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Relaxation training reduces symptom reports and acid exposure in patients with gastroesophageal reflux disease.

Abstract

BACKGROUND/AIMS

Previous studies have shown that psychological factors play a role in symptom perception among patients with gastroesophageal reflux disease. This report describes the first controlled study showing the effects of relaxation training on symptom reports and esophageal acid exposure in patients with reflux disease.

METHODS

Twenty subjects with documented reflux disease were studied during psychologically neutral and stressful tasks, followed immediately by either a relaxation or attention-placebo control intervention.

RESULTS

Stressful tasks, relative to neutral tasks, produced significant increases in blood pressure, subjective ratings of anxiety, and reports of reflux symptoms. Despite increased symptom reports, stressful tasks did not significantly increase objective measures of esophageal acid exposure. Subjects who received a relaxation intervention after the stressful task had significantly lower heart rate values and subjective ratings of anxiety compared with subjects who received the attention-placebo control intervention. Subjects who received relaxation training also had significantly lower reflux symptom ratings and total esophageal acid exposure than subjects who received the attention-placebo control intervention.

CONCLUSIONS

Relaxation may be a useful adjunct to traditional antireflux therapy in patients who experience increased symptoms during stress.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Division of Gastroenterology, University of Alabama at Birmingham.

    , , ,

    Source

    Gastroenterology 107:1 1994 Jul pg 61-9

    MeSH

    Anxiety
    Attention
    Female
    Gastric Acid
    Gastroesophageal Reflux
    Heart Rate
    Humans
    Hydrogen-Ion Concentration
    Male
    Middle Aged
    Relaxation Therapy
    Stress, Psychological

    Pub Type(s)

    Clinical Trial
    Comparative Study
    Journal Article
    Randomized Controlled Trial
    Research Support, U.S. Gov't, P.H.S.

    Language

    eng

    PubMed ID

    8020690

    Citation

    McDonald-Haile, J, et al. "Relaxation Training Reduces Symptom Reports and Acid Exposure in Patients With Gastroesophageal Reflux Disease." Gastroenterology, vol. 107, no. 1, 1994, pp. 61-9.
    McDonald-Haile J, Bradley LA, Bailey MA, et al. Relaxation training reduces symptom reports and acid exposure in patients with gastroesophageal reflux disease. Gastroenterology. 1994;107(1):61-9.
    McDonald-Haile, J., Bradley, L. A., Bailey, M. A., Schan, C. A., & Richter, J. E. (1994). Relaxation training reduces symptom reports and acid exposure in patients with gastroesophageal reflux disease. Gastroenterology, 107(1), pp. 61-9.
    McDonald-Haile J, et al. Relaxation Training Reduces Symptom Reports and Acid Exposure in Patients With Gastroesophageal Reflux Disease. Gastroenterology. 1994;107(1):61-9. PubMed PMID: 8020690.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Relaxation training reduces symptom reports and acid exposure in patients with gastroesophageal reflux disease. AU - McDonald-Haile,J, AU - Bradley,L A, AU - Bailey,M A, AU - Schan,C A, AU - Richter,J E, PY - 1994/7/1/pubmed PY - 1994/7/1/medline PY - 1994/7/1/entrez SP - 61 EP - 9 JF - Gastroenterology JO - Gastroenterology VL - 107 IS - 1 N2 - BACKGROUND/AIMS: Previous studies have shown that psychological factors play a role in symptom perception among patients with gastroesophageal reflux disease. This report describes the first controlled study showing the effects of relaxation training on symptom reports and esophageal acid exposure in patients with reflux disease. METHODS: Twenty subjects with documented reflux disease were studied during psychologically neutral and stressful tasks, followed immediately by either a relaxation or attention-placebo control intervention. RESULTS: Stressful tasks, relative to neutral tasks, produced significant increases in blood pressure, subjective ratings of anxiety, and reports of reflux symptoms. Despite increased symptom reports, stressful tasks did not significantly increase objective measures of esophageal acid exposure. Subjects who received a relaxation intervention after the stressful task had significantly lower heart rate values and subjective ratings of anxiety compared with subjects who received the attention-placebo control intervention. Subjects who received relaxation training also had significantly lower reflux symptom ratings and total esophageal acid exposure than subjects who received the attention-placebo control intervention. CONCLUSIONS: Relaxation may be a useful adjunct to traditional antireflux therapy in patients who experience increased symptoms during stress. SN - 0016-5085 UR - https://www.unboundmedicine.com/medline/citation/8020690/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/0016-5085(94)90061-2 DB - PRIME DP - Unbound Medicine ER -