Abstract
In order to test for the specific therapeutic effects of thermal biofeedback (TBF) for hand warming on vascular headache (HA), 70 patients with chronic vascular HA were randomly assigned to TBF for hand warming, TBF for hand cooling, TBF for stabilization of hand temperature, or biofeedback to suppress alpha in the EEG. Patients in each condition initially had high levels of expectation of therapeutic benefit and found the treatment rationales highly credible. Participants in each condition received 12 treatment sessions on a twice-per-week basis. Based on daily HA diary data gathered for 4 weeks prior to treatment and 4 weeks after treatment, HA Index was significantly (p=.003) reduced as was HA medication consumption. There were no differential reducations in HA Index or Medication Index among the four conditions. Global self-reports of improvement gathered at the end of the post-treatment monitoring period also did not differ among the four conditions. We were unable to demonstrate a specific effect of TBF for hand warming on vascular HA activity.
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References
Andrasik, F., & Holroyd, K. A. (1980). A test of specific and nonspecific effects in the biofeedback treatment of tension headache.Journal of Consulting and Clinical Psychology, 48, 575–586.
Blanchard, E. B. (1992). Psychological treatment of benign headache disorders.Journal of Consulting and Clinical Psychology, 60, 537–551.
Blanchard, E. B. (1993). Behavioral therapies in the treatment of headache.Headache Quarterly, 3, 53–56.
Blanchard, E. B. (1995). Biofeedback and its role in the treatment of pain. InProceedings of NIH Technology Assessment Conference: Integration of behavioral and relaxation approaches into the treatment of chronic pain and insomnia, NIH Washington, DC, pp. 33–38.
Blanchard, E. B., & Andrasik, F. (1985).Management of Chronic Headache: A Psychological approach. Elmsford, NY: Pergamon Press.
Blanchard, E. B., Andrasik, F., Neff, D. F., Saunders, N. L., Arena, J. G., Pallmeyer, T. P., Teders, S. J., Jurish, S. E., & Rodichok, L. D. (1983). Four process studies in the behavioral treatment of chronic headache.Behaviour Research and Therapy, 21, 209–220.
Blanchard, E. B., Appelbaum, K. A., Nicholson, N. L., Radnitz, C. L., Morrill, B., Michultka, D., Kirsch, C., Hillhouse, J., & Dentinger, M. P. (1990). A controlled evaluation of the addition of cognitive therapy to a home-based biofeedback and relaxation treatment of vascular headache.Headache, 30, 371–376.
Blanchard, E. B., & Diamond, S. (1996). Psychological treatment of benign headache disorders.Professional Psychology: Research and Practice, 27, 541–547.
Blanchard, E. B., Kim, M., Hermann, C., Steffek, B. D., Nicholson, N. L. & Taylor, A. E. (1994). The role of perception of success in the thermal biofeedback treatment of vascular headache.Headache Quarterly, 5, 231–236.
Blanchard, E. B., Nicholson, N. L., Radnitz, C. L., Steffek, B. D., Appelbaum, K. A., & Dentinger, M. P. (1991). The role of home practice in thermal biofeedback.Journal of Consulting and Clinical Psychology, 59, 507–512.
Blanchard, E. B., & Schawrz, S. P. (1988). Clinically significant changes in behavioral medicine.Behavioral Assessment, 10, 171–188.
Cohen, J. (1977).Statistical power analysis for the behavioral sciences, 2nd Edition. NY: Academic Press.
Gauthier, J., Bois, R., Allaire, D., & Drolet, M. (1981). Evaluation of skin temperature biofeedback training at two different sites for migraine.Journal of Behavioral Medicine, 4, 407–419.
Gauthier, J., Cote, G., & French, D. (1994). The role of home practice in the thermal biofeedback treatment of migraine headache.Journal of Consulting and Clinical Psychology, 62, 180–184.
Holroyd, K. A., Penzien, D. B., Hursey, K. G., Tobin, D. L., Rogers, L., Holm, J. E., Marcille, P. J., Hall, J. R., & Chila, A. G. (1984). Change mechanisms in EMG biofeedback training: Cognitive changes underlying improvements in tension headache.Journal of Consulting and Clinical Psychology, 52, 1039–1053.
Kewman, D., & Roberts, A. H. (1980). Skin temperature biofeedback and migraine headache: A double-blind study.Biofeedback and Self-Regulation, 5, 327–345.
Largen, J. W., Mathew, R. J., Dobbins, K., & Claghorn, J. L. (1981). Specific and non-specific effects of skin temperature control and migraine management.Headache, 21, 36–44.
Sargent, J. D., Green, E. E., & Walters, E. D. (1973). Preliminary report on the use of autogenic feedback training in the treatment of migraine and tension headaches.Psychosomatic Medicine, 35, 129–135.
Schwartz, M. S. (1987).Biofeedback: A Practitioner’s Guide. NY: Guilford.
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Blanchard, E.B., Peters, M.L., Hermann, C. et al. Direction of temperature control in the thermal biofeedback treatment of vascular headache. Appl Psychophysiol Biofeed 22, 227–245 (1997). https://doi.org/10.1007/BF02438978
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DOI: https://doi.org/10.1007/BF02438978