Effects of a relaxation training programme on immediate and prolonged stress responses in women with preterm labour
Abstract
AIM: This paper is a report of an experimental study of the effects of relaxation-training programme on immediate and prolonged stress responses in women with preterm labour. BACKGROUND: Hospitalized pregnant women with preterm labour experience developmental and situational stress. However, few studies have been performed on stress management in such women. METHODS: An experimental pretest and repeated post-test design was used to compare the outcomes for two groups in northern Taiwan from December 2008, to May 2010. A total of 129 women were randomly assigned to an experimental (n = 68) or control (n = 61) group. The experimental group participants were instructed to listen daily to a 13-minute relaxation programme. Measurements involved the stress visual analogue scale, finger temperatures, State Trait Anxiety Inventory, Perceived Stress Scale and Pregnancy-related Anxiety. Two-way analysis of variance and hierarchical linear modelling were used to analyse the group differences. RESULTS: Compared with those in the control group, participants in the experimental group showed immediate improvements in the stress visual analogue scale scores and finger temperatures. The State Trait Anxiety Inventory-State subscale score for the experimental group was significantly lower than that for the control group (P = 0·03). However, no statistically significant differences for the Perceived Stress Scale and Pregnancy-related Anxiety scores were found between the experimental group and the control group. CONCLUSIONS: The relaxation-training programme could improve the stress responses of women with preterm labour.
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Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,588 · see citing works
Tabachnick, B. G., & Fidell, L. S. (1983) · Cited by 79,888 · see citing works
Eysenck, H. J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90087-7 · Cited by 32,026 · see citing works
(1979) · Medical Entomology and Zoology · Cited by 11,252 · see citing works
Epidemiology and causes of preterm birth
Goldenberg, R. L., Culhane, J. F., Iams, J. D., & Romero, R. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60074-4 · Cited by 7,801 · see citing works
Diggle, P. J., Heagerty, P. J., Liang, K., & Zeger, S. L. (2002) · doi:10.1093/oso/9780198524847.001.0001 · Cited by 3,388 · see citing works
Stress and emotion, a new synthesis
Lazanis, R. S. (1999) · Journal of Psychiatric and Mental Health Nursing · doi:10.1046/j.1365-2850.1999.00227-9.x · Cited by 2,831 · see citing works
Effects of Stress and Social Support on Mothers and Premature and Full-Term Infants
Crnic, K. A., Greenberg, M. T., Ragozin, A. S., Robinson, N. M., & Basham, R. B. (1983) · Child Development · doi:10.1111/j.1467-8624.1983.tb00350.x · Cited by 711 · see citing works
Rini, C. K., Dunkel-Schetter, C., Wadhwa, P. D., & Sandman, C. A. (1999) · Health Psychology · doi:10.1037/0278-6133.18.4.333 · Cited by 667 · see citing works
Effects of Stress and Social Support on Mothers and Premature and Full-Term Infants
Crnic, K. A., Greenberg, M. T., Ragozin, A. S., Robinson, N. M., & Basham, R. B. (1983) · Child Development · doi:10.2307/1129878 · Cited by 590 · see citing works
Verbal Conditioning: Method, Process, or Principle?
Spielberger, C. D. (1970) · Contemporary Psychology · doi:10.1037/013734 · Cited by 580 · see citing works
Mind-Body Medicine: State of the Science, Implications for Practice
Astin, J. A., Shapiro, S. L., Eisenberg, D. M., & Forys, K. L. (2003) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.16.2.131 · Cited by 512 · see citing works
Experiences of Fears Associated with Pregnancy and Childbirth: A Study of 329 Pregnant Women
Hanna‐Leena Melender, R. (2002) · Birth · doi:10.1046/j.1523-536x.2002.00170.x · Cited by 399 · see citing works
Vieten, C., & Astin, J. (2008) · Archives of Women's Mental Health · doi:10.1007/s00737-008-0214-3 · Cited by 369 · see citing works
Coping and distress in pregnancy: An investigation of medically high risk women
Yali, A. M., & Lobel, M. (1999) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.3109/01674829909075575 · Cited by 364 · see citing works
Managing Stress: Principles and Strategies for Health and Wellbeing
Seaward, B. L. (1994) · Medical Entomology and Zoology · Cited by 364 · see citing works
The Relaxation Response: Psychophysiologic Aspects and Clinical Applications
Benson, H., Greenwood, M. M., & Klemchuk, H. (1975) · The International Journal of Psychiatry in Medicine · doi:10.2190/376w-e4mt-qm6q-h0um · Cited by 246 · see citing works
Effects of music therapy on psychological health of women during pregnancy
Chang, M., Chen, C., & Huang, K. (2008) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2007.02064.x · Cited by 236 · see citing works
Self-citationBastani, F., Hidarnia, A. A., Kazemnejad, A., Vafaei, M. A., & Kashanian, M. (2005) · Journal of Midwifery & Women s Health · doi:10.1016/j.jmwh.2004.11.008 · Cited by 220 · see citing works
Holistic Nursing: A Handbook for Practice
Lops, V. R. (2000) · The Journal of Perinatal & Neonatal Nursing · doi:10.1097/00005237-200006000-00010 · Cited by 205 · see citing works
(1994) · PubMed · Cited by 192 · see citing works
The epidemiology of threatened preterm labor: A prospective cohort study
McPheeters, M. L., Miller, W. C., Hartmann, K. E., Savitz, D. A., Kaufman, J. S., Garrett, J. M., & Thorp, J. M. (2005) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.12.055 · Cited by 172 · see citing works
Physical and Psychosocial Side Effects of Antepartum Hospital Bed Rest
MALONI, J. A., CHANCE, B., ZHANG, C., COHEN DIANE BETTS, A. W., & GANGE, S. J. (1993) · Nursing Research · doi:10.1097/00006199-199307000-00002 · Cited by 131 · see citing works
Biofeedback: A practitioner's guide
Jahanshahi, M. (1989) · Behaviour Research and Therapy · doi:10.1016/0005-7967(89)90024-7 · Cited by 129 · see citing works
Bennett, T. A., Kotelchuck, M., Cox, C. E., Tucker, M. J., & Nadeau, D. A. (1998) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(98)80024-0 · Cited by 121 · see citing works
Threat Appraisal, Coping, and Emotions Across Pregnancy Subsequent to Perinatal Loss
Côté‐Arsenault, D. (2007) · Nursing Research · doi:10.1097/01.nnr.0000263970.08878.87 · Cited by 103 · see citing works
Perceptions of Bed Rest by Women with High‐Risk Pregnancies: A Comparison Between Home and Hospital
Heaman, M., Gupton, A., & Maureen Heaman is Director of Research, W. C. A. L. C. A. (1998) · Birth · doi:10.1046/j.1523-536x.1998.00252.x · Cited by 89 · see citing works
Dysphoria Among High-Risk Pregnant Hospitalized Women on Bed Rest
Maloni, J. A., Kane, J. H., Suen, L.-J., & Wang, K. K. (2002) · Nursing Research · doi:10.1097/00006199-200203000-00005 · Cited by 88 · see citing works
Learning from Data: An Introduction to Statistical Reasoning
Glenberg, A. M., & Andrzejewski, M. E. (1988) · Medical Entomology and Zoology · Cited by 80 · see citing works
Applications of Hierarchical Linear Models for Evaluations of Health Interventions
O'Connell, A. A., & McCoach, D. B. (2004) · Evaluation & the Health Professions · doi:10.1177/0163278704264049 · Cited by 79 · see citing works
Effects of Maternal Prenatal Stress on Infant Outcomes: A Synthesis of the Literature
Ruiz, R. J., & Avant, K. C. (2005) · Advances in Nursing Science · doi:10.1097/00012272-200510000-00006 · Cited by 79 · see citing works
Zachariah, R. (2009) · Research in Nursing & Health · doi:10.1002/nur.20335 · Cited by 77 · see citing works
Music Therapy To Relieve Anxiety In Pregnant Women On Bedrest
Yang, M., Li, L., Zhu, H., Alexander, I. M., Liu, S., Zhou, W., & Ren, X. (2009) · MCN The American Journal of Maternal/Child Nursing · doi:10.1097/01.nmc.0000360425.52228.95 · Cited by 69 · see citing works
Stress, pre‐term labour and birth outcomes
Mackey, M. C., Williams, C. A., & Tiller, C. M. (2000) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2000.01526.x · Cited by 65 · see citing works
The Effect of Relaxation Therapy on Preterm Labor Outcomes
JANKE, J. R. (1999) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.1999.tb01990.x · Cited by 55 · see citing works
Cheng, P., Wu, T., Shaw, S., Chueh, H., Lin, C., Hsu, J., Hsieh, T., & Soong, Y. (2008) · Prenatal Diagnosis · doi:10.1002/pd.1988 · Cited by 39 · see citing works
Self-citationPerception of Threat and Subjective Weil-Being in Low-Risk and High- Risk Pregnant Women
Hatmaker, D. D., & Kemp, V. H. (1998) · The Journal of Perinatal & Neonatal Nursing · doi:10.1097/00005237-199809000-00002 · Cited by 39 · see citing works
Stress and maternal-fetal attachment of pregnant women during their third trimester.
Hsu, T. L., & Chen, C. (2001) · PubMed · Cited by 33 · see citing works
Self-citationCoping with the Stress of Premature Labor
Lowenkron, A. H. (1999) · Health Care For Women International · doi:10.1080/073993399245458 · Cited by 28 · see citing works
Attention and Autonomic Self-Regulation
Cohen, J., & Sedlacek, K. (1983) · Psychosomatic Medicine · doi:10.1097/00006842-198306000-00007 · Cited by 14 · see citing works
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Teckenberg-Jansson, P., Turunen, S., Pölkki, T., Lauri-Haikala, M.-J., Lipsanen, J. O., Henelius, A., Aitokallio‐Tallberg, A., Pakarinen, S., Leinikka, M., & Huotilainen, M. (2019) · Nordic Journal of Music Therapy · doi:10.1080/08098131.2018.1546223 · Cited by 66 · see citing works
Fotiou, C., Vlastarakos, P. V., Bakoula, C., Papagaroufalis, K., Bakoyannis, G., Darviri, C., & Chrousos, G. P. (2015) · Intensive and Critical Care Nursing · doi:10.1016/j.iccn.2015.08.006 · Cited by 66 · see citing works
Nasiri, S., Akbari, H., Tagharrobi, L., & Tabatabaee, A. S. (2018) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_158_16 · Cited by 59 · see citing works
Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications
Toscano, M., Royzer, R., Castillo, D., Li, D., & Poleshuck, E. (2021) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000004335 · Cited by 55 · see citing works
Guided Imagery for Stress and Symptom Management in Pregnant African American Women
Jallo, N., Ruiz, R. J., Elswick, R. K., & French, E. (2014) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2014/840923 · Cited by 51 · see citing works
Threatened preterm labour: Women's experiences of risk and care management: A qualitative study
Carter, J., Tribe, R. M., Shennan, A. H., & Sandall, J. (2018) · Midwifery · doi:10.1016/j.midw.2018.06.001 · Cited by 45 · see citing works
Özdemir, S. Ç., & Başar, F. (2017) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2017.10.006 · Cited by 41 · see citing works
Baljon, K. J., Romli, M. H., Ismail, A. H., Lee, K., & Chew, B. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-033844 · Cited by 41 · see citing works
Effects of a Guided Imagery Intervention on Stress in Hospitalized Pregnant Women: A Pilot Study
Jallo, N., Cozens, R., Smith, M. W., & Simpson, R. I. (2013) · Holistic Nursing Practice · doi:10.1097/hnp.0b013e31828b6270 · Cited by 32 · see citing works
A Stress Coping App for Hospitalized Pregnant Women at Risk for Preterm Birth
Jallo, N., Thacker, L. R., Menzies, V. S., Stojanovic, P., & Svikis, D. S. (2017) · MCN The American Journal of Maternal/Child Nursing · doi:10.1097/nmc.0000000000000355 · Cited by 26 · see citing works
Perceptions of Guided Imagery for Stress Management in Pregnant African American Women
Jallo, N., Salyer, J., Ruiz, R. J., & French, E. (2015) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2015.04.004 · Cited by 24 · see citing works
Karbandi, S., Hosseini, S. M., Hosseini, S. A., Sadeghi, F., Hesari, M., & Masoudi, R. (2017) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000217 · Cited by 24 · see citing works
Gökşin, İ., & Ayaz‐Alkaya, S. (2020) · Stress and Health · doi:10.1002/smi.2921 · Cited by 24 · see citing works
Zendehdel, M., Elyasi, F., Jahanfar, S., & Emami‐Sahebi, A. (2022) · Neuropsychopharmacology Reports · doi:10.1002/npr2.12241 · Cited by 21 · see citing works
Feasibility of a Relaxation Guided Imagery Intervention to Reduce Maternal Stress in the NICU
Howland, L. C., Jallo, N., Connelly, C. D., & Pickler, R. H. (2017) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1016/j.jogn.2017.03.004 · Cited by 17 · see citing works
Recognition of the efficacy of relaxation program on sleep quality of mothers with premature infants
Hosseini, S., Karbandi, S., Masoudi, R., Hosseini, S. A., Sadeghi, F., & Moghaddam, M. H. (2015) · Journal of Education and Health Promotion · doi:10.4103/2277-9531.171811 · Cited by 11 · see citing works
Kim, H. J., & Chun, N. (2020) · Korean journal of women health nursing/Yeoseong geon'gang ganho hag'hoeji/Yeoseong geon-gang ganho hakoeji · doi:10.4069/kjwhn.2020.06.17 · Cited by 10 · see citing works
Effects of Relaxation-Focused Nursing Care in Women in Preterm Labor
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Kermani, F., Kahouei, M., Valinejadi, A., Sadeghi, M., Momeni, M., & Pahlevanynejad, S. (2023) · Iranian Journal of Public Health · doi:10.18502/ijph.v52i8.13402 · Cited by 8 · see citing works
Kim, S. H. (2022) · Korean journal of women health nursing/Yeoseong geon'gang ganho hag'hoeji/Yeoseong geon-gang ganho hakoeji · doi:10.4069/kjwhn.2022.09.22 · Cited by 8 · see citing works
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Zhang, H., Zhou, Y., Cui, Y., & Yang, J. (2014) · International Journal of Nursing Practice · doi:10.1111/ijn.12370 · Cited by 7 · see citing works
Pang, C. H., Lam, Y. H. B., Chia, J. L. C., Ng, S. I. F., Wong, S. S., & Tay, P. K. C. (2024) · Psychology of Music · doi:10.1177/03057356241231769 · Cited by 6 · see citing works
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Pohlmann, F. C., Kerber, N. P. D. C., Viana, J. D. S., de Carvalho, V. F., Vallejos, C. C. C., & de Souza, C. S. (2016) · Enfermería Global · doi:10.6018/eglobal.15.1.231881 · Cited by 6 · see citing works
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Obayashi, Y., Iriyama, S., & Suzuki, A. (2016) · Journal of Women s Health Care · doi:10.4172/2167-0420.1000316 · Cited by 4 · see citing works
Hossеinian, M., YosefZad, S., Sadat, Z., & Ajorpaz, N. M. (2022) · Journal of Clinical Care and Skills · doi:10.52547/jccs.3.4.183 · Cited by 3 · see citing works
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Chuang, L., Liu, S., Chen, Y., & Lin, L. (2015) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2013.0381 · Cited by 2 · see citing works
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Huang, Y., Yang, W.-J., & Lin, S.-Y. (2014) · IEEE International Conference on Automation Science and Engineering (CASE) · doi:10.1109/coase.2014.6899421 · Cited by 2 · see citing works
van der Stouwe, T., Leijten, P. H. O., Asscher, J. J., Deković, M., & van der Put, C. E. (2023) · Journal of Family Violence · doi:10.1007/s10896-023-00509-7 · Cited by 2 · see citing works
Ukhawounam, U., Limruangrong, P., Pungbangkadee, R., & Vongsirimas, N. (2023) · International Journal of Women s Health · doi:10.2147/ijwh.s418693 · Cited by 1 · see citing works
Şahin, K., & Mutlu, B. (2025) · Mental Health & Prevention · doi:10.1016/j.mhp.2025.200458 · Cited by 1 · see citing works
Lavallée, É., Dupuis, F., & Héon, M. (2013) · Recherche en soins infirmiers · doi:10.3917/rsi.113.0076 · Cited by 1 · see citing works
A Mathematical Evidence of the Therapeutic Effect of Relaxation
Fouad, K. (2018) · International journal of applied psychology · Cited by 1 · see citing works
Kim, G. N., & Jun, E.-Y. (2021) · JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH · doi:10.21896/jksmch.2021.25.4.269 · Cited by 1 · see citing works
Park, S.-A. (2021) · Gyemyeong uidae haksulji · doi:10.46308/kmj.2021.00094
Arif, S., Rahim, S., & Perwez, S. (2021) · Pakistan Journal of Psychological Research · doi:10.33824/pjpr.2021.36.2.13
goudarzi, S. M., talokolai, Z. A., & ghazvini, N. V. (2023) · Psychology of Woman Journal · doi:10.52547/psychowoman.4.1.27
goudarzi, S. M., talokolai, Z. A., & ghazvini, N. V. (2023) · doi:10.61838/kman.pwj.4.1.3
Shakerian, M., & Mosavinezhad, S. M. (2022) · Pajouhan Scientific Journal · doi:10.61186/psj.20.4.225
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- Authors
- Chuang, L., Lin, L., Cheng, P., Chen, C., Wu, S., & Chang, C.
- Affiliations
- National Yang Ming University (TW)
- Chang Gung University (TW)
- National Cheng Kung University (TW)
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2011-07-20
- Volume
- 68
- Issue
- 1
- Pages
- 170-180
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W1911826146
- Cited by
- 42
- References
- 40
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 5 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 4 · 2016: 3 · 2015: 4 · 2014: 4 · 2013: 2
- FWCI
- 1.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Council
- Chang Gung Medical Foundation
- Chang Gung Memorial Hospital, Linkou
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Social Sciences › Psychology › Social Psychology › Music Therapy and Health
- Keywords
- relaxation training, preterm labour, stress response, stress management, anxiety, pregnancy-related anxiety, finger temperature, autonomic nervous system, pregnant women
- MeSH terms
- Adaptation, Psychological, Adult, Analysis of Variance, Anxiety, Female, Fingers, Hospitalization, Humans, Obstetric Labor, Premature, Midwifery, Pregnancy, Pregnancy Complications, Prenatal Care, Psychological Theory, Regional Blood Flow, Relaxation Therapy, Severity of Illness Index, Skin Temperature, Stress, Psychological, Taiwan, Time Factors, Clinical Nursing Research, Linear Models, Treatment Outcome
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