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J Holist Nurs. 2019 Feb 27:898010119832493. doi: 10.1177/0898010119832493. [Epub ahead of print]

The Effect of Single-Dose Massage Session on Autonomic Activity, Mood, and Affective Responses in Major Depressive Disorder.

Author information

1
Federal University of Juiz de Fora.
2
Federal University of Rio de Janeiro.

Abstract

BACKGROUND:

Massage therapy (MT) is a holistic procedure that includes hand pressure (HP), therapeutic communication (TC), and attentive care (AC); together, these procedures could decrease symptoms of depression.

PURPOSE:

To study the influence of TC and AC during MT.

METHODS:

Within-subject experimental design with counterbalancing order of treatment. Comparison analysis of the effect of a typical Swedish massage session (SM) with a "sham" massage (ShM; without HP) on the heart rate variability (HRV) mood and affective responses of patients with major depressive disorder ( N = 11). During the ShM, clay stones were randomly placed on the body, and the patients were informed about the (sham) therapeutic effect of stones.

FINDINGS:

A main effect of time showed that after intervention, both SM and ShM increased the HRV (high-frequency power; F[1, 10] = 7.58, p = .02) and reduced scores for anxiety ( F[1, 10] = 37.57, p < .001), other feelings ( F[1, 10] = 22.64, p = .001), and physical sedation ( F[1, 10] = 10.72, p = .008). The SM was associated with more positive affective responses than ShM (qualitative analysis).

CONCLUSIONS:

AC and TC included in MT session improved mood and HRV in the absence of HP. Additional effect on affective responses was observed owing to the HP.

KEYWORDS:

depression; heart rate variability; top-down neural network; vagal activity

PMID:
30810079
DOI:
10.1177/0898010119832493

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