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Influence of whole body cryotherapy on depressive symptoms – preliminary report

Published online by Cambridge University Press:  24 June 2014

Joanna Rymaszewska ,
Adam Tulczynski ,
Zdzislaw Zagrobelny ,
Andrzej Kiejna  and
Tomasz Hadrys
Joanna Rymaszewska*
Affiliation:
Department of Psychiatry, Medical University, Wroclaw
Adam Tulczynski
Affiliation:
University School of Physical Education, Faculty of Physiotherapy, Department of Clinical Physiotherapy, Rzezbiarska 4, 51–629 Wroclaw, Poland
Zdzislaw Zagrobelny
Affiliation:
University School of Physical Education, Faculty of Physiotherapy, Department of Clinical Physiotherapy, Rzezbiarska 4, 51–629 Wroclaw, Poland
Andrzej Kiejna
Affiliation:
Department of Psychiatry, Medical University, Wroclaw
Tomasz Hadrys
Affiliation:
Department of Psychiatry, Medical University, Wroclaw
*
Department of Psychiatry, Medical University, Pasteura 10, 50–367 Wroclaw, Poland. Tel: + 48-71-784 15 65; Fax: + 48-71-7841571 E-mail: [email protected]
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Abstract

Background:

Cryotherapy has a long tradition in somatic medicine. Yet we know very little about its impact on psyche and mood disturbances in particular. Therefore there is a real need for scientific investigations into this problem.

Objective:

The study reported here was an initial approach to whole-body cryotherapy (WBCT) as a potential treatment modality for depression and was expected to provide rough data helping to design a future project with extended methodology, larger sample groups and longer follow-up.

Methods:

Twenty-three patients aged 37–70 years gave informed consent to participate in the study. Ten WBCT procedures (160 s, −150°C) were applied within 2 weeks. Participants were recruited from depressed day hospital patients. Antidepressive medication was not ceased. Symptoms were rated at the beginning and end of this intervention using the 21-item Hamilton Depression Rating Scale (HDRS). Changes in scores were analyzed in the group of patients for every item separately as well as for the sum of all items for each patient.

Results:

Almost for each individual HDRS item, the overall score for all patients together was significantly lower after WBCT. This means that all symptoms, except for day–night mood fluctuations, were presumably positively influenced by cryotherapy. The HDRS sum-score for each patient after WBCT was lower than that of the baseline and reached statistical significance in a paired samples t-test. Every patient was therefore considerably relieved after WBCT.

Conclusions:

It appears that WBCT helps in alleviating depression symptoms. Should this be confirmed in the extended study we are currently implementing, WBCT may become an auxiliary treatment in depression.

Keywords

auxiliary treatmentdepressionmood disturbanceswhole body cryotherapy
Type
Research Article
Information
Acta Neuropsychiatrica , Volume 15 , Issue 3 , June 2003 , pp. 122 - 128
Copyright
Copyright © 2003 Blackwell Munksgaard

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References

Nouri, K, Chartier, TK, Eaglstein, Wh, Taylor, JR.Cryotherapy for psoriasis. Arch Dermatol 1997; 133: 1608–1609.CrossRefGoogle ScholarPubMed
Bourke, JF, Berth-Jones, J, Hutchinson, PE.Cryotherapy of common viral warts at intervals of 1, 2 and 3 weeks. Br J Dermatol 1995;132: 433–436.CrossRefGoogle ScholarPubMed
Cook, DK, Georgouras, K.Complications of cutaneous cryotherapy. Med J Australia 1994;161: 210–213. Google ScholarPubMed
Bahn, DK, Lee, F.Cryosurgical ablation therapy for prostate cancer. Arch Italiano Urologia Androl 2000;72: 302–304. Google ScholarPubMed
Chung, MH, Ye, W, Ramming, KP, Bilchik, AJ.Repeat hepatic cryotherapy for metastatic colorectal cancer. J Gastrointest Surg 2001;5: 287–293.CrossRefGoogle ScholarPubMed
Silverman, SG, Tuncali, K, Adams, DF, Vansonnenberg, E, Zou, Kh, Kacher, DF, Morrison, PR, Jolesz, FA.MR imaging-guided percutaneous cryotherapy of liver tumors: initial experience. Radiology 2000;217: 657–664.CrossRefGoogle ScholarPubMed
Seifert, JK, Junginger, T, Morris, DL.A collective review of the world literature on hepatic cryotherapy. J Roy Coll Surg Edin 1998;43: 141–154. Google ScholarPubMed
Quinn, GE, Dobson, V, Siatkowski, R, Hardy, RJ, Kivlin, J, Palmer, EA, Phelps, DL, Repka, MX, Summers, CG, Tung, B, Chan, W.Cryotherapy for retinopathy of prematurity cooperative group. Does cryotherapy affect refractive error? Results from treated versus control eyes in the cryotherapy for retinopathy of prematurity trial. Ophthalmology 2001;108: 343–347.CrossRefGoogle Scholar
Yamauchi, T.Whole body cryotherapy is method of extreme cold −175°C treatment, initially used for reumathoid artritis. Z Phys Medical Baln Klim 1986;19: 311.Google Scholar
Bialy, D, Zimmer, K, Zabrobelny, Z.Cryogenic chamber – advantages, application in physiotherapy – own experience. Acta Bio-Optica Informatica Med 1998;4: 169–171. Google Scholar
MacAuley, DC.Ice therapy: how good is the evidence? Int J Sports Med 2001;22: 379–384.Google Scholar
Metzger, D, Zwingmann, C, Protz, W, Jackel, WH.Whole-body cryotherapy in rehabilitation of patients with rheumatoid diseases – pilot study. Rehabilitation 2000;39: 93–100.CrossRefGoogle ScholarPubMed
Swenson, C, Sward, L, Karlsson, J.Cryotherapy in sports medicine. Scand J Med Sci Spor 1996;6: 193–200. CrossRefGoogle ScholarPubMed
McDowell, Jh, McFarland, EG, Nalli, BJ.Use of cryotherapy for orthopaedic patients. Orthopaedic Nursing 1994;13: 21–30. CrossRefGoogle ScholarPubMed
Bell, GW.Aquatic sports massage therapy. Clin Sports Med 1999;18: 427–435.CrossRefGoogle ScholarPubMed
Gregorowicz, H, Zagrobelny, Z.Whole body cryotherapy – indications and contraindications, the procedure and its clinical and physiological effects. Acta Bio-Optica Informatica Med 1998;4: 119–131. Google Scholar
Zagrobelny, Z, Zimmer, K.Cryogenic temperatures application in sports medicine and physiotherapy. Sports Med 1999;94: 8–13. Google Scholar
Bauer, J, Skrzek, A.Physiological basis of cryotherapy. Sports Med 1999;94: 3–6. Google Scholar
Zagrobelny, Z, Halawa, B, Jezierski Cz Wawrowska, A.Effect of a single cooling of the entire body in the cryogenic chamber on selected hemodynamic parameters and blood serum hormone levels in healty subjects. Pol Tyg Lek 1993;14–15: 303–305. Google Scholar
Kelly, CB, Cooper, SJ.Differences and variability in plasma noradrenaline between depressive and anxiety disorders. J Psychopharmacol 1998;12: 161–167.CrossRefGoogle ScholarPubMed
Rymaszewska, J, Bialy, D, Zagrobelny, Z, Kiejna, A.The influence of wholebody cryotherapy on mental health. Psychiatr Pol 2000;4: 649–653. Google Scholar
Schroder, D, Anderson, M. Kryo- und Thermotherapie. Grundlagen und praktische Anwendung. Stuttgart: Gustav Fischer Verlag 1995. Google Scholar