Self-help relaxation for post-stroke anxiety: a randomised, controlled pilot study

Clin Rehabil. 2016 Feb;30(2):174-80. doi: 10.1177/0269215515575746. Epub 2015 Mar 16.

Abstract

Objective: To consider relaxation as a potential treatment for anxiety in stroke survivors living in the community, including feasibility and acceptability.

Design: Randomised two group design (intervention and control).

Participants: All participants (n = 21) were stroke survivors living in the community who reported experiencing anxiety (Hospital Anxiety and Depression Scale - Anxiety Subscale ⩾ 6).

Interventions: The intervention group were asked to listen to a self-help autogenic relaxation CD, five times a week, for at least one month. Participants completed the Hospital Anxiety and Depression Scale at screening and then monthly for three months.

Results: At each assessment following screening, participants who received the relaxation training were significantly more likely to report reduced anxiety compared to those who had not received the training (Month 1 P = 0.002; Month 2 P < 0.001; Month 3 P = 0.001). After one month, seven of the intervention group (n = 10) had completed the relaxation training as directed and planned to continue using it. The intervention appeared practical to deliver and relatively inexpensive, with minimal adverse effects.

Conclusions: Preliminary evidence suggests that autogenic relaxation training delivered in a self-help CD format is a feasible and acceptable intervention, and that anxiety is reduced in stroke survivors who received the intervention. Future studies should seek to recruit a larger and more heterogeneous sample of 70 participants.

Keywords: Stroke; anxiety; self-help relaxation.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anxiety Disorders / etiology
  • Anxiety Disorders / psychology
  • Anxiety Disorders / therapy*
  • Autogenic Training / methods*
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pilot Projects
  • Relaxation Therapy / methods*
  • Self Care / methods*
  • Statistics, Nonparametric
  • Stroke / complications
  • Stroke / psychology*
  • Tape Recording
  • United Kingdom