THE EFFECT OF GUIDED IMAGERY THERAPY ON THE LEVEL OF DEPRESSION IN PATIENTS WITH CHRONIC OBSTRUCTIVE LUNG DISEASE
Abstract
Chronic obstructive pulmonary disease (COPD) is a disease that can lead to morbidity and mortality worldwide. This experimental study aimed to evaluate the effectiveness of guided imagery interventions in COPD patients treated in the Pulmonology Unit of Sebelas Maret University Teaching Hospital, Surakarta. An analytical experimental design with a randomized controlled trial (pre and post test) approach was used. Paired T-test results showed that the intervention group had a p-value < 0.001, indicating a significant change in the Hamilton Depression Rating Scale (HRDS) scores, while the control group had a p-value of 0.578, showing no significant change. It can be concluded that guided imagery effectively decreased HRDS scores in the intervention group compared to the control group; in other words, guided imagery decreased depression levels among COPD patients.
Keywords: COPD, guided imagery, HRDS
References
1. World Health Organization. World Health Organization W. Chronic obstructive pulmonary disease (COPD). 2022.
2. RI K. Indonesian Health Profile 2018. Ministry of Health of the Republic of Indonesia. 2018;
3. Moretta P, Cavallo ND, Candia C, Lanzillo A, Marcuccio G, Santangelo G, Marcuccio L, Ambrosino P, Maniscalco M. Psychiatric Disorders in Patients with Chronic Obstructive Pulmonary Disease: Clinical Significance and Treatment Strategies. J Clin Med. 2024 Oct 26;13(21):6418. doi: 10.3390/jcm13216418
4. Hyland ME., Halpin DM, Blake S, Seamark C, Pinnuck M, Ward D, Seamark D, et al. Preference for different relaxation techniques by COPD patients: comparison between six techniques. International journal of chronic obstructive pulmonary disease. 2016. 1(1): 2315-2319.
5. Zemla K, Sedek G, Wróbel K, Postepski F, and Wojcik GM. Investigating the Impact of Guided Imagery on Stress, Brain Functions, and Attention: A Randomized Trial. Sensors. 2023. 23(13), 6210.
6. Kilic Z, Karadag S, dan Tutar N. The Effect of Progressive Relaxation Exercises on Dyspnea and Anxiety Levels in Individuals With COPD: A Randomized Controlled Trial. Holistic Nursing Practice. 2023. 37(1), E14-E23.
7. Norelli SK, Long A, Krepps JM. Relaxation Techniques. 2023.
8. Rossman ML. Guided Imagery for Self-Healing. California: HJ Kramer; 2016.
9. Yohannes AM, Kaplan A, Hanania NA. Anxiety and Depression in Chronic Obstructive Pulmonary Disease: Recognition and Management. Cleve Clin J Med. 2018 Feb;85(2 suppl 1):S11–8.
10. Jelic I, Mihajlovic G, Mihajlovic F, Minic N, Ratinac M, dan Pantovic-Stefanovic M COPD and Depression Analysis in Regard to Obstructive Pulmonary Levels. In Healthcare. MDPI. 2023. 11(8):1175
11. Yohannes AM, Junkes-Cunha M, Smith J, Vestbo J. Management of Dyspnea and Anxiety in Chronic Obstructive Pulmonary Disease: A Critical Review. J Am Med Dir Assoc. 2017 Dec;18(12):1096.e1-1096.e17.
12. Allinson, J. P., Hardy, R., Donaldson, G. C., Shaheen, S. O., Kuh, D., & Wedzicha, J. A. (2017). Combined impact of smoking and early-life exposures on adult lung function trajectories. American Journal of Respiratory and Critical Care Medicine, 196(8), 1021–1030. https://doi.org/10.1164/rccm.201703-0506OC
13. Bigham, E., McDannel, L., Luciano, I., & Salgado-Lopez, G. (2015). Effect of a Brief Guided Imagery on Stress. Biofeedback, 42(1), 28–35. https://doi.org/10.5298/1081-5937-42.1.07
14. Bollmeier, S. G., & Hartmann, A. P. (2020). Management of chronic obstructive pulmonary disease: A review focusing on exacerbations. American Journal of Health-System Pharmacy, 77(4), 259–268. https://doi.org/10.1093/ajhp/zxz306
15. Buttery, S. C., Zysman, M., Vikjord, S. A. A., Hopkinson, N. S., Jenkins, C., & Vanfleteren, L. E. G. W. (2021). Contemporary perspectives in COPD: Patient burden, the role of gender and trajectories of multimorbidity. Respirology, 26(5), 419–441. https://doi.org/10.1111/resp.14032
16. Dueñas-Espín, I., Demeyer, H., Gimeno-Santos, E., Polkey, M. I., Hopkinson, N. S., Rabinovich, R. A., Dobbels, F., Karlsson, N., Troosters, T., & Garcia-Aymerich, J. (2016). Depression symptoms reduce physical activity in COPD patients: A prospective multicenter study. International Journal of COPD, 11(1), 1287–1295. https://doi.org/10.2147/COPD.S101459
17. Hillas, G., Perlikos, F., Tsiligianni, I., & Tzanakis, N. (2015). Managing comorbidities in COPD. International Journal of COPD, 10, 95–109. https://doi.org/10.2147/COPD.S54473
18. Jerath, R., Crawford, M. W., & Barnes, V. A. (2015). A unified 3D default space consciousness model combining neurological and physiological processes that underlie conscious experience. Frontiers in Psychology, 6(August), 1–25. https://doi.org/10.3389/fpsyg.2015.01204
19. Jerath, R., Crawford, M. W., & Barnes, V. A. (2015). A unified 3D default space consciousness model combining neurological and physiological processes that underlie conscious experience. Frontiers in Psychology, 6(August), 1–25. https://doi.org/10.3389/fpsyg.2015.01204
20. Li, Z., Liu, S., Wang, L., & Smith, L. (2020). Mind–body exercise for depresi and depression in copd patients: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 17(1). https://doi.org/10.3390/ijerph17010022
21. Miravitlles, M., & Ribera, A. (2017). Understanding the impact of symptoms on the burden of COPD. Respiratory Research, 18(1), 1–11. https://doi.org/10.1186/s12931-017-0548-3
2. RI K. Indonesian Health Profile 2018. Ministry of Health of the Republic of Indonesia. 2018;
3. Moretta P, Cavallo ND, Candia C, Lanzillo A, Marcuccio G, Santangelo G, Marcuccio L, Ambrosino P, Maniscalco M. Psychiatric Disorders in Patients with Chronic Obstructive Pulmonary Disease: Clinical Significance and Treatment Strategies. J Clin Med. 2024 Oct 26;13(21):6418. doi: 10.3390/jcm13216418
4. Hyland ME., Halpin DM, Blake S, Seamark C, Pinnuck M, Ward D, Seamark D, et al. Preference for different relaxation techniques by COPD patients: comparison between six techniques. International journal of chronic obstructive pulmonary disease. 2016. 1(1): 2315-2319.
5. Zemla K, Sedek G, Wróbel K, Postepski F, and Wojcik GM. Investigating the Impact of Guided Imagery on Stress, Brain Functions, and Attention: A Randomized Trial. Sensors. 2023. 23(13), 6210.
6. Kilic Z, Karadag S, dan Tutar N. The Effect of Progressive Relaxation Exercises on Dyspnea and Anxiety Levels in Individuals With COPD: A Randomized Controlled Trial. Holistic Nursing Practice. 2023. 37(1), E14-E23.
7. Norelli SK, Long A, Krepps JM. Relaxation Techniques. 2023.
8. Rossman ML. Guided Imagery for Self-Healing. California: HJ Kramer; 2016.
9. Yohannes AM, Kaplan A, Hanania NA. Anxiety and Depression in Chronic Obstructive Pulmonary Disease: Recognition and Management. Cleve Clin J Med. 2018 Feb;85(2 suppl 1):S11–8.
10. Jelic I, Mihajlovic G, Mihajlovic F, Minic N, Ratinac M, dan Pantovic-Stefanovic M COPD and Depression Analysis in Regard to Obstructive Pulmonary Levels. In Healthcare. MDPI. 2023. 11(8):1175
11. Yohannes AM, Junkes-Cunha M, Smith J, Vestbo J. Management of Dyspnea and Anxiety in Chronic Obstructive Pulmonary Disease: A Critical Review. J Am Med Dir Assoc. 2017 Dec;18(12):1096.e1-1096.e17.
12. Allinson, J. P., Hardy, R., Donaldson, G. C., Shaheen, S. O., Kuh, D., & Wedzicha, J. A. (2017). Combined impact of smoking and early-life exposures on adult lung function trajectories. American Journal of Respiratory and Critical Care Medicine, 196(8), 1021–1030. https://doi.org/10.1164/rccm.201703-0506OC
13. Bigham, E., McDannel, L., Luciano, I., & Salgado-Lopez, G. (2015). Effect of a Brief Guided Imagery on Stress. Biofeedback, 42(1), 28–35. https://doi.org/10.5298/1081-5937-42.1.07
14. Bollmeier, S. G., & Hartmann, A. P. (2020). Management of chronic obstructive pulmonary disease: A review focusing on exacerbations. American Journal of Health-System Pharmacy, 77(4), 259–268. https://doi.org/10.1093/ajhp/zxz306
15. Buttery, S. C., Zysman, M., Vikjord, S. A. A., Hopkinson, N. S., Jenkins, C., & Vanfleteren, L. E. G. W. (2021). Contemporary perspectives in COPD: Patient burden, the role of gender and trajectories of multimorbidity. Respirology, 26(5), 419–441. https://doi.org/10.1111/resp.14032
16. Dueñas-Espín, I., Demeyer, H., Gimeno-Santos, E., Polkey, M. I., Hopkinson, N. S., Rabinovich, R. A., Dobbels, F., Karlsson, N., Troosters, T., & Garcia-Aymerich, J. (2016). Depression symptoms reduce physical activity in COPD patients: A prospective multicenter study. International Journal of COPD, 11(1), 1287–1295. https://doi.org/10.2147/COPD.S101459
17. Hillas, G., Perlikos, F., Tsiligianni, I., & Tzanakis, N. (2015). Managing comorbidities in COPD. International Journal of COPD, 10, 95–109. https://doi.org/10.2147/COPD.S54473
18. Jerath, R., Crawford, M. W., & Barnes, V. A. (2015). A unified 3D default space consciousness model combining neurological and physiological processes that underlie conscious experience. Frontiers in Psychology, 6(August), 1–25. https://doi.org/10.3389/fpsyg.2015.01204
19. Jerath, R., Crawford, M. W., & Barnes, V. A. (2015). A unified 3D default space consciousness model combining neurological and physiological processes that underlie conscious experience. Frontiers in Psychology, 6(August), 1–25. https://doi.org/10.3389/fpsyg.2015.01204
20. Li, Z., Liu, S., Wang, L., & Smith, L. (2020). Mind–body exercise for depresi and depression in copd patients: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 17(1). https://doi.org/10.3390/ijerph17010022
21. Miravitlles, M., & Ribera, A. (2017). Understanding the impact of symptoms on the burden of COPD. Respiratory Research, 18(1), 1–11. https://doi.org/10.1186/s12931-017-0548-3
Published
2025-12-31
How to Cite
NINGRUM, Ika Agitra; SENO, Budhi Hami; MULJANTO, Rahaju Budhi.
THE EFFECT OF GUIDED IMAGERY THERAPY ON THE LEVEL OF DEPRESSION IN PATIENTS WITH CHRONIC OBSTRUCTIVE LUNG DISEASE.
Medika Kartika : Jurnal Kedokteran dan Kesehatan, [S.l.], v. 8, n. 4, p. 344-354, dec. 2025.
ISSN 2655-6537.
Available at: <http://medikakartika.unjani.ac.id/medikakartika/index.php/mk/article/view/624>. Date accessed: 07 jan. 2026.
Section
Articles
