The Efficacy of Guided Imagery and Music (GIM) in the Treatment of Rheumatoid Arthritis
Jacobi, Elizabeth M., & Eisenberg, Gerald M. - Volume: 8
The purpose of this study was to evaluate the effectiveness of the Bonny Method of Guided Imagery and Music (GIM) on biological and functional articular measures, pain, depression and psychological symptoms in 27 persons with rheumatoid arthritis. Biological and functional markers of disease states were CReactive Protein, Rheumatoid Factor, Erythrocyte Sedimentation Rate, 50-foot walking speed, morning stiffness, and joint count. The Symptom Checklist-90-R (SCL-90-R), the Long-Form McGill Pain Questionnaire (MPQ), and Center for
Epidemiological Studies-Depression Scale were used to assess psychological status. All measurements were collected at the initial interview session, at the 6th GIM treatment session, 2 weeks after the last GIM treatment session, and 8 weeks after the last GIM treatment session. Results from the study showed significant decrease in the level of psychological distress as measured by the SCL-90-R and the subjective experience of pain as measured by the Long-Form of the MPQ. Significant improvements in physical measures as assessed by the 50-foot walking speed and joint counts were recorded despite no change in disease activity as assessed by biochemical indicators. As a treatment approach, integrating health, mental imagery and music with emotional expression, GIM appears to be effective in reducing pain and psychological symptoms, improving physical functioning, and, ultimately, in improving the quality of life for those with rheumatoid arthritis.