The Effectiveness of Benson Relaxation on Reducing Anxiety and Depression Levels in Patients with Chronic Illness: A Scoping Review
Abstract
Anxiety and depression are commonly observed in populations with chronic physical illnesses. Treating symptoms of anxiety and depression in individuals with chronic physical illness can reduce psychological stress and improve overall physical health. One method to achieve a relaxation response is through the Relaxation Response Meditation Technique (RRMT) or Benson Relaxation. This study aims to determine the effectiveness of Benson Relaxation in reducing anxiety and depression levels in patients with chronic diseases. Literature sources were obtained through searches in PubMed, ScienceDirect, ProQuest, and SpringerLink databases, published between 2017-2024. The keywords used for the search included Benson Relaxation, Relaxation Response Meditation Technique (RRMT), Relaxation Response, Chronic Disease, Chronic Illness, Anxiety, and Depression. The articles obtained were then analyzed for differences and duplications. A diagram for visual representation of how the search and selection of articles were made is shown in the PRISMA-SR flow diagram. Data extraction was done by creating a table. Researchers identified seven articles. The interventions used were Benson Relaxation Technique and Benson Relaxation Therapy Combined with Spiritual Therapy to reduce anxiety and depression in patients diagnosed with multiple sclerosis, patients with heart failure, chronic kidney disease patients undergoing hemodialysis, elderly patients undergoing hemodialysis, hypertension, and elderly patients with kidney failure. Benson Relaxation has been proven effective in reducing anxiety and depression levels in patients with chronic illness.
References
Abd-Elraziek ebrahim mohamed eman, awady el ahmed sayed mahmoud sahar, talaat taghreed. (2017). The Effect of Benson’s Relaxation Technique Training Program on Elderly Patients with Renal Failure. American Journal of Nursing Research, 5(6), 260–270. https://doi.org/10.12691/ajnr-5-6-9
Ahmed Mohammed ELmetwaly, A., Gaad El moula Shaaban, E., & Mahmoud Hafez Mohamed, E. (2020). Benson Relaxation Technique: Reducing Pain Intensity, Anxiety level and Improving Sleep Quality among Patients Undergoing Thoracic Surgery. Egyptian Journal of Health Care, 11(4), 602–614. https://doi.org/10.21608/ejhc.2020.160893
Al-Qadhi, W., ur Rahman, S., Ferwana, M. S., & Abdulmajeed, I. A. (2014). Adult depression screening in Saudi primary care: Prevalence, instrument and cost. BMC Psychiatry, 14(1), 1–9. https://doi.org/10.1186/1471-244X-14-190
Aloran, A. A. M., Jarrah, S. S., Ahmed, F. R., & AbuRuz, M. E. (2024). A quasi-experimental study to assess the effect of Benson’s relaxation on anxiety and depression among patients with heart failure in Jordan. Acute and Critical Care, 39(3), 430–438. https://doi.org/10.4266/acc.2023.01053
Alzaghmouri, A. H., Masa’Deh, R., Al Jaberi, M., Masadeh, O. M., Al Smadi, A. M., & Alshawabkeh, G. A. (2021). The effect of Benson relaxation technique on fatigue of patients diagnosed with multiple sclerosis. Journal of Health Sciences, 11(3), 159–159. https://doi.org/10.17532/jhsci.2021.1229
Anggita Arfiana, L., & Karunianingtyas Wirawati, M. (2023). Penerapan Teknik Relaksasi Benson Untuk Menurunkan Tingkat Kecemasan Pada Pasien Ckd (Chronic Kidey Disease) Di Ruang Hemodialisa Application of Benson’S Relaxation Technique To Reduce the Level of Anxiety in Ckd (Chronic Kidey Disease) Patients in the He. Prosiding Seminar Nasional Hasil-Hasil Penelitian Dan Pengabdian Masyarakat, 5(1), 81–89.
Baghdadi, L. R., Alhassan, M. K., Alotaibi, F. H., AlSelaim, K. B., Alzahrani, A. A., & AlMusaeed, F. F. (2021). Anxiety, Depression, and Common Chronic Diseases, and Their Association With Social Determinants in Saudi Primary Care. Journal of Primary Care and Community Health, 12. https://doi.org/10.1177/21501327211054987
Beard, C., Stason, W. B., Wang, Q., Manola, J., Dean-Clower, E., Dusek, J. A., Decristofaro, S., Webster, A., Doherty-Gilman, A. M., Rosenthal, D. S., & Benson, H. (2011). Effects of complementary therapies on clinical outcomes in patients being treated with radiation therapy for prostate cancer. Cancer, 117(1), 96–102. https://doi.org/10.1002/cncr.25291
Celano, C. M., Villegas, A. C., Albanese, A. M., Gaggin, H. K., & Huffman, J. C. (2018). Depression and Anxiety in Heart Failure: A Review. Harvard Review of Psychiatry, 26(4), 175–184. https://doi.org/10.1097/HRP.0000000000000162
Darmawati, I., Dharmansyah, D., Noviyanti, R., & Rohaedi, S. (2021). Implementing Benson’s Relaxation Therapy to Decrease Depression in Elderly. Malaysian Journal of Medicine and Health Sciences, 17(6), 161–165.
Eltafianti, A. A., & Ridfah, A. (2022). Relaksasi Benson dan Penurunan Kecemasan Pasien Gagal. Jurnal Psikologi Insight, 6(1), 81–92. https://publikasiilmiah.ums.ac.id
Emilia, N. L., Sarman, J. N., Beba, N. N., Yanriatuti, I., Matongka, Y. H., & Novita, M. (2022). Efektifitas Terapi Relaksasi Benson Untuk Menurunkan Kecemasan Pada Mahasiswa Peserta Uji Kompetensi Di Stikes Bala Keselamatan Palu. An Idea Health Journal, 2(03), 111–116. https://doi.org/10.53690/ihj.v2i03.126
Habibollahpour, M., Ranjkesh, F., Motalebi, S. A., & Mohammadi, F. (2019). The Impact of Benson’s Relaxation Technique on the Quality of Sleep in the Elderly. Topics in Geriatric Rehabilitation, 35(1), 88–94. https://doi.org/10.1097/TGR.0000000000000204
Heshmatifar, N., Sadeghi, H., Mahdavi, A., Shegarf Nakhaie, M. R., & Rakhshani, M. H. (2015). The effect of benson relaxation technique on depression in patients undergoing hemodialysis. Journal of Babol University of Medical Sciences, 17(8), 34–40.
Hughes, M., Brown, S. L., Campbell, S., Dandy, S., & Cherry, M. G. (2021). Self-Compassion and Anxiety and Depression in Chronic Physical Illness Populations: a Systematic Review. Mindfulness, 12(7), 1597–1610. https://doi.org/10.1007/s12671-021-01602-y
James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., Abbastabar, H., Abd-Allah, F., Abdela, J., Abdelalim, A., Abdollahpour, I., Abdulkader, R. S., Abebe, Z., Abera, S. F., Abil, O. Z., Abraha, H. N., Abu-Raddad, L. J., Abu-Rmeileh, N. M. E., Accrombessi, M. M. K., … Murray, C. J. L. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 Diseases and Injuries for 195 countries and territories, 1990-2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1789–1858. https://doi.org/10.1016/S0140-6736(18)32279-7
Jourabchi, Z., Satari, E., Mafi, M., & Ranjkesh, F. (2020). Effects of Benson’s relaxation technique on occupational stress in midwives. Nursing, 50(9), 64–68. https://doi.org/10.1097/01.NURSE.0000694836.00028.28
Kartilah, T., & Februanti, S. (2020). Effectiveness of progressive muscle relaxation and aromatherapy on fatigue in pregnant mothers. Medisains, 18(1), 14. https://doi.org/10.30595/medisains.v18i1.6421
Mahdavi, A., Gorji, M. A. H., Gorji, A. M. H., Yazdani, J., & Ardebil, M. D. (2013). Implementing Benson’s relaxation training in hemodialysis patients: Changes in perceived stress, anxiety, and depression. North American Journal of Medical Sciences, 5(9), 536–540. https://doi.org/10.4103/1947-2714.118917
Meawad Elsayed, E. B. (2019). The Effect of Benson’s Relaxation Technique on Anxiety, Depression and Sleep Quality of Elderly Patients Undergoing Hemodialysis. International Journal of Nursing Didactics, 09(02), 23–31. https://doi.org/10.15520/ijnd.v9i02.2443
Mirhosseini, S., Rezaei, M., & Ajorpaz, N. M. (2021). The Effect of Benson Relaxation Technique on General Health in Multiple Sclerosis (MS) Patients in Kashan, Iran: A Randomized Controlled Trial. Journal of Research Development in Nursing and Midwifery, 18(1), 17–20. https://doi.org/10.52547/jgbfnm.18.1.17
Muhith, A., Rohmawati, R., Faizah, I., Sari, R. Y., & Hasina, S. N. (2024). Application of Benson Relaxation Therapy Combined With Spiritual Therapy To Reduce Anxiety in Chronic Kidney Disease Patients Undergoing Hemodialysis. Revista de Gestao Social e Ambiental, 18(5), 1–12. https://doi.org/10.24857/rgsa.v18n5-067
Novita, M., Emilia, N. L., Sabarulin, S., Assa, A. A. Y., & Purwanza, S. W. (2023). Application of Benson’s Relaxation Therapy to Reducing Anxiety in Patients Hypertension: Case Study. Adi Husada Nursing Journal, 9(1), 37. https://doi.org/10.37036/ahnj.v9i1.387
Otaghi, M., Borji, M., Bastami, S., & Solymanian, L. (2016). The Effect of Benson’s Relaxation on depression, anxiety and stress in patients undergoing hemodialysis. International Journal of Medical Research & Health Sciences, 5, 76–83. www.ijmrhs.com
Sahrakhil, M., Nasrabadi, T., & Ebrahimi Abyaneh, E. (2017). : Effects of Benson’s relaxation technique on comfort level of patients before coronary artery bypass grafting (A clinical trial). Medical-Surgical Nursing Journal, 5(4), 60–65.
Saifan, A. R., Aburuz, M. E., Dhaher, E. A., Rayyan, A., Jaberi, M. Al, & Masa’Deh, R. (2021). The Effect of Benson Relaxation Technique on Depression, Anxiety, and Stress of Jordanian Patients Diagnosed with Multiple Sclerosis: A Cross-Sectional Study. Depression Research and Treatment, 2021. https://doi.org/10.1155/2021/8300497
Setyawan, A. B. (2017). Hubungan antara tingkat stres dan kecemasan dengan kejadian hipertensi pada lansia di Klinik Islamic Center Samarinda. Jurnal Ilmu Kesehatan, 5(1), 1–8.
Winardi, W., & Musak, R. A. (2021). Literatur Review : Panduan Riset Kesehatan dan Keperawatan. PT Nasya Expanding Management (Penerbit NEM).
Wulansari, Margawati, A., & Rita, H. W. (2018). Effect of brain exercise and benson relaxation therapy on depression level in the elderly in the elderly social service unit. Belitung Nursing Journal, 4(2), 211–218. https://doi.org/10.33546/bnj.361
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