The role of mind-body interventions in pre-dialysis chronic kidney disease and dialysis patients - A systematic review of literature.
Study Goal
The researchers aimed to summarize the studied indications of mind-body interventions, including relaxation therapy, among adult CKD patients, focusing on symptom reduction.
Results Summary
Relaxation therapy was one of the most well-studied MBIs, showing effectiveness in reducing anxiety, depressive symptoms, and pain in CKD patients, with no reported adverse effects.
Population
Adult patients with chronic kidney disease (CKD).
Effective Dosage
Not Assessed
Duration
Not Assessed
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
mind-body interventions (MBI) | neutral | - | - | - | have been gaining interest | #1 |
mind-body interventions (MBI) | decrease | pain, stress and anxiety symptoms | non-chronic kidney disease (CKD) patients | - | have demonstrated efficacy for ameliorating | #2 |
Music therapy | decrease | anxiety symptoms | CKD patients | 8.06-43.5 % | were shown to reduce | #3 |
spiritual therapy | decrease | anxiety symptoms | CKD patients | 36.1-41.1 % | were shown to reduce | #4 |
Music therapy | decrease | pain | CKD patients | 41.8 %-61.5 % | were shown to be effective for reduction of | #5 |
yoga therapy | decrease | pain | CKD patients | 36.7 % | were shown to be effective for reduction of | #6 |
spiritual therapy | decrease | depressive symptoms | CKD patients | 56.8 % | was shown to reduce | #7 |
any MBI | no change | adverse effects | CKD patients | no adverse effects | No adverse effects were reported for | #8 |
Music therapy, relaxation and spiritual therapies | decrease | anxiety, depressive symptoms and pain | CKD patients | - | were shown to reduce | #9 |
INTRODUCTION: With the rise in complementary medicine usage, mind-body interventions (MBI), encompassing therapies like yoga and music therapy, have been gaining interest. The use of MBI in non-chronic kidney disease (CKD) patients have demonstrated efficacy for ameliorating pain, stress and anxiety symptoms. As CKD patients often suffer from these symptoms, MBI may serve as potential adjunctive therapies. This review aimed to summarize the studied indications of MBI among CKD patients. METHODS: A systematic review was performed in Medline®, Embase®, Scopus®, CINAHL®, CENTRAL® and PsycInfo® in accordance to the PRISMA and SWiM checklists. Randomised controlled trials (RCTs) which evaluated the use of MBI among adult CKD patients were included. The efficacy of each MBI was determined by reduction in symptoms severity scores. All adverse reactions were documented. RESULTS: Of the 7,417 articles screened, 32 RCTs were included. Music therapy (n = 11), relaxation therapy (n = 9) and spiritual therapy (n = 6) were the most well studied MBIs. Frequently studied indications for MBIs were anxiety symptoms (n = 12), pain (n = 7) and depressive symptoms (n = 5). Music and spiritual therapies were shown to reduce 8.06-43.5 % and 36.1-41.1 % of anxiety symptoms respectively. For pain relief, music (41.8 %-61.5 %) and yoga therapies (36.7 %) were shown to be effective for reduction of pain. Lastly, spiritual therapy was shown to reduce depressive symptoms by 56.8 %. No adverse effects were reported for any MBI. CONCLUSION: Music therapy, relaxation and spiritual therapies are more well-studied MBIs which were shown to reduce anxiety, depressive symptoms and pain in CKD patients. Larger RCTs are required to confirm the efficacy and safety of promising MBIs.