The Biofeedback Treatment of Tension Headache

Andrasik, Frank; Blanchard, Edward B.

doi:10.1007/978-1-4757-9462-5_8

Cited by 14 publications

(7 citation statements)

References 82 publications

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“…Mood or anxiety disorders increase headache-related disability [17], the likelihood of treatment adherence problems [42], and quite possibly the risk of headache progression [43,44]; psychiatric disorders also deserve treatment in their own right. The treatment of TTH with either preventive drug therapy (at least the tricyclic antidepressants that have been studied) or with behavioral therapy, particularly cognitive-behavioral therapy [45][46][47][48][49], appears to improve, although not necessarily eliminate, symptoms of anxiety and depression. With behavioral headache therapies, reductions in psychological symptoms do not appear to be simply a function of improvements in tension headaches [46,47].…”

Section: Psychiatric Influence On Treatment Outcomesmentioning

confidence: 99%

Tension-type headache and psychiatric comorbidity

Heckman

Holroyd

2006

Current Science Inc

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Much of the contemporary literature on headache disorders focuses on migraine headaches, despite the fact that tension-type headache (TTH) is highly prevalent and can be as debilitating as migraines. This article reviews the current literature on prevalence rates of psychiatric disorders in TTH populations, psychologic factors associated with TTH, and psychiatric disorders and their relationships with treatment outcomes in TTH. Key conclusions of this review include 1) prevalence rates of TTH vary across clinical and population-based samples; 2) greater TTH chronicity is associated with increased affective distress; 3) Axis II personality disorders may play an important role in TTH prevalence rates and psychologic functioning but have been understudied to date; and 4) maladaptive coping is common in persons with TTH.

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Section: Psychiatric Influence On Treatment Outcomesmentioning

confidence: 99%

Tension-type headache and psychiatric comorbidity

Heckman

Holroyd

2006

Current Science Inc

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“…A detailed examination of this literature, numbering well over 100 separate published reports, is beyond the scope of this article. Two comprehensive but somewhat dated reviews of the literature on the biofeedback treatment of headache are available in Blanchard and Andrasik (1987; vascular headache) and Andrasik and Blanchard (1987; tension-type headache). A recent summary of the literature on cognitive therapy and headache was contained in a review by Blanchard (1992).…”

Section: Efficacy Of Psychological Treatments Of Benign Headachementioning

confidence: 99%

Psychological treatment of benign headache disorders.

Blanchard¹,

Diamond²

1996

Professional Psychology: Research and Practice

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Information on the efficacy of psychological treatments of chronic benign headache (HA) disorders is selectively reviewed. Strong consistent evidence for efficacy is found, and the HA relief apparently persists for up to 5 years. Little information is available on cost-effectiveness, although largely homebased treatments with limited therapist contact have been shown to be efficacious. The limited number of comparisons of drug therapies to psychological therapies have yielded mixed results; more systematic research is needed. The side effects of psychological treatments are generally positive (reduction in negative affect). Research has begun to identify subpopulations of HA sufferers who are relatively refractory to psychological treatments, and in some instances newer treatment regimens have solved some of the problems of refractory groups (e.g., HA in the elderly).

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“…We do not feel, however, that this is totally undesirable, because patients' overall ratings of biofeedback for PTH, at least initially, are warranted. For more discussion of limitations of retrospective data collection, see Andrasik and Blanchard (1987).…”

Section: Discussionmentioning

confidence: 99%

A retrospective, follow-up study of biofeedback-assisted relaxation therapy in patients with posttraumatic headache

Ham¹,

Packard²

1996

Biofeedback and Self-Regulation

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Although biofeedback in the treatment of migraine and tension-type headache has been widely researched, there is little research examining biofeedback therapy in posttraumatic headache (PTH). In this retrospective study, 40 subjects with PTH who had received biofeedback-assisted relaxation at our headache clinic were questioned at least 3 months following the completion of therapy. Subjects were queried about improvements in headache, increases in ability to relax and cope with pain, and overall benefits, lasting effectiveness, and continued use of biofeedback in daily life. Results indicate 53% reported at least moderate improvement in headaches; 80% reported at least moderate improvement in ability to relax and cope with pain; 93% found biofeedback helpful to some degree; 85% felt headache relief achieved through biofeedback had continued at least somewhat; and 95% stated they were continuing to use biofeedback skills in daily life. A correlation analysis revealed a negative relationship between response to biofeedback and increased chronicity of the disorder. In other words, the more chronic the disorder, the poorer the response to treatment. A stepwise regression analysis found that chronicity of the disorder and number of treatment sessions significantly affected response to treatment. Data suggest that biofeedback-assisted relaxation should at least be considered when planning treatment strategies for posttraumatic headache.

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The Biofeedback Treatment of Tension Headache

Cited by 14 publications

References 82 publications

Tension-type headache and psychiatric comorbidity

Tension-type headache and psychiatric comorbidity

Psychological treatment of benign headache disorders.

A retrospective, follow-up study of biofeedback-assisted relaxation therapy in patients with posttraumatic headache

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