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Notes
- 1.
Adapted from Kroenke et al., 2002, p. 266.
- 2.
Instructions for diaphragmatic breathing can be provided verbally to patients and/or recorded on CD so that patients can practice outside of the session.
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Appendices
Appendix A1
Appendix B2
Instructions for Diaphragmatic Breathing
-
1.
Sit comfortably in a chair with your feet flat on the ground.
-
2.
Put one hand on your stomach.
-
3.
Slowly inhale through your nose.
-
4.
As you inhale, feel your stomach expand with your hand. If your chest expands, try to focus your next breath so that your stomach expands instead.
-
5.
Take slow, deep breaths and continue to feel your stomach expand until it becomes natural.
-
6.
Once you have perfected breathing with your stomach, focus your breathing so that it follows the following three steps:
-
a.
a. Inhale for a count of two seconds.
-
b.
b. Hold your breath for two seconds.
-
c.
c. Exhale for a count of two seconds.
-
a.
-
7.
Repeat for 1–5 minutes.
Appendix C: Self-Report Rating Scale – Relaxation
Instructions: Please use the following scale to rate your current level of relaxation – circle 1 to indicate that you feel extremely relaxed (e.g., like a wet noodle); circle 5 to indicate that you feel extremely stressed (e.g., stiff as a board).
1 2 3 4 5
“Wet noodle” “ Stiff as a board”
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Cucciare, M.A., Lillis, J. (2008). Somatization in Primary Care. In: James, L.C., O’Donohue, W.T. (eds) The Primary Care Toolkit. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78971-2_20
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