Sloman, R. (2002). Relaxation and imagery for anxiety and depression control in community patients with advanced cancer. Cancer Nursing, 25, 432–435.

DOI Link

Intervention Characteristics/Basic Study Process

The intervention involved progressive muscle relaxation (PMR) and guided imagery (GI). Patients were visited by a community RN who was trained in the use of relaxation and imaging technique. Tape recorders with cassettes were used to teach PMR and GI, with instructions provided by a clinical psychologist guiding the techniques.

Patients were randomized to one of four treatment groups:

  1. PMR training
  2. GI training
  3. Both PMR and GI training
  4. Control group (pre/post-test)

Sample Characteristics

  • The study reported on a sample of 56 patients with advanced cancer who were experiencing anxiety and depression.
  • All patients were receiving palliative care in their own homes, and all were on pain medication.

Setting

  • Community nursing setting
  • Sydney, Australia

Study Design

A randomized controlled trial design was used.

Measurement Instruments/Methods

  • Hospital Anxiety and Depression Scale (HADS): Used to measure anxiety and depression
  • Functional Living Index–Cancer Scale: Used to measure quality of life (QOL)

Results

  • None of the three treatments produced a significant reduction in anxiety (failed to reach significance [p = 0.057]).
  • All three treatments produced a significant reduction in depression.
  • All three treatments had improved QOL as measured by the index.

Limitations

The study had a small sample size.