Effect of Progressive Muscle Relaxation on Anxiety in Pre-University Students: A Randomized Controlled Clinical Trial
Advances in Nursing & Midwifery,
Vol. 27 No. 2 (2018),
16 July 2018
Introduction: Anxiety experience in adolescents is more intense than other periods of life. The relaxation of muscles leads to the relaxation of the mind, because it prevents the production of negative thoughts. Therefore, this study was done with the purpose of determining the effects of Progressive Muscle Relaxation (PMR) on pre-university students’ anxiety.
Methods: In this randomized controlled clinical trial, 304 pre-university students of public schools in Malayer city that had the inclusion criteria were allocated to 2 groups of PMR and control with simple random sampling . Progressive Muscle Relaxation was taught to the intervention group and the students were asked to do the relaxation once a day for one month. Anxiety score of the entire sample was measured at the beginning, during, and the end of the intervention, using the “Beck Depression Inventory”. Data was analyzed using SPSS version 20, and repeated measures test.
Results: The mean of the control group›s anxiety score was 14.96 ± 8.22, reaching 16.56 ± 8.08 after 2 weeks and 19.45 ± 8.27 at the end of the fourth weeks. The mean of the intervention group›s anxiety scores was 15.71 ± 8.58. It decreased to 13.33 ± 9.06 at the end of the second week and 10.64 ± 9.30 at the end of the fourth week. The repeated measures test showed a significant difference between the 2 groups in mean anxiety scores (P = 0.008), and was significantly different at the three time points (P < 0.001).
Conclusions: The findings of this study showed that the PMR caused a decrease in anxiety in pre-university students.
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How to Cite
Narimani M, Hasanzadeh S, Abolghasemi A. [The effectiveness of
stress inoculation training in decreasing stress, anxiety and depression
of pre-university girl students]. J Sch Psychol. 2012;1(3):101-17.
Agdasi A, Asl Fatahi B, Saed M. [The effect of stress inoculation training
on test anxiety and academic performance of female students].
Educ Sci. 2012;5(20):33-48.
Mogimian M, Salmani F, Azarbarzin M. [The relationship between
test anxiety and spiritual health in nursing students]. J Qom Univ
Med Sci. 2011;5(3):31-6.
Zebardast Yousefabad M, Gholizadeh Borhani L, Piri I. [Group Council
Effect Regarding to its Cognitive-behavioural-emotional Factors in
Decreasing Girl High School Students Anxiety]. Procedia-Soc Behav
Mahmodialemi G, Janati Y, Sharofi A, Heydari M, Jafari H. [Effect
of Assertiveness Training on the educational anxiety]. J Mazandaran
Univ Med Sci. 2002;12(34):39-45.
Khodayarifard M, Rehm LP, Khodayarifard S. Psychotherapy in Iran: a
case study of cognitive-behavioral family therapy for Mrs. A. J Clin Psychol.
;63(8):745-53. DOI: 10.1002/jclp.20389 PMID: 17603785
Zobairy M, Aliabadi S, Zobayri L. [Investigation of the Relationship
between Anxiety and Type of Leisure Time Activity in Female High
School Students]. Procedia-Soc Behav Sci. 2013;84:248-51. DOI:
Jin Y, He L, Kang Y, Chen Y, Lu W, Ren X, et al. Prevalence and risk
factors of anxiety status among students aged 13-26 years. Int J Clin
Exp Med. 2014;7(11):4420-6. PMID: 25550963
Kalantar Gorayshi M, Rezai Kargar F, Dortaj F, Shahnazari M. [Education
and relaxation on anxiety and academic achievement]. RCPC.
Jarare J, Mohamadi Karkani A. [The effectiveness of cognitive-behavioral
training to secondary school students’ test anxiety]. J Teach
Mohamadifar M. [The impact of traditional and descriptive evaluations
on academic achievement and test anxiety elementary school
students in Tehran]. J Educ Psychol. 2011;20(7):33-49.
Zeraati F, Seif Rabiei M, Aragchian M, Sabouri T. [Survey sleep quality
and use of sleep medications adults admitted to internal Section
Ekbatan hospital–Hamedan]. Sci J Hamadan Univ Med Sci Health
Bakhshi M. [The effect of progressive musclerelaxation on acute and
late nausea and vomitingof patients with cancer undergoing chemotherapy].
Tehran: Tarbiat Modares University; 2001.
Akmese ZB, Oran NT. Effects of Progressive Muscle Relaxation Exercises
Accompanied by Music on Low Back Pain and Quality of Life
During Pregnancy. J Midwifery Womens Health. 2014;59(5):503-9.
DOI: 10.1111/jmwh.12176 PMID: 24965313
Conrad A, Roth WT. Muscle relaxation therapy for anxiety disorders:
it works but how? J Anxiety Disord. 2007;21(3):243-64. DOI:
1016/j.janxdis.2006.08.001 PMID: 16949248
Wilk C, Turkoski B. Progressive muscle relaxation in cardiac rehabilitation:
a pilot study. Rehabil Nurs. 2001;26(6):238-42; discussion
Zargarzadeh M, Shirazi M. The effect of progressive muscle relaxation
method on test anxiety in nursing students. Iran J Nurs Midwifery
Res. 2014;19(6):607-12. PMID: 25558258
Malmir K. [The effectof progressive muscle relaxationonsleepquality,
anxiety, depression and drug addicted patients are left longing]. Tehran:
Tarbiat Modares University; 2015.
Lauche R, Materdey S, Cramer H, Haller H, Stange R, Dobos G, et al.
Effectiveness of home-based cupping massage compared to progressive
muscle relaxation in patients with chronic neck pain--a randomized
controlled trial. PLoS One. 2013;8(6):e65378. DOI: 10.1371/
journal.pone.0065378 PMID: 23762355
Park S-H, Han KS, Kang C-B. Relaxation Therapy for Irritable Bowel
Syndrome: A Systematic Review. Asian Nurs Res. 2014;8(3):182-92.
Georgiev A, Probst M, De Hert M, Genova V, Tonkova A, Vancampfort
D. Acute effects of progressive muscle relaxation on state anxiety
and subjective well-being in chronic Bulgarian patients with schizophrenia.
Psychiatr Danub. 2012;24(4):367-72. PMID: 23132187
Farahani PV, Hekmatpou D, Khani SS. [Effectiveness of muscle relaxation
on pain, pruritus and vital signs of patients with burns]. Iran J
Crit Care Nurs. 2013;6(2):87-94.
Hashem Zadeh A, Garooci Farshi M, Halabianloo G, Maleki Rad A.
[The Effectiveness of Strategies for relaxation and distraction in reducing
anxiety of heart patients]. J Jahrom Med Sci. 2011;14(3):97-105.
Chow S, Wang H, Shao J. Sample size calculation in clinical research.
United Kingdom: CRC Press,Taylor and Francis Group; 2003.
Beck SL, Schwartz AL, Towsley G, Dudley W, Barsevick A. PsychoRoozbahani.
Adv Nurs Midwifery
metric evaluation of the Pittsburgh Sleep Quality Index in cancer patients.
J Pain Symptom Manage. 2004;27(2):140-8. DOI: 10.1016/j.
jpainsymman.2003.12.002 PMID: 15157038
Bakhshani N. Evaluation of anxiety and social support, personality
dimensions, with events in depressed patients; test cognitive model
of depression. Tehran Tehran Psychiatric Institute; 2002.
Scimeca G, Bruno A, Cava L, Pandolfo G, Muscatello MR, Zoccali R.
The relationship between alexithymia, anxiety, depression, and internet
addiction severity in a sample of Italian high school students. ScientificWorldJournal.
;2014:504376. DOI: 10.1155/2014/504376
Chen WC, Chu H, Lu RB, Chou YH, Chen CH, Chang YC, et al. Efficacy
of progressive muscle relaxation training in reducing anxiety in
patients with acute schizophrenia. J Clin Nurs. 2009;18(15):2187-96.
DOI: 10.1111/j.1365-2702.2008.02773.x PMID: 19583651
Herizchi S, Asvadi I, Piri I, Golchin M, Shabanlui R, Sanaat Z. [Efficacy
of progressive muscle relaxation training on anxiety, deprivation
and quality of life in cancer patients undergoing chemotherapy at
Tabriz hematology and oncology research center,Iran in 2010]. Mid
East J Cancer. 2012;3(1):9-13.
Pan L, Zhang J, Li L. Effects of progressive muscle relaxation training
on anxiety and quality of life of inpatients with ectopic pregnancy receiving
methotrexate treatment. Res Nurs Health. 2012;35(4):376-
DOI: 10.1002/nur.21486 PMID: 22570185
Ghafari S, Ahmadi F, Nabavi M, Memarian R. [Effects of applying
progressive muscle relaxation technique on depression, anxiety and
stress of multiple sclerosis patients in Iran National MS Society]. Med
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