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Temperature Biofeedback in the Treatment of Migraine Headaches: A Controlled Evaluation

Temperature Biofeedback in the Treatment of Migraine Headaches: A Controlled Evaluation Abstract • After an Initial four-week baseline phase, during which daily records of headache frequency and Intensity and dally medication records were kept, 30 patients with frequent (at least one per month) migraine headaches were randomly assigned to three conditions: (1) temperature biofeedback, autogenic training, and regular home practice; (2) progressive relaxation with regular home practice; and (3) a waiting-list control condition. Comparisons of headache data from the four weeks of baseline and last two weeks of treatment showed that both the relaxation and biofeedback groups improved significantly on total headache activity, duration of headaches, and peak headache intensity and reduced consumption of analgesic medication, while the waiting list control group did not. All three groups showed significant decreases in headache frequency. Although the relaxation training was more effective than biofeedback training at the last week of treatment, follow-up data at one, two, and three months showed no differences between the two treated groups on any dependent measure. References 1. Sargent JD, Green EE, Walters ED: The use of autogenic feedback training in a pilot study of migraine and tension headaches . Headache 12:120-125, 1972.Crossref 2. Sargent JD, Green EE, Walters ED: Preliminary report on the use of autogenic feedback training in the treatment of migraine and tension headaches . Psychosom Med 35:129-135, 1973.Crossref 3. Wickramaskera I: Temperature feedback for the control of migraine . J Behav Ther Exp Psychiatry 4:343-345, 1973.Crossref 4. Johnson WG, Turin A: Biofeedback treatment of migraine headache: A systematic case study . Behav Ther 6:394-397, 1975.Crossref 5. Turin A, Johnson WG: Biofeedback therapy for migraine headaches . Arch Gen Psychiatry 33:517-519, 1976.Crossref 6. Schultz JH, Luthe W: Autogenic Training . New York, Grune & Stratton Inc, 1968, vol 1. 7. Blanchard EB, Young LD: Clinical applications of biofeedback training: A review of evidence . Arch Gen Psychiatry 30:530-589, 1974. 8. Blanchard EB, Epstein LN: Clinical applications of biofeedback , in Hersen M, Eisler RM, Miller PM (eds): Progress in Behavior Modification . New York, Academic Press Inc, 1977, vol 4. 9. Epstein LH, Abel GG: An analysis of biofeedback training effects for tension headache patients . Behav Ther 8:37-47, 1977.Crossref 10. Budzynski T, Stoyva J, Adler C: Feedback-induced muscle relaxation: Application to tension headache . J Behav Ther Exp Psychiatry 1:205-211, 1970.Crossref 11. Paul GL: Behavior modification research: Design and tactics , in Franks CM (ed): Behavior Therapy: Appraisal and Status . New York, McGraw-Hill Book Co Inc, 1969. 12. Mitchell KR, Mitchell DM: Migraine: An exploratory treatment application of programmed behavior therapy techniques . J Psychosom Res 15:137-157, 1971.Crossref 13. Lutker ER: Treatment of migraine headache by conditioned relaxation: A case study . Behav Ther 2:592-593, 1971.Crossref 14. Paul GL: Insight vs Densensitization in Psychotherapy: An Experiment in Anxiety Reduction . Stanford, Calif, Stanford University Press, 1966. 15. Jacobson E: Progressive Relaxation . Chicago, University of Chicago Press, 1939. 16. Cox DJ, Freundlich A, Meyer RG: Differential effectiveness of electromyograph feedback, verbal relaxation instructions, and medication placebo with tension headaches . J Consult Clin Psychol 43:892-899, 1975.Crossref 17. Chesney MA, Shelton JL: A comparison of muscle relaxation and electromyogram biofeedback treatments for muscle contraction headache . J Behav Ther Exp Psychiatry 7:221-225, 1976.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Temperature Biofeedback in the Treatment of Migraine Headaches: A Controlled Evaluation

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Publisher
American Medical Association
Copyright
Copyright © 1978 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1978.01770290063006
Publisher site
See Article on Publisher Site

Abstract

Abstract • After an Initial four-week baseline phase, during which daily records of headache frequency and Intensity and dally medication records were kept, 30 patients with frequent (at least one per month) migraine headaches were randomly assigned to three conditions: (1) temperature biofeedback, autogenic training, and regular home practice; (2) progressive relaxation with regular home practice; and (3) a waiting-list control condition. Comparisons of headache data from the four weeks of baseline and last two weeks of treatment showed that both the relaxation and biofeedback groups improved significantly on total headache activity, duration of headaches, and peak headache intensity and reduced consumption of analgesic medication, while the waiting list control group did not. All three groups showed significant decreases in headache frequency. Although the relaxation training was more effective than biofeedback training at the last week of treatment, follow-up data at one, two, and three months showed no differences between the two treated groups on any dependent measure. References 1. Sargent JD, Green EE, Walters ED: The use of autogenic feedback training in a pilot study of migraine and tension headaches . Headache 12:120-125, 1972.Crossref 2. Sargent JD, Green EE, Walters ED: Preliminary report on the use of autogenic feedback training in the treatment of migraine and tension headaches . Psychosom Med 35:129-135, 1973.Crossref 3. Wickramaskera I: Temperature feedback for the control of migraine . J Behav Ther Exp Psychiatry 4:343-345, 1973.Crossref 4. Johnson WG, Turin A: Biofeedback treatment of migraine headache: A systematic case study . Behav Ther 6:394-397, 1975.Crossref 5. Turin A, Johnson WG: Biofeedback therapy for migraine headaches . Arch Gen Psychiatry 33:517-519, 1976.Crossref 6. Schultz JH, Luthe W: Autogenic Training . New York, Grune & Stratton Inc, 1968, vol 1. 7. Blanchard EB, Young LD: Clinical applications of biofeedback training: A review of evidence . Arch Gen Psychiatry 30:530-589, 1974. 8. Blanchard EB, Epstein LN: Clinical applications of biofeedback , in Hersen M, Eisler RM, Miller PM (eds): Progress in Behavior Modification . New York, Academic Press Inc, 1977, vol 4. 9. Epstein LH, Abel GG: An analysis of biofeedback training effects for tension headache patients . Behav Ther 8:37-47, 1977.Crossref 10. Budzynski T, Stoyva J, Adler C: Feedback-induced muscle relaxation: Application to tension headache . J Behav Ther Exp Psychiatry 1:205-211, 1970.Crossref 11. Paul GL: Behavior modification research: Design and tactics , in Franks CM (ed): Behavior Therapy: Appraisal and Status . New York, McGraw-Hill Book Co Inc, 1969. 12. Mitchell KR, Mitchell DM: Migraine: An exploratory treatment application of programmed behavior therapy techniques . J Psychosom Res 15:137-157, 1971.Crossref 13. Lutker ER: Treatment of migraine headache by conditioned relaxation: A case study . Behav Ther 2:592-593, 1971.Crossref 14. Paul GL: Insight vs Densensitization in Psychotherapy: An Experiment in Anxiety Reduction . Stanford, Calif, Stanford University Press, 1966. 15. Jacobson E: Progressive Relaxation . Chicago, University of Chicago Press, 1939. 16. Cox DJ, Freundlich A, Meyer RG: Differential effectiveness of electromyograph feedback, verbal relaxation instructions, and medication placebo with tension headaches . J Consult Clin Psychol 43:892-899, 1975.Crossref 17. Chesney MA, Shelton JL: A comparison of muscle relaxation and electromyogram biofeedback treatments for muscle contraction headache . J Behav Ther Exp Psychiatry 7:221-225, 1976.Crossref

Journal

Archives of General PsychiatryAmerican Medical Association

Published: May 1, 1978

References