What Eases Grief? Try Progressive Muscle Relaxation

What Eases Grief? Try Progressive Muscle Relaxation
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8/24/2023
Updated:
8/24/2023
0:00

A simple relaxation technique is an effective coping strategy for grief after the loss of a loved one, say researchers.

Their study combined two methods for treating grief: one focused on the mind, the other on the body. The researchers looked at 95 widows and widowers who lost their spouses as recently as six months or within two years of the study’s start.

“What surprised us was that the ability to focus on the body and really relax the body turned out to be incredibly important in helping people adjust,” said Mary-Frances O’Connor, associate professor of psychology at the University of Arizona and senior author of the study.

As reported in the Journal of Consulting and Clinical Psychology, one group of study participants went through a six-week mindfulness training, in which they learned ways to focus their attention on the present moment with kindness and curiosity and let difficult thoughts and emotions come and go without trying to change anything about the experience. Another group went through six weeks of guided sessions on progressive muscle relaxation, in which they learned to relax different groups of muscles in stages to make difficult emotions more tolerable.
“The key difference between the two is mindfulness, is just learning how to be with what is, without trying to change it, and bringing a compassionate, nonjudgmental stance to it,” said lead author Lindsey Knowles, a former doctoral student in Ms. O’Connor’s lab and now a senior research fellow in the University of Washington School of Medicine and the VA Puget Sound Health Care System.

“Progressive muscle relaxation is, ‘How can we help you be in the present moment but make you feel better?'”

A third group of study participants was assigned to a waitlist and did not receive either treatment. Those participants served as the study’s control group—a benchmark to which to compare the progress made by the other groups.

Rumination and Yearning

Ms. Knowles, a certified mindfulness meditation facilitator, has long been interested in studying whether mindfulness could be used to address grief. She began working to answer that question when she arrived at Ms. O’Connor’s lab in 2013.

Ms. O’Connor has spent decades studying grief and its key components, including the craving for a lost loved one to return, which scholars refer to as yearning, and rumination—"the would’ve, could’ve, should’ve” of loss.

“Because the would’ve, could’ve, should’ve have no real answers, you can just spin on those thoughts forever, so it can really get in the way of adapting,” Ms. O’Connor said.

These symptoms are stressful not only for the mind, she said, but also for the body. Researchers have long known that bereavement and loss can lead to physical consequences, such as high blood pressure and even higher risk of death. Finding suitable methods to address grief poses a unique challenge, Ms. O’Connor said, because learning those methods can add to stress.
“We sometimes say grieving is like trying to learn calculus while running a marathon,” she said.

What Eases Grief?

Using three questionnaires and a scale that Ms. O’Connor developed during her career studying grief, the researchers measured whether grief severity, yearning, and rumination improved in the mindfulness and relaxation groups compared to the waitlist group. They asked participants to read several statements—for example, “The feeling of wanting them back is so strong it is indescribable”—and indicate how often they feel that way on a five-point scale ranging from “never” to “always.”

Both mindfulness and muscle relaxation resulted in clear improvements in participants’ grief severity and yearning. But when comparing the groups to each other, researchers found that progressive muscle relaxation was more helpful.

“We were surprised that progressive muscle relaxation outperformed the waitlist group and mindfulness did not,” Ms. Knowles said. “That said, it was still excellent that both the mindfulness and progressive muscle relaxation groups showed changes over time in grief severity.”

Progressive Muscle Relaxation

Another advantage of progressive muscle relaxation is that it is easier to implement than mindfulness training. Ms. Knowles noted that, even after years of practicing mindfulness, she’s still learning new ways to improve her own mindfulness practice.

“But progressive muscle relaxation is this simple tool that participants just learned over and over—they practiced it as a group, they practiced it at home,” Ms. Knowles said. “In the end, I think one thing we’re pulling from this is that having this clear focus on the body may be more beneficial for folks who are grieving, compared to introducing them to more of this mindfulness toolkit that takes much more time to become an expert in.”

Progressive muscle relaxation also requires no formal training or certification for providers, making it easier to deliver to patients. Ms. O’Connor said these findings are particularly relevant amid the COVID-19 pandemic, which has killed more than 600,000 people in the United States and has left behind exponentially more people who are now grieving.

“There are a lot of people dealing with the stress of bereavement right now—far too many to have a psychologist work with each one,” Ms. O’Connor said. “If we think about bereavement at a public-health level, which the pandemic has forced us to do, giving people something they can do at home to relax their body during this stressful time could have a really large impact on our public health.”

This article was originally published by the University of Arizona. Republished via Futurity.org
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