Relaxation techniques in individuals undergoing treatment for alcoholism: Scoping review protocol

Authors

  • Andreia Faleiro Centro de Respostas Integradas, Equipa Técnica Especializada de Tratamento do Sotavento, Olhão, Portugal https://orcid.org/0009-0005-8060-4422
  • Tânia Xavier Health Sciences Research Unit: Nursing (UICISA: E), Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal & Escola Superior de Saúde da Universidade do Algarve, Faro, Portugal https://orcid.org/0000-0003-0177-8394
  • Claudia Oliveira Health Sciences Research Unit: Nursing (UICISA: E), Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal & Escola Superior de Saúde da Universidade do Algarve, Faro, Portugal https://orcid.org/0000-0003-4365-6790

DOI:

https://doi.org/10.62741/ahrj.v2i3.72

Keywords:

Alcoholims, Program, Treatment Adherence and Compliance, Relaxation Therapy

Abstract

Introduction: Although alcohol is a toxic and psychoactive substance, it is considered legal in most countries worldwide. This factor significantly contributes to alcoholism being regarded as a serious public health issue. Therefore, it is essential to develop strategies aimed at complementing and supporting the treatment of individuals undergoing therapy for alcoholism, including relaxation techniques.

Objectives: To map the existing scientific evidence regarding relaxation techniques (concept) frequently applied to individuals dependent on harmful alcohol use (population) during the treatment phase (context).

Methods: This is a Scoping Review protocol based on the Joanna Briggs Institute methodology. Searches will be conducted in the following databases: CINAHL Complete (via EBSCO), Medline Complete (via EBSCO), PubMed, and Web of Science. Searches for unpublished studies will be carried out in the ProQuest Dissertation & Theses Citation Index (via Web of Science). All publications in English, Portuguese, and Spanish that meet the eligibility criteria will be considered (implementation of relaxation techniques for individuals aged 18 years or older with alcohol dependence, during treatment). Study selection, data extraction, and synthesis will be conducted by two independent reviewers, with a third reviewer consulted in case of disagreement.

Conclusions: This Scoping Review aims to map the scientific literature regarding the various relaxation techniques currently available. Based on the findings, the review intends to promote reflection among clinical nurses, nurse managers, and policymakers regarding the potential implementation of intervention programs incorporating relaxation techniques in practice settings, with the aim of supporting and improving health outcomes for individuals undergoing treatment for alcoholism.

References

World Health Organization. WHO Technical Manual on Alcohol Tax Policy and Administration. [Geneva]: World Health Organization; 2023. Available at: https://iris.who.int/bitstream/handle/10665/374284/9789240082793-eng.pdf?sequence=1, Accessed August 25, 2025

World Health Organization. Organización Panamericana de la Salud/Temas/alcohol. [Washington, DC]: World Health Organization; 2022. Available at: https://www.paho.org/es/temas/alcohol, Accessed August 25, 2025

World Health Organization. Global report on the use of alcohol taxes 2023. [Geneva]: World Health Organization; 2023. Available at: https://iris.who.int/bitstream/handle/10665/374614/9789240086104-eng.pdf?sequence=1, Accessed August 25, 2025

World Health Organization. Plano de Ação Global sobre o álcool 2022 – 2030. [Geneva]: World Health Organization; 2022. Available at: https://iris.who.int/bitstream/handle/10665/376939/9789240090101-eng.pdf?sequence=1, Accessed August 25, 2025

Serviço de Intervenção nos Comportamentos Aditivos e nas Dependências (SICAD). Sinopse Estatística 2021 – Álcool. [Lisboa]: Serviço de Intervenção nos Comportamentos Adi-tivos e nas Dependências; 2021. Available at: https://sicad.pt/BK/EstatisticaInvestigacao/Documents/2022/SinopseEstatistica21_Alcool_PT.pdf, Accessed August 25, 2025.

Wolfe DM, Hutton B, Corace K, et al. Service-level barriers to and facilitators of accessibility to treatment for problem-atic alcohol use: a scoping review. Frontiers in Public Health. 2023;11. doi:10.3389/fpubh.2023.1296239 DOI: https://doi.org/10.3389/fpubh.2023.1296239

Shanmugam B, Das B, Bhattacharjee D, Ezhumalai S. Ex-pressed Emotions and Coping among Relapsed Persons with Alcohol Dependence Syndrome: A Comparative Study. In-dian journal of mental health. 2021;8(4):429–434. DOI: https://doi.org/10.30877/IJMH.8.4.2021.429-434

Lenze EJ, Voegtle M, Miller JP, et al. Effects of Mindfulness Training and Exercise on Cognitive Function in Older Adults: A Randomized Clinical Trial. JAMA. 2022;328(22):2218–2229. doi:10.1001/jama.2022.21680 DOI: https://doi.org/10.1001/jama.2022.21680

Owens M, Bunce HLI. Nature-Based Meditation, Ruminati-on and Mental Wellbeing. International journal of en-vironmental research and public health. 2022;19(15):9118. doi:10.3390/ijerph19159118 DOI: https://doi.org/10.3390/ijerph19159118

Payne RA. Técnicas de Relaxamento – Um Guia Prático para Profisisonais e Saúde. Lusociência; 2009.

Townsend M, Morgan KI. Enfermagem Psiquiátrica: con-ceitos de cuidados na prática baseada na evidência (9ª ed.). Elsevier; 2021.

Yadav P, Chatterjee K, Prakash J, Salhotra N, Chauhan VS, Srivastava K. Impact of breathing and relaxation training (Sudarshan Kriya) on cases of alcohol dependence syn-drome. Industrial Psychiatry Journal. 2021;30(2):341–345. doi:10.4103/ipj.ipj_117_21 DOI: https://doi.org/10.4103/ipj.ipj_117_21

Álvarez-Pérez Y, Rivero-Santana A, Perestelo-Pérez L, et al. Effectiveness of Mantra-Based Meditation on Mental Health: A Systematic Review and Meta-Analysis. Int J Envi-ron Res Public Health. 2022;19(6):3380. doi:10.3390/ijerph19063380 DOI: https://doi.org/10.3390/ijerph19063380

Reddy S, Dick A M, Gerber MR, Mitchell K. The effect of a yoga intervention on alcohol and drug abuse risk in veteran and civilian women with posttraumatic stress disorder. J Al-tern Complement Med. 2014;20(10):750–756. doi:10.1089/acm.2014.0014 DOI: https://doi.org/10.1089/acm.2014.0014

Rohsenow DJ, Smith RE, Johnson S. Stress management training as a prevention program for heavy social drinkers: Cognitions, affect, drinking, and individual differences. Ad-dictive Behaviors. 1985;10(1):45–54. doi:10.1016/0306-4603(85)90052-8 DOI: https://doi.org/10.1016/0306-4603(85)90052-8

Menegaz de Almeida A, Aquino de Moraes FC, Cavalcanti Souza ME, et al. Bright Light Therapy for Nonseasonal De-pressive Disorders: A Systematic Review and Meta-Analysis. JAMA Psychiatry. 2025;82(1):38–46. doi:10.1001/jamapsychiatry.2024.2871 DOI: https://doi.org/10.1001/jamapsychiatry.2024.2871

Uphoff E, Robertson L, Cabieses B, et al. An overview of sys-tematic reviews on mental health promotion, prevention, and treatment of common mental disorders for refugees, asylum seekers, and internally displaced persons. The Cochrane database of systematic reviews. 2020:9(9):CD013458. doi:10.1002/14651858.CD013458.pub2 DOI: https://doi.org/10.1002/14651858.CD013458.pub2

Reis DJ, Hoffberg AS, Stearns-Yoder KA, Bahraini NH. Bright light therapy for mental and behavioral illness: A sys-tematic umbrella review. Chronobiology international. 2023;40(2):204–214. doi:10.1080/07420528.2022.2140669 DOI: https://doi.org/10.1080/07420528.2022.2140669

Nardi WR, Kelly P, Roy A, Becker S, Brewer J, Sun, S. A sys-tematic review and meta-analysis of psychosocial interven-tions for persons with comorbid anxiety and substance use disorders. Journal of substance use and addiction treat-ment. 2024;165:209442. doi:10.1016/j.josat.2024.209442 DOI: https://doi.org/10.1016/j.josat.2024.209442

Montero-Marin J, Garcia-Campayo J, López-Montoyo A, Zabaleta-Del-Olmo E, Cuijpers P. Is cognitive-behavioural therapy more effective than relaxation therapy in the trea-tment of anxiety disorders? A meta-analysis. Psychological medicine. 2018;48(9):1427–1436. doi:10.1017/S0033291717003099 DOI: https://doi.org/10.1017/S0033291717003099

Maritescu A, Pescaru CC, Crisan AF, Stoicescu ER, Oancea C, Iacob D. The Effects of Progressive Muscle Relaxation on Mental Health and Sleep Quality in Adults with Cystic Fib-rosis: A Randomized Controlled Trial. Journal of clinical medicine. 2025;14(8):2807. doi:10.3390/jcm14082807 DOI: https://doi.org/10.3390/jcm14082807

Gryczynski J, Schwartz RP, Fishman MJ, et al. Integration of Transcendental Meditation® (TM) into alcohol use disor-der (AUD) treatment. J Subst Abuse Treat. 2018;87:23–30. doi:10.1016/j.jsat.2018.01.009 DOI: https://doi.org/10.1016/j.jsat.2018.01.009

Adams CE, Cano MA, Heppner WL, et al. Testing a Moder-ated Mediation Model of Mindfulness, Psychosocial Stress, and Alcohol Use among African American Smokers. Mind-fulness. 2015;6(2):315–325. doi:10.1007/s12671-013-0263-1 DOI: https://doi.org/10.1007/s12671-013-0263-1

Hilcove K, Marceau C, Thekdi P, Larkey L, Brewer MA, Jones K. Holistic Nursing in Practice: Mindfulness-Based Yoga as an Intervention to Manage Stress and Burnout. Journal of holistic nursing official journal of the Ameri-can Holistic Nurses' Association. 2021;39(1):29–42. doi:10.1177/0898010120921587 DOI: https://doi.org/10.1177/0898010120921587

Jones KO, Lopes S, Chen L, et al. Perceptions about mind-fulness-based interventions among individuals recovering from opioid and alcohol use disorders: Findings from focus groups. Complementary Therapies in Medicine. 2019;46:131–135. doi:10.1016/j.ctim.2019.07.013 DOI: https://doi.org/10.1016/j.ctim.2019.07.013

Tsui MCF, To JCN, Lee ATC. Mindfulness Meditation, Men-tal Health, and Health-Related Quality of Life in Chinese Buddhist Monastics. East Asian archives of psychiatry: official journal of the Hong Kong College of Psychiatrists. 2020;30(3):67–72. doi:10.12809/eaap1949 DOI: https://doi.org/10.12809/eaap1949

Davis JP, Berry D, Dumas TM, et al. Substance use outcomes for mindfulness based relapse prevention are partially me-diated by reductions in stress: Results from a randomized trial. Journal of substance abuse treatment. 2018;91:37–48. doi:10.1016/j.jsat.2018.05.002 DOI: https://doi.org/10.1016/j.jsat.2018.05.002

Huang Y, Chen X. Efficacy of Group Music Therapy Based on Emotion- Regulation Skills on Male Inpatients With Al-cohol Dependence: A Randomized, Controlled Pilot Trial. Frontiers in Psychology. 2021;12:697617. doi:10.3389/fpsyg.2021.697617 DOI: https://doi.org/10.3389/fpsyg.2021.697617

Schmidt K, Schlicht M, Deutschendorf L, Smets L, Bäuerle A, Teufel M. Biofeedback Training in Inpatient Mental Health Facilities: A Scoping Review. Journal of clinical medicine. 2025;14(10):3491. doi:10.3390/jcm14103491 DOI: https://doi.org/10.3390/jcm14103491

Alneyadi M, Drissi N, Almeqbaali M, Ouhbi S. Biofeedback-Based Connected Mental Health Interventions for Anxiety: Systematic Literature Review. JMIR mHealth and uHealth. 2021;9(4):e26038. doi:10.2196/26038 DOI: https://doi.org/10.2196/26038

Page RD, Schaub LH. EMG biofeedback applicability for differing personality types. Journal of Clinical Psychology. 1978;34(4):1014–1020. doi:10.1002/1097-4679(197810)34:4<1014::aid-jclp2270340441>3.0.co;2-r DOI: https://doi.org/10.1002/1097-4679(197810)34:4<1014::AID-JCLP2270340441>3.0.CO;2-R

Wang L, Liu R, Wang Y, et al. Effectiveness of a Biofeed-back Intervention Targeting Mental and Physical Health Among College Students Through Speech and Physiology as Biomarkers Using Machine Learning: A Randomized Con-trolled Trial. Applied psychophysiology and biofeedback. 2024;49(1):71–83. doi:10.1007/s10484-023-09612-3 DOI: https://doi.org/10.1007/s10484-023-09612-3

Chen P, Li J, Han X, et al. Acupuncture for alcohol use dis-order. Int J Physiol Pathophysiol Pharmacol. 2018;10(1):60–69.

Li Z, Feng J, Yin S, et al. Effects of acupuncture on mental health of migraine patients: a systematic review and meta-analysis. BMC complementary medicine and therapies. 2023;23(1):278. doi:10.1186/s12906-023-04103-8 DOI: https://doi.org/10.1186/s12906-023-04103-8

Edinger JD, Arnedt JT, Bertisch SM, et al. Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment. Journal of clinical sleep medicine. JCSM: official publication of the American Academy of Sleep Medicine. 2021;17(2):263–298. doi:10.5664/jcsm.8988 DOI: https://doi.org/10.5664/jcsm.8988

Angarita GA, Emadi N, Hodges S, Morgan PT. Sleep abnor-malities associated with alcohol, cannabis, cocaine, and opi-ate use: a comprehensive review. Addiction science & clini-cal practice. 2016;11(1):9. doi:10.1186/s13722-016-0056-7 DOI: https://doi.org/10.1186/s13722-016-0056-7

Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis JBI; 2020. doi:10.46658/JBIMES-20-12 DOI: https://doi.org/10.46658/JBIRM-20-01

Tricco A, Lillie E, Zarin W, et al. Appendix 11.2 PRISMA ScR Extension Fillable Checklist—JBI Manual for Evidence Syn-thesis; 2018.

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Published

29-10-2025

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