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A Controlled Evaluation of the Addition of Cognitive Therapy to a Home‐Based Biofeedback and Relaxation Treatment of Vascular Headache
Author(s) -
Blanchard Edward B.,
Appelbaum Kenneth A.,
Nicholson Nancy. L.,
Radnitz Cynthia L.,
Morrill Belinda,
Michultka Denise,
Kirsch Cynthia,
Hillhouse Joel,
Dentinger Mark R
Publication year - 1990
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.1990.hed3006371.x
Subject(s) - migraine , biofeedback , tension headache , vascular headache , medicine , physical therapy , relaxation (psychology) , coping (psychology) , migraine treatment , anesthesia , treatment and control groups , psychology , clinical psychology
SYNOPSIS Seventy‐six patients with vascular (migraine or mixed migraine and tension) headache (HA) participated in a controlled evaluation of a minimal‐therapist‐contact, largely home‐based, treatment program which combined relaxation (R) training with thermal biofeedback (TBF). One group received TBF+R administered in 3 office visit over 8 weeks, supplemented by audio tapes and manuals. A second group received the TBF + R plus instruction in cognitive stress coping techniques, all of which was administered in 5 office visits over 8 weeks. A third group monitored headache activity for 8 weeks. Evaluations, based on 4 weeks of HA diary at pre‐treatment and after treatment, revealed significantly greater reductions in HA activity and medication consumption for both treated groups than the HA monitoring controls who did not change. Significantly more of the treated patients had clinically significant reductions in HA activity than the controls. The two treated groups did not differ on any measure.