A within-subject comparison of different relaxation therapies in eliciting physiological and psychological changes in young women

PeerJ. 2020 May 22:8:e9217. doi: 10.7717/peerj.9217. eCollection 2020.

Abstract

Background: Stress reactivity can be different in women compared to men, which might consequently influence disease risk.Stress in women may also generate adverse physiological effects on their offspring during pregnancy or lactation. The objective of this study was to compare the effects of different relaxation interventions on physiological outcomes and perceived relaxation in healthy young women, to assist in identifying the most appropriate intervention(s) for use in a subsequent trial for mothers who deliver prematurely.

Methods: A within-subject study was conducted in 17 women of reproductive age comparing five different relaxation interventions (guided-imagery meditation audio (GIM), music listening (ML), relaxation lighting (RL), GIM+RL, ML+RL), with control (silence/sitting), assigned in random order over a 3-6 week period. Subjective feelings of relaxation (10-point scale), heart rate (HR), systolic and diastolic blood pressure (SBP, DBP), and fingertip temperature (FT) were measured before and after each technique.

Results: All interventions significantly increased perceived relaxation and FT, while music also significantly reduced SBP (p < 0.05). Compared to control, HR significantly decreased following GIM (mean difference = 3.2 bpm, p < 0.05), and FT increased (mean difference = 2.2 °C, p < 0.05) and SBP decreased (mean difference = 3.3 mmHg, p < 0.01) following ML. GIM + RL followed by GIM were the most preferred interventions.

Conclusions: Based on preference, simplicity, and the physiological and psychological effects, GIM and ML were identified as the most effective tools for reducing stress and improving relaxation. These techniques warrant further research in larger samples and other populations.

Keywords: Anxiety; Lactation; Light therapy; Meditation; Music therapy; Pregnancy; Relaxation therapy; Stress; Women’s health.

Grants and funding

This research is funded by a PhD studentship and funds from University College London Great Ormond Street Institute of Child Health. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.