A controlled comparison of thermal biofeedback and relaxation training in the treatment of essential hypertension: I. Short-term and long-term outcome

Blanchard, Edward B.; McCoy, Guy C.; Musso, Alison; Gerardi, Maryrose; Pallmeyer, Thomas P.; Gerardi, Robert J.; Cotch, Patricia A.; Siracusa, Karen; Andrasik, Frank

doi:10.1016/s0005-7894(86)80095-8

Cited by 54 publications

(19 citation statements)

References 9 publications

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“…Throughout the studies on behavioral treatment of hypertension, it is evident that not all patients respond favorably to treatment (3,4,10,11). Identification of the characteristics of treatment successes and treatment failures is necessary to improve the efficiency and cost effectiveness of behavioral treatments, particularly of clinic-based relaxation or biofeedback treatments which tend to be therapist intensive.…”

Section: Discussionmentioning

confidence: 99%

“…Behavioral treatment for essential hypertension has been found useful in controlling blood pressure (BP) in mild hypertensives (1) or as an adjunct to pharmacotherapy in moderate hypertensives (2,3). In particular, biofeedback-assisted relaxation has been associated with both acute and long-term decreases in BP (4).…”

Section: Introductionmentioning

confidence: 99%

“…Despite these interesting results, not all patients respond to behavioral treatment with a reduction in BP, whether the treatment consists of relaxation training alone, biofeedback alone, or biofeedback-assisted relaxation (3,4). In addition, some hypertensives respond to repeated BP monitoring alone with a significant decrease in BP (8).…”

Section: Introductionmentioning

confidence: 99%

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Prediction of response to biofeedback-assisted relaxation in hypertensives: development of a Hypertensive Predictor Profile (HYPP).

McGrady

Higgins²

1989

Psychosomatic Medicine

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A group of hypertensive patients who participated in a biofeedback-assisted relaxation program were divided into treatment successes and treatment failures based on the change in their blood pressure. Multiple regression analysis was used to characterize the successes and failures and to develop a hypertensive predictor profile. Hypertensives most likely to lower their blood pressure with biofeedback-assisted relaxation are those in whom there is evidence of autonomic overactivity, for example, cool hands, high heart rates, and evidence of a chronic response to stress, such as high anxiety scores and high normal cortisol levels.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prediction of response to biofeedback-assisted relaxation in hypertensives: development of a Hypertensive Predictor Profile (HYPP).

McGrady

Higgins²

1989

Psychosomatic Medicine

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“…Agras and Jacob (1979) Frumkin et al (1978) Seer ( Patel et al (1981Patel et al ( , 1985 GSR FB + PR + meditation + stress education > standard medical treatment Richter-Heinrich et al (1984) RT + BP feedback + BP monitoring + physical exercise + psychoeducation > drug therapy with beta-receptor blockers Goldstein et al (1984) Drug therapy + RT + or EMG FB > drug therapy, nondrug therapy Comparative studies Fray (1975) AT > EMG bfk Longo (1984) Deep breathing > PR Blanchard et al (1984Blanchard et al ( , 1986 TBFK Goldstein et al (1982) BP Feedback > RT, self-monitoring Glasgow et al (1982) RT + BP feedback > RT, BP feedback MED > PR (nonhypertensive alcoholics) Sedlacek et al (1979) EMG + TMP bfk > MED Hafner (1982) MED + EMG-or-SC-BFK > MED Cohen and Sedlacek (1983) AT + PR + EMG and TBFK > MED English and Baker (1983) PR > MED (SBP)…”

Section: Conclusion Of Literature Reviews Of Stress-management Technmentioning

confidence: 99%

Stress management techniques: Are they all equivalent, or do they have specific effects?

Lehrer

Carr

Sargunaraj

et al. 1994

Biofeedback and Self-Regulation

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This article evaluates the hypothesis that various stress management techniques have specific effects. Studies comparing various techniques are reviewed, as well as previous literature reviews evaluating the effects of individual techniques. There is evidence that cognitively oriented methods have specific cognitive effects, that specific autonomic effects result from autonomically oriented methods, and that specific muscular effects are produced by muscularly oriented methods. Muscle relaxation and/or EMG biofeedback have greater muscular effects and smaller autonomic effects than finger temperature biofeedback and/or autogenic training. EMG biofeedback produces greater effects on particular muscular groups than progressive relaxation, and thermal biofeedback has greater finger temperature effects than autogenic training. Disorders with a predominant muscular component (e.g., tension headaches) are treated more effectively by muscularly oriented methods, while disorders in which autonomic dysfunction predominates (e.g., hypertension, migraine headaches) are more effectively treated by techniques with a strong autonomic component. Anxiety and phobias tend to be most effectively treated by methods with both strong cognitive and behavioral components.

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“…A recent comprehensive review of the literature indicated that at present, no psychological variable could discriminate responders to psychological treatment from non-responders (116) . Most researchers agree that exposing hypertensive patients to relaxation training and stress management will result in reduced blood pressures.…”

Section: Scientific Rationale For Eliciting the Relaxation Response Amentioning

confidence: 99%

Promoção de intervenções não-farmacológicas para tratar hipertensão arterial

Stuart

Friedman

Benson

1998

Medicina (Ribeirão Preto)

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ABSTRACT:In the first part of this review, definition, prevalence, historical evolution and general principles of nonpharmacologic treatment of hypertesion are discussed. Then, rational basis and behavioural strategies to relieve reduction of obesity, ingestion of salt or alcohol, sedentarism, emotional stress and smoking are presented. Finally, the role of other dietary factors and combined therapy is considered, specially the integration of these therapies in a multidisciplinary approache to the patient with high blood pressure.

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A controlled comparison of thermal biofeedback and relaxation training in the treatment of essential hypertension: I. Short-term and long-term outcome

Cited by 54 publications

References 9 publications

Prediction of response to biofeedback-assisted relaxation in hypertensives: development of a Hypertensive Predictor Profile (HYPP).

Prediction of response to biofeedback-assisted relaxation in hypertensives: development of a Hypertensive Predictor Profile (HYPP).

Stress management techniques: Are they all equivalent, or do they have specific effects?

Promoção de intervenções não-farmacológicas para tratar hipertensão arterial

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