The effects of guided imagery on comfort, depression, anxiety, and stress of psychiatric inpatients with depressive disorders.

This article describes the efficacy of a guided imagery intervention for decreasing depression, anxiety, and stress and increasing comfort in psychiatric inpatients with depressive disorders. A quasi-experimental design sampled 60 short-term hospitalized depressive patients selected consecutively. The experimental group listened to a guided imagery compact disk once a day for 10 days. The Psychiatric Inpatients Comfort Scale and the Depression, Anxiety, and Stress Scales (DASS-21) were self-administered at two time points: prior to the intervention (T1) and 10 days later (T2). Comfort and DASS-21 were also assessed in the usual care group at T1 and T2. Repeated measures revealed that the treatment group had significantly improved comfort and decreased depression, anxiety, and stress over time.

[1]  Katharine C Kolcaba PhD Rn,et al.  Comfort Theory and Practice: A Vision for Holistic Health Care and Research , 2002 .

[2]  L. Krysa,et al.  The comfort and discomfort of infertility. , 1996, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[3]  Sofrimento e conforto em doentes submetidas a quimioterapia , 2006 .

[4]  Lynne Campbell-Gillies GUIDED IMAGERY AS TREATMENT FOR ANXIETY AND DEPRESSION IN BREAST CANCER PATIENTS: A PILOT STUDY , 2008 .

[5]  Jacob Cohen Statistical Power Analysis for the Behavioral Sciences , 1969, The SAGE Encyclopedia of Research Design.

[6]  Russell V Lenth,et al.  Power Analysis for Experimental Research: A Practical Guide For The Biological, Medical and Social Sciences and Statistical Power Analysis: A Simple and General Model for Traditional and Modern Hypothesis Tests , 2004 .

[7]  Cathy H. McKinney,et al.  Effects of guided imagery and music (GIM) therapy on mood and cortisol in healthy adults. , 1997, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[8]  J. Moskowitz,et al.  Positive affect and the other side of coping. , 2000, The American psychologist.

[9]  M. Koehn Alternative and complementary therapies for labor and birth: an application of Kolcaba's theory of holistic comfort. , 2000, Holistic nursing practice.

[10]  P. Gilbert,et al.  Self-Criticism and Self-Warmth: An Imagery Study Exploring Their Relation to Depression , 2006, Journal of Cognitive Psychotherapy.

[11]  Safety and comfort work of nurses glimpsed through patient narratives. , 2002, International journal of nursing practice.

[12]  Nigel J. T. Thomas Are theories of imagery theories of imagination?: An active perception approach to conscious mental content , 1999 .

[13]  J. Singer Imagery in psychotherapy , 2005 .

[14]  A. Coppen Depression as a lethal disease: prevention strategies. , 1994, The Journal of clinical psychiatry.

[15]  P. Lovibond,et al.  The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. , 1995, Behaviour research and therapy.

[16]  K. Kolcaba,et al.  A taxonomic structure for the concept comfort. , 1991, Image--the journal of nursing scholarship.

[17]  J. Morse,et al.  The phenomenology of comfort. , 1994, Journal of advanced nursing.

[18]  P. Lachenbruch Statistical Power Analysis for the Behavioral Sciences (2nd ed.) , 1989 .

[19]  Caring and comfort metaphors used by patients in critical care. , 1996, Image--the journal of nursing scholarship.

[20]  C. Sampselle,et al.  Comfort in labor and midwifery art. , 1999, Image--the journal of nursing scholarship.

[21]  Eri Watanabe,et al.  Differences in relaxation by means of guided imagery in a healthy community sample. , 2006, Alternative therapies in health and medicine.

[22]  P. Lovibond,et al.  Manual for the Depression Anxiety Stress Scales. 2 , 1995 .

[23]  M. Hall,et al.  Depression: Epidemiology and risk factors , 2003 .

[24]  Susan H Steiner,et al.  A Novel Theory for Nursing Education , 2007, Journal of holistic nursing : official journal of the American Holistic Nurses' Association.

[25]  R. Sloman Relaxation and Imagery for Anxiety and Depression Control in Community Patients With Advanced Cancer , 2002, Cancer nursing.

[26]  S. Nolen-Hoeksema,et al.  The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. , 2000, Journal of abnormal psychology.

[27]  K. Kolcaba,et al.  The effects of guided imagery on comfort of women with early stage breast cancer undergoing radiation therapy. , 1999, Oncology nursing forum.

[28]  K. Kolcaba,et al.  Development and psychometric evaluation of the Psychiatric In-patients Comfort Scale (PICS). , 2007, Enfermeria clinica.

[29]  S. Nolen-Hoeksema Responses to depression and their effects on the duration of depressive episodes. , 1991, Journal of abnormal psychology.

[30]  J. Sayers The world health report 2001 - Mental health: new understanding, new hope , 2001 .

[31]  J. Achterberg Imagery in Healing: Shamanism and Modern Medicine , 1985 .

[32]  V. Tiase Comfort Theory and Practice , 2003 .

[33]  Z. Azeredo,et al.  Adaptation to Portuguese of the Depression, Anxiety and Stress Scales (DASS). , 2006, Revista latino-americana de enfermagem.

[34]  V. D. R. M. Cnor Comfort Theory and Practice , 2003 .

[35]  Victoria E. Slater Editorial: Holistic Nursing Practice , 2005 .