The Effect of Combined Massage Therapy for Children with Asthma on Maternal Anxiety: A Randomized Controlled Trial

Document Type : Original Quantitative and Qualitative Research Paper

Authors

1 MSc student, Department of Pediatric Nursing, Student research committee, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran

2 Associated professor, Department of child and family health, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran

3 Associated Professor, Medical Education Research Center, Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran

4 Assistant Professor, Physical Therapy Department, Faculty of Rehabilitation, Tabriz University Of Medical Sciences, Tabriz , Iran

5 Associated Professor of Immunology and Allergy, TB and lung research center of Tabriz, Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Background: Asthma is the most common chronic disease of childhood, which is increasing in prevalence worldwide. Parents try to find the ways to overcome their anxiety of chronic diseases such as asthma. This study was designed to determine the effect of massage therapy for children on anxiety level of mothers with asthmatic children.
Aim: This study aimed to determine the effect of combined massage therapy for children with asthma on maternal anxiety is a clinical trial that was performed in asthma and allergy clinic of Tabriz University of Medical Sciences in 2012.  
Methods: This study was a clinical trial that was carried out in asthma and allergy clinic of Tabriz University of Medical Sciences in 2012. Sixty children with asthma aged 6-14 years were randomly allocated into two groups. Mothers in the massage group were instructed massage techniques, and they were asked to do massage therapy for their children 30 minutes every night at bedtime for one month in addition to standard treatment. The control group performed only standard asthma treatment. At the beginning and end of the study, the data were collected by Spielberger State-Trait Anxiety Inventory. The data were analyzed by the SPSS software version 18 using independent t test, paired t test, Chi-square and ANCOVA.
Results: The mean age of the mothers was 34.78±4.18 years. The scores of State and Trait anxiety in both groups before the intervention, was not statistically different. But there was statistically significant difference in terms of State (41.23±11.65 vs. 35.83 ±6.88), and Trait) 45±12.31 vs. 39.96±8.07) anxiety mean score in the experimental group before and after intervention (P<0.05).
Conclusion: Maternal anxiety level decreases following combined massage therapy. It seems that the active role of the mothers in the care of their children can improve emotional health and decrease anxiety level.

Keywords


1.   Thompson RJ, Jr., Gustafson KE, Hamlett KW, Spock A. Psychological Adjustment of Children with Cystic Fibrosis: The Role of Child Cognitive Processes And Maternal Adjustment. J Pediatr Psychol. 1992-Dec;17(6):741-55.
2.   Williams J, Steel C, Sharp GB, DelosReyes E, Phillips T, Bates S, et al. Parental Anxiety And Quality of Life in Children with Epilepsy. Epilepsy Behav. 2003 Oct;4(5):483-6.
3.   Friedman AL. The Broader Burden of End-Stage Renal Disease on Children And Their Families. Kidney Int. 2006 Dec;70(11):1893-4.
4.   Özyazicioglu N, Ogur P, Tanriverdi G, Vural P. Use of Complementary And Alternative Medicine And The Anxiety Levels of Mothers of Children with Chronic Diseases. Jpn J Nurs Sci. 2012;9:19-27.
5.   Boman KK, Viksten J, Kogner P, Samuelsson U. Serious Illness in Childhood: The Different Threats of Cancer And Diabetes from A Parent Perspective. Journal of Pediatrics. 2004 Sep;145(3):373-9.
6.   Simonen P, Korhonen T, Simell T, Keskinen P, Karkkainen M, Knip M, et al. Parental Reactions to Information about Increased Genetic Risk of Type 1 Diabetes Mellitus in Infants. Arch Pediatr Adolesc Med. 2006 Nov;160(11):1131-6.
7.   Akcakaya N, Aydogan M, Hassanzadeh A, Camcioglu Y, Cokugras H. Psychological Problems in Turkish Asthmatic Children And Their Families. Allergol Immunopathol (Madr). 2003;31(5):282-7.
8.   Boman K, Lindahl A, Bjork O. Disease-Related Distress in Parents of Children with Cancer at Various Stages after The Time of Diagnosis. Acta Oncol (Madr). 2003;42(2):137-46.
9.   Rabineau KM, Mabe PA, Vega RA. Parenting Stress in Pediatric Oncology Populations. J Pediatr Hematol Oncol. 2008 May;30(5):358-65.
10. Toros F, Tot S, Düzovalı Ö. Depression  And Anxiety Levels of Parents And Children with Chronic Illness. J Clin Psychiatry. 2002;5: 240–7.
11. Movahedi M, Parsikia AM. Prevention. Diagnosis And Therapy. Tehran: Office of prevention and fight against diseases; 2000. p. 2.(Persian)
12. Englund AC, Rydstrom I, Norberg A. Being The Parent of A Child with Asthma. Paediatr Nurs. 2001;27(4):365-73.
13. MacDonald H. "Mastering Uncertainty:" Mothering The Child with Asthma. Paediatr Nurs. 1996;22(1):55-9.
14. Shalowitz MU, Berry CA, Quinn KA, Wolf RL. The Relationship of Life Stressors And Maternal Depression to Pediatric Asthma Morbidity in A Subspecialty Practice. Ambul Pediatr. 2001 Jul-Aug;1(4):185-93.
15. Weil CM, Wade SL, Bauman LJ, Lynn H, Mitchell H, Lavigne J. The Relationship Between Psychosocial Factors And Asthma Morbidity in Inner-City Children with Asthma. Pediatrics. 1999 Dec;104(6):1274-80.
16. Donnelly JE, Donnelly WJ, Thong YH. Parental Perceptions And Attitudes toward Asthma And Its Treatment: A Controlled Study. Soc Sci Med(1982). 1987;24(5):431-7.
17. Cuzzolin L, Zaffani S, Murgia V, Gangemi M, Meneghelli G, Chiamenti G, et al. Patterns And Perceptions of Complementary/Alternative Medicine Among Paediatricians And Patients' Mothers: A Review of The Literature. Eur J Pediatr. 2003 Dec;162(12):820-7.
18. Post-White J, Fitzgerald M, Savik K, Hooke MC, Hannahan AB, Sencer SF. Massage Therapy for Children with Cancer. J Pediatr Oncol Nurs. 2009 Jan-Feb;26(1):16-28.
19. Sinclair M. Pediatric Massage Therapy. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2004.
20. Fernandes PT, de Souza EAP. Identification of Family Variables in Parents' Groups of Children with Epilepsy. Arq Neuropsiquiatr. 2001 Dec;59(4):854-8.
21. Post-White J, Hawks RG. Complementary And Alternative Medicine in Pediatric Oncology. Semin Oncol Nurs. 2005 2005-May;21(2):107-14; discussion 15-24.
22. Pocock SJ. Clinical trials: a practical approach1984.
23. hemmatimaslakpak M. Assesment of Anxiety Level of Parents during Admit And Discharg The Hospitalization of Their Children in Uremieh Imam Khomeini Hospital. Tabriz Medical Sciences; 1377.(Persian)
24. Spielberger C. State-Trait Anxiety Inventory for Children. Palo Alto, CA: Consulting Psychological Press. 1973.
25. Ghazavi Z, Namnabati M, Faghihinia J, Mirbod M, Ghalriz P, Nekuie A, et al. Effects of Massage Therapy of Asthmatic Children on The Anxiety Level of Mothers. Iran J Nurs Midwifery Res. 2010;15(3):130-4. (Persian)
26. Field Ta, Cullen C, Diego M, Hernandez-Reif M, Sprinz P, Beebe K, et al. Leukemia Immune Changes following Massage Therapy. J Bodyw Mov Ther. 2001;5(4):271-4.
27. Fujita M, Endoh Y, Saimon N, Yamaguchi S. Effect of Massaging Babies on Mothers: Pilot Study on The Changes in Mood States And Salivary Cortisol Level. Complement Ther Clin Pract. 2006 2006-Aug;12(3):181-5.
28. Hernandez-Reif M, Field T, Krasnegor J, Martinez E, Schwartzman M, Mavunda K. Children with Cystic Fibrosis Benefit from Massage Therapy. J Pediatr Psychol. 1999 Apr;24(2):175-81.
29. Lemanek KL, Ranalli M, Lukens C. A Randomized Controlled Trial of Massage Therapy in Children with Sickle Cell Disease. J Pediatr Psychol. 2009 Nov-Dec;34(10):1091-6.