A Controlled Evaluation of Thermal Biofeedback and Thermal Biofeedback Combined With Cognitive Therapy in the Treatment of Vascular Headache

One-hundred-sixteen patients suffering from vascular headache (migraine or combined migraine and tension) were, after 4 weeks of pretreatment baseline headache monitoring, randomly assigned to one of four conditions: (a) thermal biofeedback with adjunctive relaxation training (TBF); (b) TBF plus cog...

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Bibliographic Details
Published in:Journal of consulting and clinical psychology 1990-04, Vol.58 (2), p.216-224
Main Authors: Blanchard, Edward B, Appelbaum, Kenneth A, Radnitz, Cynthia L, Morrill, Belinda, Michultka, Denise, Kirsch, Cynthia, Guarnieri, Patricia, Hillhouse, Joel, Evans, Donald D, Jaccard, James, Barron, Kevin D
Format: Article
Language:English
Subjects:
Adult
Aged
Biofeedback Training
Biofeedback, Psychology
Cognitive Behavioral Therapy - methods
Cognitive Therapy
Combined Modality Therapy
Female
Follow-Up Studies
Headaches
Human
Humans
Male
Middle Aged
Migraine Disorders - therapy
Migraine Headache
Monitoring
Muscle Contraction Headache
Placebo
Psychology
Randomized Controlled Trials as Topic
Relaxation Therapy
Skin Temperature
Therapy
Vascular Headaches - therapy
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Summary:One-hundred-sixteen patients suffering from vascular headache (migraine or combined migraine and tension) were, after 4 weeks of pretreatment baseline headache monitoring, randomly assigned to one of four conditions: (a) thermal biofeedback with adjunctive relaxation training (TBF); (b) TBF plus cognitive therapy; (c) pseudomeditation as an ostensible attention-placebo control; or (d) headache monitoring. The first three groups received 16 individual sessions over 8 weeks, while the fourth group continued to monitor headaches. All groups then monitored headaches for a 4-week posttreatment baseline. Analyses revealed that all treated groups improved significantly more than the headache monitoring group with no significant differences among the three treated groups. On a measure of clinically significant improvement, the two TBF groups had slightly higher (51%) degree of improvement than the meditation group (37.5%). It is argued that the attention-placebo control became an active relaxation condition.
ISSN:0022-006X
1939-2117
DOI:10.1037/0022-006X.58.2.216