A controlled evaluation of the addition of cognitive therapy to a home-based biofeedback and relaxation treatment of vascular headache.

Abstract:

: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.

journal_name

Headache

journal_title

Headache

authors

Blanchard EB,Appelbaum KA,Nicholson NL,Radnitz CL,Morrill B,Michultka D,Kirsch C,Hillhouse J,Dentinger MP

doi

10.1111/j.1526-4610.1990.hed3006371.x

subject

Has Abstract

pub_date

1990-05-01 00:00:00

pages

371-6

issue

6

eissn

0017-8748

issn

1526-4610

journal_volume

30

pub_type

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