Progressive Muscle Relaxation and Breathing Exercises as Interventions for Stress Related Symptoms in Earthquake Survivors

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Gizem Ergezen Sahin, Sabiha Irem Sancaktar
Purpose:

This study aimed to explore the impact of relaxation exercises on individuals suffering from stress-related symptoms in the aftermath of an earthquake.

Methods:

This randomized, waitlist-controlled, parallel group study included 46 participants who had moderate post-traumatic stress levels (measured by the Posttraumatic Stress Diagnostic Scale, PDS) and anxiety for over 1 month (Beck Anxiety Inventory score > 8). Participants were randomly assigned to one of two groups: the relaxation-based exercise group (EG, n = 24) or the waitlist control group (CG, n = 25). The REG participated in 40-minute structured relaxation exercises for 4 weeks, while the CG waited for the treatment. All participants were evaluated at baseline and 4 weeks post-intervention using the PDS, Beck Anxiety Inventory, Beck Depression Inventory, Perceived Stress Scale-10, Pittsburgh Sleep Quality Index, and SF-12 Quality of Life Scale.

Results:

Within-group analyses revealed that the EG experienced significant improvements in anxiety (p0.001), depression (p=0.001), perceived stress (p=0.001), and sleep quality (p0.001). The CG showed a decrease in depression symptoms (p=0.011), an increase in sleep quality (p=0.012). There were no group differences in the quality-of-life outcomes (p>0.05).

Conclusion(s):

Overall, relaxation exercises appear to offer an effective means of addressing stress-related symptoms triggered by traumatic events like earthquakes. 

Implications:
  • Relaxation and breathing exercises effectively reduce stress symptoms after an earthquake.
  • Progressive relaxation and diaphragmatic breathing exercises help lower anxiety, depression, and stress in earthquake survivors.
  • These exercises also enhance sleep quality in individuals affected by earthquakes.
  • Complementary therapies, such as relaxation and breathing exercises, are beneficial following major natural disasters.
Funding acknowledgements:
none
Keywords:
relaxation exercise
earthquake
mental health
Primary topic:
Mental health
Second topic:
Community based rehabilitation
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
Istanbul Medipol University
Provide the ethics approval number:
E-10840098-772.02-1709
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
Yes

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