{"id":"https://openalex.org/W4401640509","doi":"https://doi.org/10.1177/08980101241273860","title":"A Systematic Review of Breathing Exercise Interventions: An Integrative Complementary Approach for Anxiety and Stress in Adult Populations","display_name":"A Systematic Review of Breathing Exercise Interventions: An Integrative Complementary Approach for Anxiety and Stress in Adult Populations","publication_year":2024,"publication_date":"2024-08-16","ids":{"openalex":"https://openalex.org/W4401640509","doi":"https://doi.org/10.1177/08980101241273860","pmid":"https://pubmed.ncbi.nlm.nih.gov/39150318"},"language":"en","primary_location":{"id":"doi:10.1177/08980101241273860","doi":"https://doi.org/10.1177/08980101241273860","is_oa":false,"landing_page_url":"https://doi.org/10.1177/08980101241273860","pdf_url":null,"source":{"id":"https://openalex.org/S112732038","display_name":"Journal of Holistic Nursing","issn_l":"0898-0101","issn":["0898-0101","1552-5724"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Holistic Nursing","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069817153","display_name":"Sandra P. Morgan","orcid":"https://orcid.org/0000-0001-7070-5485","observed_orcids":["https://orcid.org/0000-0001-7070-5485"]},"institutions":[{"id":"https://openalex.org/I2613432","display_name":"University of South Florida","ror":"https://ror.org/032db5x82","country_code":"US","type":"education","lineage":["https://openalex.org/I2613432"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Sandra P. Morgan","raw_affiliation_strings":["University of South Florida","College of Nursing, University of South Florida, Tampa, FL, USA"],"raw_orcid":"https://orcid.org/0000-0001-7070-5485","affiliations":[{"raw_affiliation_string":"University of South Florida","institution_ids":["https://openalex.org/I2613432"]},{"raw_affiliation_string":"College of Nursing, University of South Florida, Tampa, FL, USA","institution_ids":["https://openalex.org/I2613432"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045112576","display_name":"Cecile A. Lengacher","orcid":"https://orcid.org/0000-0003-2700-2367","observed_orcids":["https://orcid.org/0000-0003-2700-2367"]},"institutions":[{"id":"https://openalex.org/I2613432","display_name":"University of South Florida","ror":"https://ror.org/032db5x82","country_code":"US","type":"education","lineage":["https://openalex.org/I2613432"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cecile A. Lengacher","raw_affiliation_strings":["University of South Florida","College of Nursing, University of South Florida, Tampa, FL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of South Florida","institution_ids":["https://openalex.org/I2613432"]},{"raw_affiliation_string":"College of Nursing, University of South Florida, Tampa, FL, USA","institution_ids":["https://openalex.org/I2613432"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5021490879","display_name":"Yaewon Seo","orcid":"https://orcid.org/0000-0002-2619-3686","observed_orcids":["https://orcid.org/0000-0002-2619-3686"]},"institutions":[{"id":"https://openalex.org/I189196454","display_name":"The University of Texas at Arlington","ror":"https://ror.org/019kgqr73","country_code":"US","type":"education","lineage":["https://openalex.org/I189196454"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yaewon Seo","raw_affiliation_strings":["College of Nursing and Health Innovation, University of Texas at Arlington","College of Nursing and Health Innovation, University of Texas at Arlington, Arlington, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Nursing and Health Innovation, University of Texas at Arlington","institution_ids":["https://openalex.org/I189196454"]},{"raw_affiliation_string":"College of Nursing and Health Innovation, University of Texas at Arlington, Arlington, TX, USA","institution_ids":["https://openalex.org/I189196454"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5069817153"],"corresponding_institution_ids":["https://openalex.org/I2613432"],"apc_list":{"value":3950,"currency":"USD","value_usd":3950},"apc_paid":null,"fwci":1.4621,"has_fulltext":false,"cited_by_count":19,"citation_normalized_percentile":{"value":0.80685776,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"43","issue":"4","first_page":"354","last_page":"376"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10708","display_name":"Mindfulness and Compassion Interventions","score":0.7279999852180481,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10708","display_name":"Mindfulness and Compassion Interventions","score":0.7279999852180481,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11768","display_name":"Music Therapy and Health","score":0.07119999825954437,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10168","display_name":"COVID-19 and Mental Health","score":0.0333000011742115,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/breathing-exercises","display_name":"breathing exercises","score":0.9879999756813049},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.652999997138977},{"id":"https://openalex.org/keywords/stress","display_name":"stress","score":0.9810000061988831},{"id":"https://openalex.org/keywords/holistic-nursing","display_name":"holistic nursing","score":0.6439999938011169},{"id":"https://openalex.org/keywords/stress-tolerance","display_name":"stress tolerance","score":0.7710000276565552},{"id":"https://openalex.org/keywords/post-covid-19","display_name":"post-COVID-19","score":0.8610000014305115},{"id":"https://openalex.org/keywords/adults","display_name":"adults","score":0.4740000069141388},{"id":"https://openalex.org/keywords/psychological-outcomes","display_name":"psychological outcomes","score":0.7080000042915344},{"id":"https://openalex.org/keywords/physiological-outcomes","display_name":"physiological outcomes","score":0.7429999709129333}],"concepts":[{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.8187073469161987},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.7531628608703613},{"id":"https://openalex.org/C2781145037","wikidata":"https://www.wikidata.org/wiki/Q5011772","display_name":"CINAHL","level":3,"score":0.7238555550575256},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6248559355735779},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5641359686851501},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.5348421931266785},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5346312522888184},{"id":"https://openalex.org/C39300077","wikidata":"https://www.wikidata.org/wiki/Q9530","display_name":"Breathing","level":2,"score":0.49941325187683105},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.47069051861763},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.4601026773452759},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.44543296098709106},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.4343588948249817},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.1907631754875183},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.13896870613098145},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000529","descriptor_name":"Complementary Therapies","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D001007","descriptor_name":"Anxiety","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D001007","descriptor_name":"Anxiety","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D001945","descriptor_name":"Breathing Exercises","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D001945","descriptor_name":"Breathing Exercises","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1177/08980101241273860","doi":"https://doi.org/10.1177/08980101241273860","is_oa":false,"landing_page_url":"https://doi.org/10.1177/08980101241273860","pdf_url":null,"source":{"id":"https://openalex.org/S112732038","display_name":"Journal of Holistic Nursing","issn_l":"0898-0101","issn":["0898-0101","1552-5724"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Holistic Nursing","raw_type":"journal-article"},{"id":"pmid:39150318","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39150318","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of holistic nursing : official journal of the American Holistic Nurses' Association","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":42,"referenced_works":["https://openalex.org/W1980326460","https://openalex.org/W2016232265","https://openalex.org/W2060949646","https://openalex.org/W2065581150","https://openalex.org/W2090186925","https://openalex.org/W2147117340","https://openalex.org/W2513562188","https://openalex.org/W2582312959","https://openalex.org/W2621012322","https://openalex.org/W2775567286","https://openalex.org/W2897365776","https://openalex.org/W2918209128","https://openalex.org/W2969352407","https://openalex.org/W3043503182","https://openalex.org/W3043942133","https://openalex.org/W3049522233","https://openalex.org/W3108736913","https://openalex.org/W3126912378","https://openalex.org/W3136720399","https://openalex.org/W3136955306","https://openalex.org/W3202053386","https://openalex.org/W3202887341","https://openalex.org/W4220776865","https://openalex.org/W4224312589","https://openalex.org/W4225015613","https://openalex.org/W4225376858","https://openalex.org/W4225659347","https://openalex.org/W4237867384","https://openalex.org/W4244006029","https://openalex.org/W4280521437","https://openalex.org/W4282977819","https://openalex.org/W4307863939","https://openalex.org/W4312195431","https://openalex.org/W4315489693","https://openalex.org/W4321611370","https://openalex.org/W4323789900","https://openalex.org/W4362623137","https://openalex.org/W4377088914","https://openalex.org/W4378908371","https://openalex.org/W4386976558","https://openalex.org/W4388543045","https://openalex.org/W4393258061"],"related_works":["https://openalex.org/W4388859424","https://openalex.org/W4402663456","https://openalex.org/W4404045604","https://openalex.org/W2969352407","https://openalex.org/W7220652820","https://openalex.org/W7216062945","https://openalex.org/W4319083840","https://openalex.org/W7165734846","https://openalex.org/W3131982559","https://openalex.org/W7055189470"],"abstract_inverted_index":{"Aim:":[0],"Nurses":[1],"are":[2,27,180],"well-qualified":[3],"to":[4,13,29,43,155,168,192],"deliver":[5],"integrative":[6],"complementary":[7],"therapy":[8],"interventions,":[9,106],"a":[10,181],"holistic":[11,182],"approach":[12,184],"assist":[14],"individuals":[15],"experiencing":[16],"anxiety":[17,31,58,109,128,160],"and":[18,32,54,59,63,80,89,107,129,161],"stress.":[19],"Self-regulated,":[20],"controlled":[21,176],"breathing":[22,48,104,138],"exercises":[23,152,179],"(a":[24],"clinical":[25],"approach)":[26],"reported":[28,124,131],"decrease":[30,193],"increase":[33],"stress":[34,60,111,135,162],"tolerance.":[35],"The":[36],"aim":[37],"of":[38,47,57,67,91,116],"this":[39],"systematic":[40,76],"review":[41,77],"was":[42,78],"evaluate":[44],"the":[45,52,65,68,71,198],"effectiveness":[46],"exercise":[49,105,139],"interventions":[50,140],"on":[51],"psychological":[53],"physiologic":[55],"outcomes":[56],"among":[61,195],"adults":[62,100],"assess":[64],"state":[66],"science":[69],"in":[70,127,134,158,163],"post-COVID-19":[72],"population.":[73,200],"Methods:":[74],"A":[75],"conducted,":[79],"four":[81],"scientific":[82],"databases":[83],"were":[84,121,148,153],"searched:":[85],"PubMed,":[86],"CINAHL,":[87],"EMBASE,":[88],"Web":[90],"Science.":[92],"Inclusion":[93],"criteria":[94],"included:":[95],"(1)":[96],"peer-reviewed":[97],"studies,":[98],"(2)":[99],"over":[101],"18,":[102],"(3)":[103],"(4)":[108],"or":[110],"as":[112],"outcomes.":[113],"Results:":[114],"Out":[115],"309":[117],"studies":[118],"identified,":[119],"19":[120],"included.":[122],"Twelve":[123],"significant":[125,132],"improvements":[126,133],"nine":[130],"following":[136],"varying":[137],"(":[141],"p":[142],"<":[143],".05).":[144],"No":[145],"adverse":[146],"events":[147],"reported.":[149],"Conclusions:":[150],"Breathing":[151,178],"found":[154],"be":[156,169,187],"effective":[157],"reducing":[159],"adults,":[164,196],"however,":[165],"there":[166],"continues":[167],"limited":[170],"evidence":[171],"that":[172,185],"includes":[173],"large":[174],"randomized":[175],"trials.":[177],"care":[183],"can":[186],"safely":[188],"implemented":[189],"by":[190],"nurses":[191],"symptomatology":[194],"including":[197],"post-COVID":[199]},"counts_by_year":[{"year":2026,"cited_by_count":8},{"year":2025,"cited_by_count":9},{"year":2024,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2024-08-17T00:00:00"}