Muhammad Khir Syazwina, Wan Mohd Yunus Wan Mohd Azam, Mahmud Norashikin, Wang Rui, Panatik Siti Aisyah, Mohd Sukor Mohammad Saipol, Nordin Nor Akmar
Department of Psychology, School of Human Resource Development and Psychology, Faculty of Social Sciences and Humanities, Universiti Teknologi Malaysia, Johor, Malaysia.
INVEST Research Flagship, University of Turku, Turku, Finland.
Psychol Res Behav Manag. 2024 Feb 1;17:345-365. doi: 10.2147/PRBM.S437277. eCollection 2024.
The rise in the prevalence of mental health problems among adults worldwide has raised concerns, highlighting the critical need for evidence-based mental health interventions that are accessible, comprehensive, and effective. Previous research suggests that Progressive Muscle Relaxation (PMR) is a promising intervention widely used to reduce mental health problems. Nevertheless, the current literature on the efficacy of PMR among adults globally is fragmented, indicating a potential gap in this research area. Hence, this paper aims to systematically compile the research evidence on the efficacy of PMR in adults for stress, anxiety, and depression.
The Scopus, Web of Sciences, PubMed, PsycINFO, and Cochrane Central Register of Controlled Trials were searched from the earliest available evidence to 28th March 2023. The PRISMA (Preferred Reporting Items of Systematic Reviews and Meta-analyses) guidelines were followed, and the protocol was registered on the Open Science Framework. Joanna Briggs Institute (JBI) Critical Appraisal Tools were used to assess the quality of the included studies.
A total of forty-six (46) publications from sixteen (16) countries covering more than 3402 adults were included in the review. The results show that PMR are effective in reducing stress, anxiety, and depression in adults. When PMR is combined with other interventions, the combined techniques have also consistently exhibited enhanced efficacy. Moreover, findings also indicate that the efficacy of PMR is heightened when implemented in conjunction with other interventions, surpassing its standalone efficacy.
This research was supported/funded by the Ministry of Higher Education (MoHE) under the Fundamental Research Grant Scheme (FRGS) (FRGS/1/2020/SS0/UTM/02/23). The review was registered on Open Science Framework (OSF) on the 7th of March 2023; DOI: https://doi.org/10.17605/OSF.IO/U2HZP.
全球成年人心理健康问题患病率的上升引发了关注，凸显了对可及、全面且有效的循证心理健康干预措施的迫切需求。先前的研究表明，渐进性肌肉松弛（PMR）是一种广泛用于减轻心理健康问题的有前景的干预措施。然而，目前关于全球成年人中PMR疗效的文献较为零散，表明该研究领域存在潜在差距。因此，本文旨在系统整理关于PMR对成年人压力、焦虑和抑郁疗效的研究证据。
检索了Scopus、科学网、PubMed、PsycINFO和Cochrane对照试验中心注册库，检索时间从最早可得证据至2023年3月28日。遵循PRISMA（系统评价和Meta分析的首选报告项目）指南，并在开放科学框架上注册了方案。使用乔安娜·布里格斯研究所（JBI）的批判性评价工具来评估纳入研究的质量。
该综述纳入了来自16个国家的46篇出版物，涵盖3402多名成年人。结果表明，PMR对减轻成年人的压力、焦虑和抑郁有效。当PMR与其他干预措施相结合时，联合技术也始终表现出增强的疗效。此外，研究结果还表明，与其他干预措施联合实施时，PMR的疗效会提高，超过其单独使用时的疗效。
本研究由高等教育部（MoHE）根据基础研究资助计划（FRGS）（FRGS/1/2020/SS0/UTM/02/23）支持/资助。该综述于2023年3月7日在开放科学框架（OSF）上注册；DOI：https://doi.org/10.17605/OSF.IO/U2HZP 。
