A PILOT STUDY OF MIND-BODY CHANGES IN ADULTS WITH ASTHMA WHO PRACTICE MENTAL IMAGERY

ASTHMA
LUNGS -- Diseases
IMAGERY (Psychology)
FUNCTION tests (Medicine)
CLINICAL trials
DEPRESSION, Mental

Abstract:Context • Despite the growing number of studies of imagery and the use of complementary and alternative modalities as treatments for asthma, research on mental imagery in adults with asthma is practically nonexistent. The purpose of this feasibility study was to lay groundwork for a larger follow-up clinical trial. Objective • To determine whether pulmonary function, asthma symptoms, quality of life, depression, anxiety, and power differ over time in adults with asthma who do and do not prative mental imagery (MI). (Power is the ability to make aware choices with the intention of freely involving oneself in creating desired change.) Design • Randomized controlled study using univariate repeated measure analysis of variance (ANOVA) and replacement through block design. Setting • Lenox Hill Hospital an affiliate of New York University Medical School. New York NY. Subjects • Sixty-eight adults with symptomatic asthma, after 4 weeks of baseline data collection and analysis, met requirements for this randomized controlled study. Thirty-three completed pulmonary function as well as self-report test at 4 time points over 17 weeks. The 16 experimental participants also completed the 4-session imagery protocol. Intervention • Individual imagery instruction (week 1) and follow-up (weeks 4, 9, 15). Participants were given 7 imagery exercises to select from and practice 3 times a day for a total of 15 minutes. Main Outcomes Measures • 1) Spirometry (FEV1); 2) medication use; 3) Asthma Quality of Life Questionnarie; 4) Beck Depression Inventory; 5) Spiclberger Anxiety Scales (A-State and A-Trait); 6) Barrett Power as Knowing Participating in Change Tool, Version II; 7) Epstein Balloon Test of Ability to Image. Results • There was little evidence of statistical change in this feasibility study; yet valueable lessons were learned. Paired t-test indicated there was a significant difference in the total power socres in the...

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