Cited by 327Mindfulness and Compassion InterventionsMusic Therapy and HealthPsychotherapy Techniques and Applications

Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation

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Toussaint, Loren, Nguyen, Quang Anh, Roettger, Claire, Dixon, Kiara, Offenbächer, Martin, Kohls, Niko, Hirsch, Jameson, Sirois, Fuschia·2021·Evidence-Based Complementary and Alternative Medicine

Abstract

Research suggests that multiple forms of relaxation training (e.g., progressive muscle relaxation, meditation, breathing exercises, visualization, and autogenics) can help individuals reduce stress, enhance relaxation states, and improve overall well-being. We examined three different, commonly used approaches to stress relaxation—progressive muscle relaxation, deep breathing, and guided imagery—and evaluated them in a head-to-head comparison against each other and a control condition. Sixty healthy undergraduate participants were randomized to one of the four conditions and completed 20 minutes of progressive muscle relaxation, deep breathing, or guided imagery training that was delivered by recorded audio instruction. Baseline and follow-up assessment of psychological relaxation states were completed. Physiological relaxation was also assessed continuously using measures of electrodermal activity and heart rate. Results showed that progressive muscle relaxation, deep breathing, and guided imagery all increased the state of relaxation for participants in those groups, compared to participants in the control group. In each case, the increase was statistically significant and although the groups did not differ on relaxation before training, all groups were significantly higher on relaxation after training, as compared to the control group. Progressive muscle relaxation and guided imagery showed an immediate linear trend toward physiological relaxation, compared to the control group, and the deep breathing group showed an immediate increase in physiological arousal followed quickly by a return to initial levels. Our results lend support to the body of research showing that stress relaxation training can be effective in improving relaxation states at both the psychological and physiological level. Future research could examine stress relaxation techniques in a similar manner using designs where multiple techniques can be compared in the same samples.

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  • Environmental cue optimization complements stimulus control but targets separate circadian and sensory pathways.

    “Environmental cue optimization (light, sound, temperature) complements stimulus control but targets separate circadian and sensory pathways [48].”

    From Pre-Sleep Anxiety: Mechanisms and Therapeutic Approaches in Clinical Practice. (2026) · cites this paper as [48]

    The Introduction and Method sections describe a comparison of progressive muscle relaxation, deep breathing, and guided imagery, not environmental cue optimization. Searches for light, sound, temperature, stimulus control, and circadian pathways found no passage addressing the claimed relationship. (LLM, conf=0.76)

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References 25 · Cited by 327

Research works printed but not linked: 1

  1. [11]Pradhan J. Pradhan R. Samantaray K. Pahantasingh S. Progressive muscle relaxation therapy on anxiety among hospitalized cancer patients European Journal of Molecular & Clinical Medicine 2020 7 8 1485 1488

Authors
Toussaint, L., Nguyen, Q. A., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., Hirsch, J., & Sirois, F.
Affiliations
  • Luther College (US)
  • Neurofeedback Clinic of Northern Colorado, Fort Collins, CO, USA
  • Ludwig-Maximilians-Universität München (DE)
  • Coburg University of Applied Sciences (DE)
  • East Tennessee State University (US)
  • University of Sheffield (GB)
Corresponding author
Toussaint, Loren
Venue
Evidence-Based Complementary and Alternative Medicine
Publisher
Wiley
Published
2021-07-02
Volume
2021
Pages
1-8
ISSN
  • 1741-427X (ISSN-L)
  • 1741-4288
OpenAlex
W3179068865
Cited by
327
References
25
Citations by year
2026: 62 · 2025: 100 · 2024: 82 · 2023: 57 · 2022: 23 · 2021: 3
FWCI
28.14
Type
journal article
Language
en
Open access
Locations
  • Evidence-based Complementary and Alternative Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
  • Digital Commons - East Tennessee State University (East Tennessee State University) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Social Psychology › Music Therapy and Health
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
progressive muscle relaxation, deep breathing, guided imagery, relaxation training, stress relaxation, mental relaxation, physiological relaxation, electrodermal activity, heart rate, physiological arousal, stress reduction

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