Abstract
While biofeedback is being used extensively in the clinic and the laboratory, a great deal of variability exists among biofeedback users with respect to instrumentation, treatment protocols, techniques of data acquisition, and methods of data analysis. It is argued that the use of computers in biofeedback will help reduce some of this variability. Other advantages of computers in biofeedback are discussed. Several presently available automated systems are reviewed. Implications for future biofeedback research are also discussed.
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Hart, J. T.Autocontrol of EEG alpha. Paper presented at the meeting of the Society of Psychophysiological Research, San Diego, October 1967.
Ancoli, S., & Kamiya, J.Methodological issues in alpha feedback training. Paper presented at the meeting of the Biofeedback Society of America, Orlando, Florida, 1977.
Feldman, H. A., Billingham, K. A., Kolotkin, R. L., & Gots Bloch, L.An innovative approach to the behavioral evaluation and management of headache. Paper presented to the Association for the Advancement of Behavior Therapy, San Francisco, December 1979.
Konowe, L.A multi-parameter computerized approach to biofeedback training. Paper presented at the meeting of the World Congress on Behavior Therapy, Jerusalem, Israel, July 1980.
Butcher, J., Clavelle, P., & Hoffman, N.Clinical limitations of MMPI short forms and a strategy for developing a tailor-made MMPI short form. Paper presented at the 82nd Annual Convention of the American Psychological Association, New Orleans, September 1974.
References
Adler, C. S., &Adler, J. M. Biofeedback psychotherapy for the treatment of headache: A 5-year follow up.Headache, 1976,16, 189–191.
Alexander, A. B. An experimental test of assumptions relating to the use of electromyographic biofeedback as a general relaxation training technique.Psychophysiology, 1975,12, 656–662.
Alexander, A. B., French, C. A., &Goodman, N. A comparison of auditory and visual feedback in biofeedback assisted muscular relaxation training.Psychophysiology, 1975,12, 119–123.
Alexander, A. B., &Smith, D. C. Clinical applications of EMG biofeedback. In R. J. Gatchel & K. P. Price (Eds.),Clinical applications of biofeedback: Appraisal and status. New York: Pergamon Press, 1979.
Bakal, D. A., &Kaganov, J. A. Muscle contraction and migraine headache: Psychophysiologic comparison.Headache, 1977,17, 208–215.
Beatty, J. Effects of initial alpha wave abundance and operant training procedures on occipital alpha and beta wave activity.Psychonomic Science, 1971,23, 197–199.
Bihldorff, J. P., King, S. H., &Parnes, L. R. Psychological factors in headache.Headache, 1971,11, 117–127.
Biskin, B. H., &Kolotkin, R. L. Effects of computerized administration on scores on the Minnesota Multiphasic Personality Inventory.Applied Psychological Measurement, 1977,1, 543–549.
Blanchard, E. B., &Epstein, L. H.A biofeedback primer. Reading, Mass: Addison-Wesley, 1978.
Blanchard, E. B., &Young, L. D. Relative efficacy of visual and auditory feedback for self-control of heart rate.Journal of General Psychology, 1972,87, 195–202.
Blanchard, E. B., Young, L. D., &Haynes, M. R. A single feedback system for the treatment of elevated blood pressure.Behavior Therapy, 1975,6, 241–245.
Bouchard, M. A., &Granger, L. The role of instructions versus instructions plus feedback in voluntary heart rate slowing.Psychophysiotogy, 1977,14, 475–482.
Brener, J., Kleinman, R. A., &Goesling, W. J. The effects of different exposures to augmented sensory feedback on the control of heart rate.Psychophysiotogy, 1969,5, 510–516.
Budzynski, T. H., &Stoyva, J. M. An instrument for producing deep muscle relaxation by means of analog information feedback.Journal of Applied Behavior Analysis, 1969,2, 231–237.
Budzynski, T. H., &Stoyva, J. An electromyographic feedback technique for teaching voluntary relaxation of the masseter muscle.Journal of Dental Research, 1973,52, 116–119.
Budzynski, T., Stoyva, J., &Adler, C. Feedback-induced muscle relaxation: Application to tension headache.Journal of Behavior Therapy and Experimental Psychiatry, 1970,1, 205–211.
Budzynski, T. H., Stoyva, J. M., Adler, C. S., &Mullaney, D. J. EMG biofeedback and tension headache: A controlled outcome study.Psychosomatic Medicine, 1973,35, 484–496.
Canter, A., Kondo, C. Y., &Knott, J. R. A comparison of EMG feedback and progressive muscle relaxation training in anxiety neurosis.British Journal of Psychiatry, 1975,127, 470–477.
Castellan, N. J. The modern minicomputer in laboratory automation.American Psychologist, 1975,30, 205–211.
Chesney, M. A., &Shelton, J. L. A comparison of muscle relaxation and electromyogram biofeedback treatments for muscle contraction headache.Journal of Behavior Therapy and Experimental Psychiatry, 1976,7, 221–225.
Cohen, B. A. Basic biofeedback electronics for the clinician. In J. V. Basmajian (Eds.),Biofeedback: Principles and practice for clinicians. Baltimore, Md: Williams & Wilkins, 1979.
Cox, D. J., Freundlich, A., &Meyer, R. G. Differential effectiveness of EMG feedback, verbal relaxation instructions, and medication placebo with tension headaches.Journal of Consulting and Clinical Psychology, 1975,43, 892–898.
Crider, A., Shapiro, D., &Tursky, B. Reinforcement of spontaneous electrodermal activity.Journal of Comparative and Physiological Psychology, 1966,61, 20–27.
Crosson, B., Meinz, R., Laur, E., Williams, D., &Andreychuk, T. EEG alpha training, hypnotic sussceptibility, and baseline techniques.International Journal of Clinical and Experimental Hypnosis, 1977,25, 348–360.
Daniels, L. K. Treatment of migraine headache by hypnosis and behavior therapy: A case study.American Journal of Clinical Hypnosis, 1977,19, 241–244.
Epstein, L. H., Abel, G. G., Collins, F., Parker, L., &Cinciripini, P. M. The relationship between frontalis muscle activity and self-reports of headache pain.Behavior Research and Therapy, 1978,16, 153–160.
Fuller, G. D. Current status of biofeedback in clinical practice.American Psychologist, 1978,33, 39–48.
Gaarder, K. R., &Montgomery, P.Clinical biofeedback: A procedural manual. Baltimore, Md: Williams & Wilkins, 1977.
Geddes, L. A.Electrodes and the measurement of bioelectric events. New York: Wiley, 1972.
Gessel, A. H. Electromyographic biofeedback and tricyclic antidepressants in myofacial pain-dysfunction syndrome: Psychological predictors of outcome.Journal of the American Dental Association, 1975,91, 1048–1052.
Girdano, D. A. Buying biofeedback. In T. X. Barber, L. V. DiCara, J. Kamiya, N. E. Miller, D. Shapiro, & J. Stoyva (Eds.),Biofeedback and self-control. Chicago: Aldine, 1976.
Glickstein, M. Temporal patterns of cardiovascular response.Archives of General Psychiatry, 1960,2, 12–21.
Hardt, J. V., &Kamiya, J. Conflicting results in EEG alpha feedback studies: Why amplitude integration should replace percent time.Biofeedback and self-regulation, 1976,1, 63–75.
Hnatiow, M., &Lang, P. J. Learned stabilization of cardiac rate.Psychophysiotogy, 1965,1, 330–336.
Johnson, W. G., &Turin, A. Biofeedback treatment of migraine headache: A systematic case study.Behavior Therapy, 1975,6, 394–397.
Katkin, E. S., &Goldband, S. The placebo effect and biofeedback. In R. J. Gatchel & K. P. Price (Eds.),Clinical applications of biofeedback: Appraisal and status. New York: Pergamon Press, 1979.
Keefe, F. J. Biofeedback vs. instructional control of skin temperature.Journal of Behavioral Medicine, 1978,1, 383–390.
Keefe, F. J., &Gardner, E. T. Learned control of skin temperature: Effects of short- and long-term biofeedback training.Behavior Therapy, 1979,10, 202–210.
Kiesler, D. J. Some myths of psychotherapy research and the search for a paradigm.Psychological Bulletin, 1966,65, 110–136.
Kinsman, R. A., &Staudenmayer, H. Baseline levels in muscle relaxation training.Biofeedback and Self-Regulation, 1978,3, 97–104.
Kleinmuntz, B., &McLean, R. Diagnostic interviewing by digital computer.Behavioral Science, 1968,13, 75–80.
Lang, P. J. Behavioral treatment and bio-behavioral assessment: Computer applications. In J. B. Sidowski, J. H. Johnson, & T. A. Williams (Eds.),Technology in mental health care delivery systems. Norwood, N.J: Ablex, 1980.
Lang, P. J., Troyer, W. G., Twentyman, C. T., &Gatchel, R. J. Differential effects of heart rate modification training on college students, older males, and patients with ischemic heart disease.Psychosomatic Medicine, 1975,37, 429–446.
Lang, P. J., &Twentyman, C. T. Learning to control heart rate: Effects of varying incentive and criterion of success on task performance.Psychophysiotogy, 1976,13, 378–385.
Lazarus, R. S. A cognitive analysis of biofeedback control. In G. E. Schwartz & J. Beatty (Eds.),Biofeedback theory and research. New York: Academic Press, 1977.
Leaf, W. B., &Gaarder, K. R. A simplified electromyographic feedback apparatus for relaxation training.Journal of Behavior Therapy and Experimental Psychiatry, 1971,2, 39–43.
Legewie, H., &Probst, W. On-line analysis of EEG with a small computer (period-amplitude analysis).Electroencephalography and Clinical Neurophysiology, 1969,27, 533–535.
Lutker, E. Treatment of migraine headache by conditioned relaxation: A case study.Behavior Therapy, 1971,2, 592–593.
McCanne, T. R., &Sandman, C. A. Determinants of human operant heart rate conditioning: A systematic investigation of several methodological issues.Journal of Comparative and Physiological Psychology, 1975,88, 609–618.
Medina, J. L., Diamond, S., &Franklin, M. A. Biofeedback therapy for migraine.Headache, 1976,16, 115–118.
Montgomery, L. D., &Williams, B. A. Effect of ambient temperature on the thermal profile of the human forearm, hand, and fingers.Annals of Biomedical Engineering, 1976,4, 209–219.
Nowlis, D. P., &Kamiya, J. The control of electroencephalographic alpha rhythms through auditory feedback and the associated mental activity.Psychophysiotogy, 1970,6, 476–484.
Paskewitz, D. A. Biofeedback instrumentation: Soldering closed the loop.American Psychologist, 1975,30, 371–378.
Patewicz, E. P. “Cephalgic” spasm of head and neck muscles.Headache, 1976,16, 261–266.
Peffer, K. E. Equipment needs for the psychotherapist. In J. V. Basmajian (Ed.),Biofeedback: Principles and practice for clinicians. Baltimore, Md: Williams & Wilkins, 1979.
Phillips, C. The modification of tension headache pain using EMG biofeedback.Behavior Research and Therapy, 1977,15, 119–129.
Pope, A. T., &Gersten, C. D. Computer automation of biofeedback training.Behavior Research Methods & Instrumentation, 1977,9, 164–168.
Price, K. P. The application of behavior therapy to the treatment of psychosomatic disorders.Psychotherapy: Theory, Research and Practice, 1974,11, 138–155.
Price, K. P., &Gatchel, R. J. A perspective on clinical biofeedback. In R. J. Gatchel & K. P. Price (Eds.),Clinical applications of biofeedback: Appraisal and status. New York: Pergamon Press, 1979.
Price, K. P. &Tursky, B. Vascular reactivity of migraineurs and nonmigraineurs: A comparison of responses to self-control procedures.Headache, 1976,16, 210–217.
Raskin, M., Johnson, G., &Rondestvedt, J. W. Chronic anxiety treated by feedback-induced muscle relaxation.Archives of General Psychiatry, 1973,28, 263–267.
Roemer, R. A. Some interactive computer applications in a physiological psychology laboratory.American Psychologist, 1975,30, 295–298.
Rugh, J. D. Instrumentation in biofeedback. In R. J. Gatchel & K. P. Price (Eds.),Clinical applications of biofeedback: Appraisal and status. New York: Pergamon Press, 1979.
Rugh, J. D., &Schwitzgebel, R. L. Variability in commercial electromyographic biofeedback devices.Behavior Research Methods & Instrumentation, 1977,9, 281–285.
Sargent, J., Green, E., &Walters, D. The use of autogenic feedback training in a pilot study of migraine and tension headache.Headache, 1972,12, 120–125.
Schedivy, D. I., &Kleinman, K. M. Lack of correlation between frontalis EMG and either neck EMG or verbal ratings of tension.Psychophysiology, 1977,14, 182–186.
Schwartz, G. E. Biofeedback as therapy: Some theoretical and practical issues.American Psychologist, 1973,28, 666–673.
Schwitzgebel, R. L., &Rugh, J. D. Of bread, circuses and alpha machines.American Psychologist, 1975,30, 361–370.
Shapiro, D., Schwartz, G. E., Shnidman, S., Nelson, S., &Silverman, S. Operant control of fear-related electrodermal responses in snake-phobic subjects.Psychophysiology, 1972,9, 271.
Shapiro, D., Tursky, B., &Schwartz, G. E. Differentiation of heart rate and systolic blood pressure in man by operant conditioning.Psychosomatic Medicine, 1970,32, 417–423.
Silver, B. V., &Blanchard, E. B. Biofeedback and relaxation training in the treatment of psychophysiological disorders: Or are the machines really necessary?Journal of Behavioral Medicine, 1978,1, 217–239.
Surwit, R. S. Biofeedback: A possible treatment for Raynaud’s disease. In L. Bird (Ed.),Biofeedback: Behavioral medicine. New York: GruneA Stratton, 1973.
Surwit, R. S., &Keefe, F. J. Frontalis EMG training: An electronic panacea?Behavior Therapy, 1978,9, 779–792.
Thompson, J. G., Griebstein, M. G., &Kuhlenschmidt, S. L. Effects of EMG biofeedback training in the prevention of academic underachievement.Journal of Counseling Psychology, 1980,27, 97–106.
Townsend, R. E., House, J. F., &Addario, D. A comparison of biofeedback-mediated relaxation and group therapy in the treatment of chronic anxiety.American Journal of Psychiatry, 1975,132, 598–601.
Travis, T. A., Kondo, C. Y., &Knott, J. R. Parameters of eyes-closed alpha enhancement.Psychophysiology, 1974,11, 674–681.
Tursky, B. Biofeedback research methodology: Need for an effective change. In R. J. Gatchel & K. P. Price (Eds.),Clinical applications of biofeedback: Appraisal and status. New York: Pergamon Press, 1979.
Weiss, B.Digital computers in the behavioral laboratory. New York: Appleton-Century-Crofts, 1973.
Weiss, D. J. (Ed.).Computerized adaptive trait measurement: Problems and prospects (Research Report 75-5). Minneapolis: University of Minnesota, Department of Psychology, November 1975. (NTISNo. AD-018675)
Yates, A. J.Biofeedback and the modification of behavior. New York: Plenum, 1980.
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Kolotkin, R.L., Billingham, K.A. & Feldman, H.S. Computers in biofeedback research and therapy. Behavior Research Methods & Instrumentation 13, 532–542 (1981). https://doi.org/10.3758/BF03202063
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DOI: https://doi.org/10.3758/BF03202063