Treatment integrity of relaxation training for tension headaches

Treatment integrity procedures, generally lacking in previous research, were employed for evaluation of relaxation training for tension headaches. Treatment integrity is the extent to which the therapist implements the relaxation procedure as describe, and the degree to which the patients comply wit...

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Bibliographic Details
Published in:Journal of behavior therapy and experimental psychiatry 1992-09, Vol.23 (3), p.191-198
Main Authors: Gutkin, Alan J., Holborn, Stephen W., Walker, John R., Anderson, Brian A.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Education
Female
Headache - therapy
Humans
Male
Medical sciences
Patient Compliance
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Relaxation Therapy
Relaxation. Biofeedback. Hypnosis. Selfregulation. Meditation
Reproducibility of Results
Treatments
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Summary:Treatment integrity procedures, generally lacking in previous research, were employed for evaluation of relaxation training for tension headaches. Treatment integrity is the extent to which the therapist implements the relaxation procedure as describe, and the degree to which the patients comply with the therapist's instructions. Objective compliance with the home practice of relaxation training was assessed using a microcomputer-based method which required the patient to squeeze a hand control when instructed to tense a muscle. A single-case replication design with three tension headache patients was used. The dependent variables were taken from patients' self-reported daily headache data. Results indicate that: (a) the therapist accurately adhered to the relaxation training protocol; (b) headache frequency decreased in all patients from baseline to 1-year follow-up (improvements ranged from 72.7% to 98.2%); and (c) improvement was greater with higher compliance.
ISSN:0005-7916
1873-7943
DOI:10.1016/0005-7916(92)90036-I