepted: 01/17/2020] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND This study tests whether home visitation to prevent child maltreatment can be improved by adding manualized program components, targeting four key risk factors for child maltreatment: low parental self-efficacy, high levels of perceived stress, parental anger, and post-traumatic stress symptoms. Home visitation is widely implemented, but effects on child maltreatment risk tend to be modest at best. Home visitation tends to be rather flexible (i.e., professionals decide how to support each family). We will test whether adding manualized program components increases program effectiveness, by ensuring that key risk factors are addressed, while maintaining flexibility. In addition, we will test whether any component effects on reduced child maltreatment risk can be explained (i.e., is mediated) by ameliorated risk factors. Lastly, we will test whether the components are more effective for some mothers (e.g., those at highest child maltreatment risk) than for others. METHODS We will conduct a randomized controlled trial among 398 mothers enrolled in a Dutch home visiting program targeting families at risk for child maltreatment. Mothers in the experimental group will receive the manualized components in two consecutive home visits, while mothers in the control group will receive regular home visits (care as usual). Mothers will fill out questionnaires at four time points: before and after each of the two home visits. Outcome variables include the four targeted risk factors parental self-efficacy, perceived stress, parental anger, and (recognition of) post-traumatic stress symptoms, as well as parenting practices (e.g., rejection and affection), and risk for child maltreatment. DISCUSSION This study aims to determine whether adding manualized program components to a flexible home visiting program increases program effectiveness on risk for child maltreatment. In addition, our test of whether the effects of the components on risk for child maltreatment is explained (i.e., mediated) by amelioration of the targeted risk factors, may contribute to our understanding of the role of these risk factors in child maltreatment. Our tests of which mothers benefit most from adding the components may help move the field towards evidence-based personalized family support. TRIAL REGISTRATION This trial has been retrospectively registered in the Netherlands Trial Register (NL8005).
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Affiliation(s)
- Merel de Wit
- Research Institute of Child Development and Education, University of Amsterdam, PO Box 15780, 1001, NG, Amsterdam, the Netherlands.
| | - Patty Leijten
- Research Institute of Child Development and Education, University of Amsterdam, PO Box 15780, 1001, NG, Amsterdam, the Netherlands
| | - Claudia van der Put
- Research Institute of Child Development and Education, University of Amsterdam, PO Box 15780, 1001, NG, Amsterdam, the Netherlands
| | - Jessica Asscher
- Research Institute of Child Development and Education, University of Amsterdam, PO Box 15780, 1001, NG, Amsterdam, the Netherlands
- Clinical Child and Family Studies, Utrecht University, PO Box 80125, 3508, TC, Utrecht, the Netherlands
| | - Merian Bouwmeester-Landweer
- The Netherlands Center for Preventive Youth Health (NCJ), Churchilllaan 11, 3527, GV, Utrecht, the Netherlands
| | - Maja Deković
- Clinical Child and Family Studies, Utrecht University, PO Box 80125, 3508, TC, Utrecht, the Netherlands
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Gilboa Y, Frenkel TI, Schlesinger Y, Rousseau S, Hamiel D, Achiron R, Perlman S. Visual biofeedback using transperineal ultrasound in second stage of labor. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2018; 52:91-96. [PMID: 29155474 DOI: 10.1002/uog.18962] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2017] [Revised: 10/29/2017] [Accepted: 11/09/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To assess the obstetric and psychological effects of visual biofeedback by transperineal ultrasound (TPU) during the second stage of labor. METHODS This was a prospective, single-center observational study of low-risk nulliparous women with epidural analgesia undergoing vaginal delivery. Visual biofeedback using TPU was provided to 26 women during the second stage of labor. Pushing efficacy was assessed by the change in the angle of progression (AoP) at rest and during pushing efforts, before and after biofeedback. Obstetric outcomes included incidence of perineal tearing, mode of delivery and length of second stage of labor. Psychological outcomes were assessed by self-reported measures obtained during the postnatal hospital stay and included measures of perceived control and maternal satisfaction with childbirth, as well as level of maternal feelings of connectedness with the newborn. Obstetric and psychological results were compared with those of a control group of 69 women who received standard obstetric coaching from midwives. RESULTS Pushing efficacy increased significantly following visual biofeedback by TPU (P = 0.01), as indicated by a significantly lower delta AoP before (mean, 22.2° (95% CI, 13.9-31.7°)) compared with after (mean, 35.2° (95% CI, 25.9-45.3°)) biofeedback. A significant association was found between visual biofeedback and an intact perineum following delivery (P = 0.03). No significant differences were found between the two groups with regard to mode of delivery or length of the second stage. Feelings of maternal connectedness with the newborn were significantly stronger (P = 0.003) in women who received visual biofeedback than in those who did not. However, perceived control during childbirth and maternal satisfaction with childbirth did not differ significantly between the biofeedback and control groups. CONCLUSIONS This pilot study suggests that biofeedback using TPU may serve as a complementary tool to coached maternal pushing during the second stage of labor, with obstetric as well as psychological benefits. Further studies are required to confirm our findings and define the optimal duration of the intervention. Copyright © 2017 ISUOG. Published by John Wiley & Sons Ltd.
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Affiliation(s)
- Y Gilboa
- Prenatal Diagnostic Unit, Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Tel Ha-Shomer, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - T I Frenkel
- Ziama Arkin Infancy Institute, Interdisciplinary Center (IDC), Herzliya, Israel
- Baruch Ivcher School of Psychology, Interdisciplinary Center (IDC), Herzliya, Israel
| | - Y Schlesinger
- Ziama Arkin Infancy Institute, Interdisciplinary Center (IDC), Herzliya, Israel
- Baruch Ivcher School of Psychology, Interdisciplinary Center (IDC), Herzliya, Israel
| | - S Rousseau
- Ziama Arkin Infancy Institute, Interdisciplinary Center (IDC), Herzliya, Israel
- Baruch Ivcher School of Psychology, Interdisciplinary Center (IDC), Herzliya, Israel
| | - D Hamiel
- Baruch Ivcher School of Psychology, Interdisciplinary Center (IDC), Herzliya, Israel
- Cohen Harris Resilience Center, Tel Aviv, Israel
- Tel Aviv Brill Community Mental Health Center, Clalit Health Services, Israel
| | - R Achiron
- Prenatal Diagnostic Unit, Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Tel Ha-Shomer, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - S Perlman
- Prenatal Diagnostic Unit, Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Tel Ha-Shomer, Israel
- Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
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Giacobbi P, Long D, Nolan R, Shawley S, Johnson K, Misra R. Guided imagery targeting exercise, food cravings, and stress: a multi-modal randomized feasibility trial. J Behav Med 2018; 41:87-98. [PMID: 28766183 PMCID: PMC7147977 DOI: 10.1007/s10865-017-9876-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2016] [Accepted: 07/17/2017] [Indexed: 01/10/2023]
Abstract
The purpose of this randomized wait-list controlled trial was to test the feasibility and preliminary efficacy of a guided imagery based multi-behavior intervention intended to address psychological stress, food cravings, and physical activity. Personalized guided imagery scripts were created and participants were instructed to practice guided imagery every day for 35 consecutive days. Of 48 women who enrolled, we report comparisons between 16 randomized to treatment with 19 who were wait-listed (overall Mage = 45.50; Mbodymassindex = 31.43). Study completers reported 89% compliance with practicing guided imagery during the intervention. A significant time-by-group interaction was observed with reductions in food cravings and increases in physical activity compared with wait-list controls. Telephone-based multi-behavior interventions that utilize guided imagery to address food cravings and exercise behavior appear to be acceptable for overweight and obese women. Future phone-based guided imagery research testing this skill to address multiple health behaviors is justified.
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Affiliation(s)
- Peter Giacobbi
- Department of Sport Sciences, Joint Appointment, Social and Behavioral Sciences, West Virginia University, Health and Education Building, 208, 375 Birch Street, P. O. Box 6116, Morgantown, WV, 26506-6116, USA.
| | - Dustin Long
- Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, 1665 University Boulevard, Ryals Public Health Building, Room 327, Birmingham, AL, 35294-0022, USA
| | - Richard Nolan
- School of Medicine, West Virginia University, Morgantown, WV, USA
| | - Samantha Shawley
- School of Public Health, West Virginia Univesity, Morgantown, WV, USA
| | - Kelsey Johnson
- School of Medicine, West Virginia University, Morgantown, WV, USA
| | - Ranjita Misra
- Department of Social and Behavioral Sciences, School of Public Health, West Virginia University, 3301 HSC South, Morgantown, WV, 26505, USA
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Giacobbi PR, Stewart J, Chaffee K, Jaeschke AM, Stabler M, Kelley GA. A Scoping Review of Health Outcomes Examined in Randomized Controlled Trials Using Guided Imagery. PROGRESS IN PREVENTIVE MEDICINE (NEW YORK, N.Y.) 2017; 2:e0010. [PMID: 29457147 PMCID: PMC5812272 DOI: 10.1097/pp9.0000000000000010] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Guided imagery involves the controlled visualization of detailed mental images. This integrative health technique is used for healing, health maintenance, or the treatment of specific conditions. Guided imagery is an integral part of mindfulness meditation, hypnosis, and various relaxation exercises. However, evidence to support the widespread use and dissemination of guided imagery interventions has been lacking. The purposes of this scoping review were to document the scope of health outcomes and disease processes examined by guided imagery researchers and the journal outlets where this work has been published. Secondary purposes were to review the efficacy of guided imagery, risk of bias from studies published in selected integrative health journals, and gain feedback from clinicians in a practiced-based research network (PBRN) about potential barriers for use in clinical settings. METHODS Ten bibliographic databases were searched for randomized controlled trials (RCTs) published between 1960 and 2013 that included adult participants. Descriptive and analytic methods were employed to document the journal outlets, diseases, and health outcomes investigated. RESULTS 320 RCTs that included more than 17,979 adult participants were reviewed. The published studies appeared in 216 peer-reviewed journals from diverse disciplines largely representing psychology, the sport sciences, rehabilitation, nursing, and medicine. Major outcomes observed were coping with pain, stroke recovery, anxiety, coping with stress, and sport skills. Practitioner feedback from the PBRN revealed some interest but skepticism and time constraints were discussed as barriers. CONCLUSIONS Ongoing research and creative dissemination techniques are warranted.
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Affiliation(s)
- Peter R. Giacobbi
- Department of Sport Sciences, West Virginia University, Morgantown, W. Va.; Department of Social and Behavioral Sciences, West Virginia University, Morgantown, W. Va.; Geisel School of Medicine, Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth, Lebanon, N.H.; Department of Biostatistics, West Virginia University, Morgantown, W. Va
| | - Jonathan Stewart
- Department of Sport Sciences, West Virginia University, Morgantown, W. Va.; Department of Social and Behavioral Sciences, West Virginia University, Morgantown, W. Va.; Geisel School of Medicine, Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth, Lebanon, N.H.; Department of Biostatistics, West Virginia University, Morgantown, W. Va
| | - Keeley Chaffee
- Department of Sport Sciences, West Virginia University, Morgantown, W. Va.; Department of Social and Behavioral Sciences, West Virginia University, Morgantown, W. Va.; Geisel School of Medicine, Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth, Lebanon, N.H.; Department of Biostatistics, West Virginia University, Morgantown, W. Va
| | - Anna-Marie Jaeschke
- Department of Sport Sciences, West Virginia University, Morgantown, W. Va.; Department of Social and Behavioral Sciences, West Virginia University, Morgantown, W. Va.; Geisel School of Medicine, Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth, Lebanon, N.H.; Department of Biostatistics, West Virginia University, Morgantown, W. Va
| | - Meagan Stabler
- Department of Sport Sciences, West Virginia University, Morgantown, W. Va.; Department of Social and Behavioral Sciences, West Virginia University, Morgantown, W. Va.; Geisel School of Medicine, Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth, Lebanon, N.H.; Department of Biostatistics, West Virginia University, Morgantown, W. Va
| | - George A. Kelley
- Department of Sport Sciences, West Virginia University, Morgantown, W. Va.; Department of Social and Behavioral Sciences, West Virginia University, Morgantown, W. Va.; Geisel School of Medicine, Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth, Lebanon, N.H.; Department of Biostatistics, West Virginia University, Morgantown, W. Va
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Kharlas DA, Frewen P. Trait mindfulness correlates with individual differences in multisensory imagery vividness. PERSONALITY AND INDIVIDUAL DIFFERENCES 2016. [DOI: 10.1016/j.paid.2015.09.027] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Chen SF, Wang HH, Yang HY, Chung UL. Effect of Relaxation With Guided Imagery on The Physical and Psychological Symptoms of Breast Cancer Patients Undergoing Chemotherapy. IRANIAN RED CRESCENT MEDICAL JOURNAL 2015; 17:e31277. [PMID: 26734485 PMCID: PMC4698327 DOI: 10.5812/ircmj.31277] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2015] [Revised: 08/18/2015] [Accepted: 09/20/2015] [Indexed: 02/03/2023]
Abstract
Background: Breast cancer patients frequently experience psychological distress during the chemotherapy period. Objectives: This study aimed to evaluate the effect of relaxation with guided imagery on patients with breast cancer. Patients and Methods: A two-group, pretest-posttest, quasi-experimental design with a randomized controlled trial was conducted. Sixty-five breast cancer patients from one medical center in Taiwan were enrolled in the study. These patients were randomly assigned to the experimental group (n = 32) or to the control group (n = 33). Both groups received chemotherapy self-care education, but the experimental group also received relaxation with guided imagery training. The training on relaxation with guided imagery was conducted before chemotherapy, and the patients were supplied with a compact disc detailing the performance of relaxation with guided imagery for 20 minutes daily at home for 7 days after chemotherapy. Results: The experimental group showed significant decreases in insomnia (-0.34 ± 0.83, P < 0.05), pain (-0.28 ± 0.58, P < 0.05), anxiety (-3.56 ± 2.94, P < 0.00), and depression (-2.38 ± 2.70, P < 0.00) between the pretest and the posttest. Comparing the two groups, statistically significant differences were found in the overall symptom distress (B = 0.11, P < 0.05), insomnia (B = 0.50, P <0.05), depression (B = 0.38, P < 0.05), and numbness in physical symptoms (B = 0.38, P < 0.05), as well as in anxiety (B = 3.08, P < 0.00) and depression (B = 1.86, P < 0.00) in psychological distress. One week of relaxation with guided imagery can significantly improve the overall symptoms of distress, insomnia, depression, physical symptoms, and anxiety, and can decrease psychological distress. Conclusions: Relaxation with guided imagery had a positive effect on mediating anxiety and depression in breast cancer patients.
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Affiliation(s)
- Shu-Fen Chen
- Department of Nursing, Mackay Memorial Hospital, New Taipei City, Taiwan
| | - Hsiu-Ho Wang
- Department of Nursing, School of Nursing, Yuanpei University of Medical Technology, Hsinchu, Taiwan
- Corresponding Authors: Hsiu-Ho Wang, Department of Nursing, School of Nursing, Yuanpei University of Medical Technology, No.306, Yuanpei St., HsinChu, Taiwan 30015, R.O.C. Tel: +886-35381183, Fax: +886-36102332, E-mail: ; Ue-Lin Chung, Department of Nursing, School of Nursing, Hung Kuang University, Taiwan. No. 1018, Sec. 6, Taiwan Boulevard, Shalu District, Taichung City, Taiwan R.O.C. Tel: +886-426318652, Fax: +886-426331198, E-mail:
| | - Hsing-Yu Yang
- Department of Nursing, School of Nursing, Mackay Medical College, New Taipei City, Taiwan
| | - Ue-Lin Chung
- Department of Nursing, School of Nursing, Hung Kuang University, Taiwan
- Corresponding Authors: Hsiu-Ho Wang, Department of Nursing, School of Nursing, Yuanpei University of Medical Technology, No.306, Yuanpei St., HsinChu, Taiwan 30015, R.O.C. Tel: +886-35381183, Fax: +886-36102332, E-mail: ; Ue-Lin Chung, Department of Nursing, School of Nursing, Hung Kuang University, Taiwan. No. 1018, Sec. 6, Taiwan Boulevard, Shalu District, Taichung City, Taiwan R.O.C. Tel: +886-426318652, Fax: +886-426331198, E-mail:
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