Abstract:
:Fourteen patients with posttraumatic headache (PTHA) were treated with a comprehensive treatment package targeting headache symptoms along with associated posttraumatic stress symptoms. Treatment consisted of some or all of the following depending on headache features: thermal biofeedback, electromyography biofeedback targeting the forehead and/or neck muscles, progressive muscle relaxation, education and cognitive-behavioral therapy. Mean improvement for the treatment group was 21%, whereas mean improvement for the wait-list group was--14% indicating a worsening of headache; however, the difference between groups was not statistically significant. There was a significant between groups difference on headache-free days. Within group results were modest with 29% mean improvement by the end of treatment. The reduction in headache index was significant. Minor reductions in psychopathology, most notably anxiety, were found after treatment. This study confirmed the treatment difficulties seen in this understudied population of headache sufferers, but offered hope for symptom relief.
journal_name
Appl Psychophysiol Biofeedbackjournal_title
Applied psychophysiology and biofeedbackauthors
Tatrow K,Blanchard EB,Silverman DJdoi
10.1023/a:1027326808356subject
Has Abstractpub_date
2003-12-01 00:00:00pages
267-78issue
4eissn
1090-0586issn
1573-3270journal_volume
28pub_type
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