Original Research: Experimental
Effects of Reiki on Anxiety, Depression, Pain, and Physiological Factors in Community-Dwelling Older Adults
Research in Gerontological Nursing, 2010;3(3):187–199
Cite this articlePublished Online:June 01, 2010https://doi.org/10.3928/19404921-20100601-01Cited by:55
Abstract
The purpose of this study was to evaluate the effect of Reiki as an alternative and complementary approach to treating community-dwelling older adults who experience pain, depression, and/or anxiety. Participants (N = 20) were randomly assigned to either an experimental or wait list control group. The pre- and posttest measures included the Hamilton Anxiety Scale, Geriatric Depression Scale-Short Form, Faces Pain Scale, and heart rate and blood pressure. The research design included an experimental component to examine changes in these measures and a descriptive component (semi-structured interview) to elicit information about the experience of having Reiki treatments. Significant differences were observed between the experimental and treatment groups on measures of pain, depression, and anxiety; no changes in heart rate and blood pressure were noted. Content analysis of treatment notes and interviews revealed five broad categories of responses: Relaxation; Improved Physical Symptoms, Mood, and Well-Being; Curiosity and a Desire to Learn More; Enhanced Self-Care; and Sensory and Cognitive Responses to Reiki.
- American Geriatrics Society Panel on Persistent Pain in Older Persons. (2002). The management of persistent pain in older persons. Journal of the American Geriatrics Society, 50. Retrieved from http://www.americangeriatrics.org/products/positionpapers/JGS5071.pdf > Google Scholar
- Antonovsky A., Kats R. (1967). The life crisis history as a tool in epidemiologic research. Journal of Health and Social Behavior, 8, 15–20.
10.2307/2948487 > Crossref MedlineGoogle Scholar - Assefi N., Bogart A., Goldberg J., Buchwald D. (2008). Reiki for the treatment of fibromyalgia: A randomized controlled trial. Journal of Alternative and Complementary Medicine, 14, 1115–1122.
10.1089/acm.2008.0068 > Crossref MedlineGoogle Scholar - Astin J.A., Shapiro S.L., Eisenberg D.M., Forys K.L. (2003). Mind-body medicine: State of the science, implications for practice. Journal of the American Board of Family Practice, 16, 131–147.
10.3122/jabfm.16.2.131 > Crossref MedlineGoogle Scholar - Baldwin A., Wagers C., Schwartz G. (2008). Reiki improves heart rate homeostasis in laboratory rats. Journal of Alternative and Complementary Medicine, 14, 417–422.
10.1089/acm.2007.0753 > Crossref MedlineGoogle Scholar - Baldwin A.L., Schwartz G.E., Hopp D.H. (2007). Are investigators aware of environmental noise in animal facilities and that such noise may affect experimental data?Journal of the American Association for Laboratory Animal Science, 46, 45–51. > MedlineGoogle Scholar
- Benson H. (1975). The relaxation response. New York: Morrow. > Google Scholar
- Benson H. (1979). The mind/body effect. New York: Simon and Schuster. > Google Scholar
- Benson H. (1984). Beyond the relaxation response. New York: Times Books. > Google Scholar
- Benson H. (2000). The relaxation response updated and expanded (25th anniversary ed.). New York: Avon. > Google Scholar
- Bieri D., Reeve R.A., Champion G.D., Addicoat L., Ziegler J.B. (1990). The Faces Pain Scale for the self-assessment of the severity of pain experienced by children: Development, initial validation, and preliminary investigation for ratio scale properties. Pain, 41, 139–150.
10.1016/0304-3959(90)90018-9 > Crossref MedlineGoogle Scholar - Buettner L., Fitzsimmons S. (2003). Dementia practice guidelines for recreational therapy: Treating disturbing behaviors. Alexandria, VA: American Therapeutic Recreation Association. > Google Scholar
- Centers for Disease Control and Prevention, & National Association of Chronic Disease Directors. (2008). The state of mental health and aging in America. Issue brief 1: What do the data tell us? Retrieved from http://www.cdc.gov/aging/pdf/mental_health.pdf > Google Scholar
- Cohen F. (1984). Coping. In (Eds.), Behavioral health: A handbook of health enhancement and disease prevention (pp. 3–40). New York: Wiley and Sons. > Google Scholar
- Dalton J., Blau W. (1996). Changing the practice of pain management: An examination of the theoretical basis of change. Pain Forum, 5, 266–272. > CrossrefGoogle Scholar
- Diefenbach G.J., Stanley M.A., Beck J.G., Novy D.M., Verill P., Swann A.C. (2001). Examination of the Hamilton Scales in assessment of anxious adults: A replication and extension. Journal of Psychopathology and Behavioral Assessment, 23, 117–127.
10.1023/A:1010967725849 > CrossrefGoogle Scholar - Esch T., Stefano G.B., Fricchione G.L., Benson H. (2002). The role of stress in neurodegenerative diseases and mental disorders. Neuro Endocrinology Letters, 23, 199–208. > MedlineGoogle Scholar
- Gallo J.J., Lebowitz B.D. (1999). The epidemiology of common late-life mental disorders in the community: Themes for the new century. Psychiatric Services, 50, 1158–1166. > Crossref MedlineGoogle Scholar
- Galvin J.A., Benson H., Deckro G.R., Fricchione G.L., Dusek J.A. (2006). The relaxation response: Reducing stress and improving cognition in healthy aging adults. Complementary Therapies in Clinical Practice, 12, 186–191.
10.1016/j.ctcp.2006.02.004 > Crossref MedlineGoogle Scholar - Grzywacz J.G., Suerken C.K., Quandt S.A., Bell R.A., Lang W., Arcury T.A. (2006). Older adults’ use of complementary and alternative medicine for mental health: Findings from the 2002 National Health Interview Survey. Journal of Alternative and Complementary Medicine, 12, 467–473.
10.1089/acm.2006.12.467 > Crossref MedlineGoogle Scholar - Hamilton M. (1959). The assessment of anxiety states by rating. British Journal of Medical Psychology, 3, 50–55. > CrossrefGoogle Scholar
- Herr K. (2002). Chronic pain: Challenges and assessment strategies. Journal of Gerontological Nursing, 28(1), 20–27. > LinkGoogle Scholar
- Herr K.A., Mobily P.R., Kohout F.J., Wagenaar D. (1998). Evaluation of the Faces Pain Scale for use with the elderly. Clinical Journal of Pain, 14(1), 29–38.
10.1097/00002508-199803000-00005 > Crossref MedlineGoogle Scholar - Herron-Marx S., Price-Knol F., Burden B., Hicks C. (2008). A systematic review of the use of reiki in health care. Alternative and Complementary Therapies, 14, 37–42.
10.1089/act.2008.14108 > CrossrefGoogle Scholar - Hollander M., Wolfe D.A. (1999). Nonparametric statistical methods (2nd ed.). New York: Wiley and Sons. > Google Scholar
- Jorm A.F., Morgan A.J., Hetrick S.E. (2008). Relaxation for depression (Article No. CD007142). Cochrane Database of Systematic Reviews, Issue 4. > Crossref MedlineGoogle Scholar
- Kennedy-Malone L., Fletcher K., Plank L. (2004). Management guidelines for nurse practitioners working with older adults (2nd ed.). Philadelphia: Davis. > Google Scholar
- Khechog N. (2005). Music as medicine [CD]. Louisville, CO: Sounds True. > Google Scholar
- Kovach C.R., Noonan P.E., Griffie J., Muchka S., Weissman D.E. (2002). The assessment of discomfort in dementia protocol. Pain Management Nursing, 3, 16–27.
10.1053/jpmn.2002.30389 > Crossref MedlineGoogle Scholar - Kvale S. (1996). Interviews: An introduction to qualitative research interviewing. Newbury Park, CA: Sage. > Google Scholar
- Lazarus R.S., Cohen J.B. (1977). Environmental stress. In (Eds.), Human behavior and environment (Vol. 2, pp. 90–127). New York: Plenum. > Google Scholar
- Lee M. (2008). Is reiki beneficial for pain management?Focus on Alternative and Complementary Therapies, 13, 78–81. > CrossrefGoogle Scholar
- Lee M., Pittler H., Ernst E. (2008). Effects of reiki in clinical practice: A systematic review of randomized clinical trials. Journal of Clinical Practice, 62, 947–954.
10.1111/j.1742-1241.2008.01729.x > Crossref MedlineGoogle Scholar - Manzoni G.M., Pagnini F., Castelnuovo G., Molinari E. (2008). Relaxation training for anxiety: A ten-years systematic review with meta-analysis. BMC Psychiatry, 8, 41–53.
10.1186/1471-244X-8-41 > Crossref MedlineGoogle Scholar - Maxwell A.E. (1970). Comparing the classification of subjects by two independent judges. British Journal of Psychiatry, 116, 651–655.
10.1192/bjp.116.535.651 > Crossref MedlineGoogle Scholar - McCaffery M., Pasero C. (1999). Pain: Clinical manual (2nd ed.). St. Louis: Mosby. > Google Scholar
- McNamara C. (n.d.). General guidelines for conducting interviews. Retrieved from the Free Management Library website: http://www.managementhelp.org/evaluatn/intrview.htm > Google Scholar
- Meeks T., Wetherell J., Irwin M., Redwine L., Jeste D. (2007). Complementary and alternative treatments for late-life depression, anxiety, and sleep disturbance: A review of randomized controlled trials. Journal of Clinical Psychiatry, 68, 1461–1471.
10.4088/JCP.v68n1001 > Crossref MedlineGoogle Scholar - Murinson B.B., Agarwal A.K., Haythornthwaite J.A. (2008). Cognitive expertise, emotional development, and reflective capacity: Clinical skills for improved pain care. Journal of Pain, 9, 975–983.
10.1016/j.jpain.2008.07.010 > Crossref MedlineGoogle Scholar - National Center for Complementary and Alternative Medicine. (2007). What is CAM? Retrieved from http://nccam.nih.gov/health/whatiscam/overview.htm > Google Scholar
- National Center for Complementary and Alternative Medicine. (2008). The use of complementary and alternative medicine in the United States. Retrieved from http://nccam.nih.gov/news/camstats/2007/camsurvey_fs1.htm > Google Scholar
- National Institutes of Health Technology Assessment Panel on Integration of Behavioral and Relaxation Approaches into the Treatment of Chronic Pain and Insomnia. (1996). Integration of behavioral and relaxation approaches into the treatment of chronic pain and insomnia. Journal of the American Medical Association, 276, 313–318. > CrossrefGoogle Scholar
- Olson K., Hanson J., Michaud M. (2003). Other complementary therapies, reiki effects on pain and quality of life in advanced cancer patients. Journal of Pain and Symptom Management, 26, 990–997.
10.1016/S0885-3924(03)00334-8 > Crossref MedlineGoogle Scholar - Peters R.K., Benson H., Porter D. (1977). Daily relaxation response breaks in a working population: Effects on self-reported measures of health, performance, and well-being. American Journal of Public Health, 67, 946–953.
10.2105/AJPH.67.10.946 > Crossref MedlineGoogle Scholar - Rand W.L. (2005). The reiki touch workbook. Louisville, CO: Sounds True. > Google Scholar
- Shore A. (2004). Long-term effects of energetic healing on symptoms of psychological depression and self-perceived stress. Alternative Therapies, 10(3), 42–48. > MedlineGoogle Scholar
- Stein D. (1995). Essential reiki: A complete guide to an ancient healing art. New York: Ten Speed Press. > Google Scholar
- Stuart A. (1955). A test for homogeneity of the marginal distributions in a two-way classification. Biometrika, 42, 412–416. > CrossrefGoogle Scholar
- Sun X., Yang Z. (2008). Generalized McNemar’s test for homogeneity of the marginal distributions. Retrieved from the SAS website: http://www2.sas.com/proceedings/forum2008/382-2008.pdf > Google Scholar
- Thorp S.R., Ayers C.R., Nuevo R., Stoddard J.A., Sorrell J.T., Wetherell J.L. (2009). Meta-analysis comparing different behavioral treatments for late-life anxiety. American Journal of General Psychiatry, 17, 105–115. > CrossrefGoogle Scholar
- Thorson J. (2000). Aging in a changing society (2nd ed.). Belmont, CA: Wadsworth. > Google Scholar
- Vitale A. (2007). An integrative review of reiki touch therapy research. Holistic Nurse Practitioner, 21, 167–179. > Crossref MedlineGoogle Scholar
- Wardell D., Engebretson J. (2001). Biological correlates of reiki touch healing. Journal of Advanced Nursing, 33, 439–445.
10.1046/j.1365-2648.2001.01691.x > Crossref MedlineGoogle Scholar - Yesavage J.A., Brink T.L., Rose T.L., Lum O., Huang V., Adey M.B., (1982–1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37–49.
10.1016/0022-3956(82)90033-4 > Crossref MedlineGoogle Scholar - Young D.M., Mentes J.C., Titler M.G. (1999). Acute pain management protocol. Journal of Gerontological Nursing, 25(6), 10–21. > LinkGoogle Scholar
