Cited by 179Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMindfulness and Compassion InterventionsMusic Therapy and Health

The Effectiveness of Diaphragmatic Breathing Relaxation Training for Reducing Anxiety

Open access
Chen, Yu-Fen, Huang, Xuan-Yi, Chien, Ching-Hui, Cheng, Jui-Fen·2017·Perspectives in Psychiatric Care

Abstract

PURPOSE: To evaluate the effectiveness on reducing anxiety of a diaphragmatic breathing relaxation (DBR) training program. DESIGN AND METHODS: This experimental, pre-test-post-test randomized controlled trial with repeated measures collected data using the Beck Anxiety Inventory and biofeedback tests for skin conductivity, peripheral blood flow, heart rate, and breathing rate. FINDINGS: The experimental group achieved significant reductions in Beck Anxiety Inventory scores (p < .05), peripheral temperature (p = .026), heart rate (p = .005), and breathing rate (p = .004) over the 8-week training period. The experimental group further achieved a significant reduction in breathing rate (p < .001). PRACTICE IMPLICATIONS: The findings provide guidance for providing quality care that effectively reduces the anxiety level of care recipients in clinical and community settings.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1111/ppc.12184

Cites

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • CBT for anxiety often includes specific relaxation strategies that aim to reduce physiological arousal, including deep breathing, progressive muscle relaxation, and guided imagery.

    “In addition, CBT for anxiety often includes specific relaxation strategies that aim to reduce physiological arousal.These include deep breathing (slow paced diaphragmatic breathing) (Chen et al., 2017), progressive muscle relaxation (PMR; progressively tensing and releasing various muscle groups) (Bernstein & Borkovec, 1973) and guided imagery (imagining a pleasant, relaxing scene) (Daake & Gueldn”

    From A mixed methods study of autistic adults' mental health therapy experiences (2023) · cites this paper as Chen et al., 2017

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

No citation lists for this paper

No citation lists for this paper yet — checked again daily.

References 24 · Cited by 179

Research works printed but not linked: 25

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental health (5th ed.). Washington, DC: American Psychiatric Press Incorporated.
  2. Brown, R. P., & Gerbarg, P. L. (2005). Sudarshan Kriya Yogic breathing in the treatment of stress, anxiety, and depression. Part II: Clinical applications and guidelines. Journal of Alternative and Complementary Medicine, 11(4), 711-717. doi:10.1089/acm.2005.11.711 · DOI
  3. Cahalin, L. P., Braga, M., Matsuo, Y., & Hernandez, E. D. (2002). Efficacy of diaphragmatic breathing in persons with chronic obstructive pulmonary disease: A review of the literature. Journal of Cardiopulmonary Rehabilitation, 22(1), 7- 21.
  4. Chao, Y. F., Tang, H. P., & Tseng, S. W. (2003). The effect of modified abdominal breathing on promoting pulmonary function and activity in COPD patients. Formosan Journal of Medicine, 7(4), 492-501.
  5. Che, H. H., Lu, M. L., Chen, H. C., Chang, S. W., & Lee, Y. J. (2006). Validation of the Chinese Version of the Beck Anxiety Inventory. Formosan Journal of Medicine, 10(4), 447-454. doi:10.6320/fjm.2006.10(4). · DOI
  6. Chen, H. C., & Lee, M. B. (2002). Psychosomatic aspects of relaxed breathing training. Taiwanese Journal of Psychiatry, 16, 177-192.
  7. Chen, K. W., Perlman, A., Liao, J. G., Lam, A., Staller, J., & Sigal, L. H. (2008). Effects of external qigong therapy on osteoarthritis of the knee. A randomized controlled trial. Clinical Rheumatology, 27(12), 1497-1505. doi:10.1007/s10067-008-0955-4 · DOI
  8. Cottin, F., Papelier, Y., & Escourrou, P. (1999). Effects of exercise load and breathing frequency on heart rate and blood pressure variability during dynamic exercise. International Journal of Sports Medicine, 20(4), 232-238. doi:10.1055/s-2007-971123 · DOI
  9. de Jong, A. E., & Gamel, C. (2006). Use of a simple relaxation technique in burn care: Literature review. Journal of Advanced Nursing, 54(6), 710-721. doi:10.1111/j.1365-2648.2006.03858.x · DOI
  10. Field, T., Diego, M., Delgado, J., & Medina, L. (2013). Tai chi/yoga reduces prenatal depression, anxiety and sleep disturbances. Complementary Therapies in Clinical Practice, 19(1), 6-10. doi:10.1016/j.ctcp.2012.10.001 · DOI
  11. Hayama, Y., & Inoue, T. (2012). The effects of deep breathing on 'tension-anxiety' and fatigue in cancer patients undergoing adjuvant chemotherapy. Complementary Therapies in Clinical Practice, 18(2), 94-98. doi:10.1016/j.ctcp.2011.10.001 · DOI
  12. Kaushik, R., Kaushik, R. M., Mahajan, S. K., & Rajesh, V. (2005). Biofeedback assisted diaphragmatic breathing and systematic relaxation versus propranolol in long term prophylaxis of migraine. Complementary Therapies in Medicine, 13(3), 165-174. doi:10.1016/j.ctim.2005.04.004 · DOI
  13. Kavan, M. G., Elsasser, G., & Barone, E. J. (2009). Generalized anxiety disorder: Practical assessment and management. American Family Physician, 79(9), 785-791.
  14. Kim, S., Roth, W. T., & Wollburg, E. (2015). Effects of therapeutic relationship, expectancy, and credibility in breathing therapies for anxiety. Bulletin of Menninger Clinic, 79(2), 116-130. doi:10.1521/bumc.2015.79.2.116 · DOI
  15. Li, T. Y., & Yeh, M. L. (2005). The application of Qi-Gong therapy to health care. Journal of Nursing, 52(3), 65-70. doi:10.6224/jn.52.3.65 · DOI
  16. Liou, J. Y., Tu, K. Y., Lin, H. M., & Yeh, C. C. (2014). Comparisons of different breathing ratios of slow breathing among outpatients with anxiety disorders. Journal of Medicine and Health, 3(1), 57-66.
  17. Lu, C. F., Chen, M. C., & Shu, S. C. (2012). An overview of generalized anxiety disorder and reflections on the effective nursing care of patients with this disorder. Journal of Psychiatric Mental Health Nursing, 7(1), 1- 10.
  18. Seo, Y., Yates, B., LaFramboise, L., Pozehl, B., Norman, J. F., & Hertzog, M. (2016). A home-based diaphragmatic breathing retraining in rural patients with heart failure. Western Journal of Nursing Research, 38(3), 270-291. doi:10.1177/0193945915584201 · DOI
  19. Stahl, S. M., Ahmed, S., & Haudiquet, V. (2007). Analysis of the rate of improvement of specific psychic and somatic symptoms of general anxiety disorder during long-term treatment with venlafaxine ER. CNS Spectrums, 12(9), 703- 711.
  20. Subbalakshmi, N. K., Adhikari, P., & Shanmugavel Jeganathan, P. (2014). Comparative study on cardiac autonomic modulation during deep breathing test and diaphragmatic breathing in type 2 diabetes and healthy subjects. Journal of Diabetes Investigation, 5(4), 456-463. doi:10.1111/jdi.12163 · DOI
  21. Tsai, H. G., Chang, T. H., Chen, H. Y., Chen, Y. C., & Liu, C. Y. (2008). The application of YOGA activity in psychiatric occupational therapy. Journal of Taiwan Occupational Therapy Research and Practice, 4(1), 69-77. doi:10.6534/jtotrp.2008.4(1).69 · DOI
  22. Valenza, M. C., Valenza-Pena, G., Torres-Sanchez, I., Gonzalez-Jimenez, E., Conde-Valero, A., & Valenza-Demet, G. (2014). Effectiveness of controlled breathing techniques on anxiety and depression in hospitalized patients with COPD: A randomized clinical trial. Respiratory Care, 59(2), 209-215. doi:10.4187/respcare.02565 · DOI
  23. Vitacca, M., Clini, E., Bianchi, L., & Ambrosino, N. (1998). Acute effects of deep diaphragmatic breathing in COPD patients with chronic respiratory insufficiency. European Respiratory Journal, 11(2), 408-415.
  24. Yang, H. Y., Hwang, S. L., Lee, M. B., Chu, S. H., & Ko, W. J. (2000). Breathing relaxation therapy in reducing pain and physiological responses after cardiac surgery. Formosan Journal of Medicine, 4(6), 622-633. doi:10.6320/fjm.2000.4(6). · DOI
  25. Yu, W. J., & Song, J. E. (2010). [Effects of abdominal breathing on state anxiety, stress, and tocolytic dosage for pregnant women in preterm labor]. Journal of Korean Academy of Nursing, 40(3), 442-452. doi:10.4040/jkan.2010.40.3. 442 · DOI

Authors
Chen, Y.-F., Huang, X.-Y., Chien, C.-H., & Cheng, J.-F.
Affiliations
  • Taichung Veterans General Hospital (TW)
  • National Taipei University of Nursing and Health Science (TW)
  • China Medical University (TW)
Corresponding author
Huang, Xuan-Yi
Venue
Perspectives in Psychiatric Care
Publisher
Wiley
Published
2016-08-23
Volume
53
Issue
4
Pages
329-336
ISSN
0031-5990 (ISSN-L)
OpenAlex
W2513562188
Cited by
179
References
24
Citations by year
2026: 17 · 2025: 26 · 2024: 33 · 2023: 27 · 2022: 15 · 2021: 23 · 2020: 20 · 2019: 7 · 2018: 7 · 2017: 3 · 2016: 1
FWCI
8.54
Type
journal article
Language
en
Open access
Locations
  • Perspectives In Psychiatric Care (publishedVersion)
  • PubMed (publishedVersion)
  • Zenodo (CERN European Organization for Nuclear Research) (submittedVersion, other-oa)
Funders
China Medical University (CMU95-204)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Social Psychology › Music Therapy and Health
Keywords
diaphragmatic breathing, relaxation training, anxiety reduction, biofeedback, skin conductance, heart rate, respiratory rate, peripheral blood flow, Beck Anxiety Inventory, nursing care
MeSH terms
Adult, Anxiety, Biofeedback, Psychology, Breathing Exercises, Female, Humans, Male, Patient Education as Topic, Relaxation Therapy, Young Adult

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review