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May 8, 2026Health Science Reports0 citationsOpen Access

Progressive Muscle Relaxation as an Alternative Therapy for Death Anxiety and Sleep Quality in End‐Stage Cancer Patients: An Experimental Study

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HHHadi HasaniMKMajid KazemiSPSeyed‐Mohammad‐Ebrahim Pourhosseini

Key Points

  • To evaluate the effects of progressive muscle relaxation on death anxiety and sleep quality in end-stage cancer patients.
  • Experimental study with pre-test and post-test design
  • 60 randomly assigned cancer patients to either control or experimental group
  • PMR trained in eight sessions over one month, assessments made using Templar's Death Anxiety Scale and Pittsburgh Sleep Quality Index.
  • Significant decrease in death anxiety and improved sleep quality in the intervention group (p<0.001)
  • No meaningful change in sleep medication use in the intervention group.

Abstract

ABSTRACT Background and Aims Progressive muscle relaxation (PMR) is a complementary therapy to reduce tension. The present research was conducted to assess the effect of the Progressive muscle relaxation (PMR) on death anxiety and sleep quality of cancer patients. Methods This was an experimental study with pre‐test and post‐test design. 60 cancer patients were selected randomly and randomly assigned experiment or control group. Death anxiety and sleep quality of samples were assessed by Templar's Death Anxiety Scale (DAS) and Pittsburgh Sleep Quality Index (PSQI). PMR was trained to patients in eight sessions during 1 month. Data were analyzed using descriptive and inferential statistics (Chi‐squared, Fisher's exact test, independent sample t ‐test, and analysis of covariance). Results A significant decrease in death anxiety and sleep quality scores in the intervention group ( p < 0.001). The only sleep quality dimension that didn't change meaningfully in the intervention group was the use of sleep medications. Conclusions PMR is a method that can be used to reduce death anxiety and improve sleep quality in cancer patients.

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Cite This Study

Hasani et al. (2026) studied this question.

synapsesocial.com/papers/69fd7ef7bfa21ec5bbf0758chttps://doi.org/10.1002/hsr2.72140
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