Biobehavioral interventions for migraine incorporate both physiologic and psychological factors. ... more Biobehavioral interventions for migraine incorporate both physiologic and psychological factors. This article details treatments for migraine management and prevention, ranging from traditional to newly emerging interventions. Similarly, this article reviews key person-related factors that may affect migraine prevalence and management. Aspects related to patient-physician relationships and communication are also reviewed. Research involving childhood and adolescent migraine is reviewed, and special considerations regarding this population are summarized. Clinical trials and other studies have provided evidence that these behavioral interventions, when combined with pharmacotherapy, show a marked improvement in primary treatment outcomes, such as a decrease in headache frequency and duration.
Four emotionally disturbed, hospitalized children between 9 and 11 years of age were treated for ... more Four emotionally disturbed, hospitalized children between 9 and 11 years of age were treated for social skill deficits. Training was evaluated in a multaplebasehne design across subjects and mcluded instrnctmns, performance feedback, modehng, role playing, and social reinforcement Furthermore, training was conducted in a group and utihzed natural role-play situations. Initially, two chddren were trained while the other two observed training. This procedure was used to evaluate the effects of observational learning. Later, treatment condltmns were reversed. Observational learning was of minimal benefit The effects of direct social skills treatment, however, were immediate and generalized to untreated scenes and to behavior on the ward. Effects were maintmned at a 15-week followup.
Ratings obtained from the significant others of treated headache patients were compared to daily ... more Ratings obtained from the significant others of treated headache patients were compared to daily diary ratings made by the patients themselves in order to socially validate the headache diary. The correlation between these two measures was significant (r = 0.44). Global ratings made by the patients correlated significantly with the diary reports (r = 0.36). These results indicate that the improvement detected by the headache diary, the most common form of self-report assessment in headache research, is observed to a significant degree by others in the patient's environment.
Headaches are quite common in children and adolescents, and they appear to persist into adulthood... more Headaches are quite common in children and adolescents, and they appear to persist into adulthood in a sizable number of individuals. Assessment approaches (interview, pain diaries, and general and specific questionnaires) and behavioral treatment interventions (contingency management, relaxation, biofeedback, and cognitive behavior therapy) are reviewed, as is the evidence base for their use. The article concludes with practical suggestions for headache management.
... American Journal of Mental Deficiency, 1972, 77, 128-136. Coleman, AD, & Boren, JJ Aninfo... more ... American Journal of Mental Deficiency, 1972, 77, 128-136. Coleman, AD, & Boren, JJ Aninformation system for measuring patient behavior and its use by staff. ... Quilitch, HR A comparison of three staff-management procedures. ... New York: Academic Press, 1969. ...
Pulsing electromagnetic field (PEMF) therapy may be a viable form of complementary and alternativ... more Pulsing electromagnetic field (PEMF) therapy may be a viable form of complementary and alternative medicine. Clinical applications include the treatment of fractures, wounds, and heart disease. More recent applications involve treatment of recurrent headache disorders. This paper reviews available studies investigating PEMF for headache management. Possible mechanisms for effects (neurochemical, electrophysical, and cardiovascular) are discussed. The available data suggest that PEMF treatment for headache merits further study. Suggestions for future research are provided.
Eleven patients with episodic cluster headache were assessed and offered a treatment program cons... more Eleven patients with episodic cluster headache were assessed and offered a treatment program consisting of 8 weeks of training in abbreviated progressive relaxation followed by 12 sessions of thermal biofeedback. Four dropped out before treatment began. Of the seven who completed the full treatment regimen, three (27~o of initial sample) reported some degree of improvement when their next cluster bout occurred. In no one was the disorder eliminated.
The present study examined the abifity o f three headache groups (migraine, mixed migraine/tensio... more The present study examined the abifity o f three headache groups (migraine, mixed migraine/tension, and tension) to accurately discriminate subjective levels o f muscle tension at the forearm flexor, fron talis, and trapezius muscle sites. Discrimination ability was assessed at pre-and posttreatment using a psychophysical method o f magnitude production. Results show that the ability to discriminate muscle tension levels at pretreatment varied across the headache groups, with migraineurs being the most accurate (r = .854), followed by the mixed headache group (r = . 785), and finally the tension headache group (r = . 732). Discrimination ability significantly increased at the posttreatment assessment. A multiple regression analysis showed that pretreatment performance on the muscle discrimination task significantly predicted outcome (r = . 75) from relaxation and biofeedback training for migraine patients but not for the mixed or tension headache groups.
Researchers administer thermal biofeedback in several different formats, although the most common... more Researchers administer thermal biofeedback in several different formats, although the most common are continuous administration and a series of brief trials separated by frequent rest breaks. The present study directly compared these two administration schedules with individuals suffering from migraine headache. Optimal training effects occurred for the continuous schedule of administration. Surprisingly, the interrupted schedule actually led to decreases in hand temperature over eight sessions. Possible reasons for this finding and its implications are discussed.
Eighty-seven medicated essential hypertensives received either thermal biofeedback (TBF) or progr... more Eighty-seven medicated essential hypertensives received either thermal biofeedback (TBF) or progressive muscle relaxation (PMR) training as a substitute for their second-stage antihypertensive medication. The psychological changes accompanying the treatments were obtained at pretreatment, at posttreatment and at the 3-and 6-month follow-up. Few psychological changes were noted, owing in part to the absence of psychopathological elevations at pretreatment. Short-term psychological changes were greater in patients who were withdrawn from their second-stage antihypertensive medication and then treated compared with those treated and then withdrawn from their medication. This finding may reflect the presence of antihypertensive medication side effects involving psychological factors. In general, TBF patients were more Type B at long-term follow-up compared with PMR patients, who tended toward greater Type A characteristics.
Results for 11 older (60 years or greater) headache patients treated with combinations of biofeed... more Results for 11 older (60 years or greater) headache patients treated with combinations of biofeedback and relaxation are presented. Overall, only 18.2 % were clinically improved after treatment. None of the 5 tension headache patients were improved. Suggestions for future work with the older headache patient are offered.
Comparisons are made of self-reported medical costs from a sample of headache patients who underw... more Comparisons are made of self-reported medical costs from a sample of headache patients who underwent various combinations of relaxation training and biofeedback training. The average costs for the 2 years prior to selfregulatory treatment were $955 + 480 (3 SEM) for 45 patients; for the 2 years after completing treatment the average costs were $52 + 28 (3 SEM) for patients. Within the limitations of the study, medical costs do seem to have been markedly reduced.
Accurate discrimination of changes in physiological response has been noted as an important eleme... more Accurate discrimination of changes in physiological response has been noted as an important element in learning to control that response. Using a magnitude production procedure involving forearm isometric contractions, it was found that the ability to discriminate muscle tension varied across headache groups, with the no-headache control group (r = . 76) being most accurate, followed by the tension group (r = .68), the mixed tension and migraine group (r = .60), and finally the migraine group (r = .51). The most important result, however, was that muscle discrimination ability significantly predicted clinical outcome from treatment by relaxation training for tension headache subjects (r = .50) but did not predict outcome for migraine or mixed headache subjects.
Thermal biofeedback is widely used to treat various clinical disorders. Given its widespread util... more Thermal biofeedback is widely used to treat various clinical disorders. Given its widespread utility, and the variability among the biofeedback systems currently on the market, it is important to investigate which systems are most effective for training various skills. This study compared the performance of normal subjects on two different computer-biofeedback systems. Results indicated a significant difference in subject performance between the two systems. Limitations and implications of these findings are discussed.
... The core of our WISE sensor is a low-power Texas Instruments microcontroller MF&a... more ... The core of our WISE sensor is a low-power Texas Instruments microcontroller MF'S430F149. The controller features a 16-bit architecture, ultra-low power consumption (less than 1 mA in active mode and -1 pA in standby mode), 60KB on-chip flash memory, 2KB RAM, 12-bit ...
ABSTRACT The present study investigated cultural differences in boredom proneness scores. The par... more ABSTRACT The present study investigated cultural differences in boredom proneness scores. The participants consisted of undergraduate students from the United States (N = 449) and Germany (N = 767) who completed the 28- item Boredom Proneness Scale (BPS). The results indicated that students from the United States possessed significantly higher BPS scores than their German counterparts. Specifically, U.S. participants had greater scores on the BPS subscales of External Stimulation, Affective Responses, and Perception of Time. In addition, a main effect for gender was found with males possessing higher BPS total scores than females. Males had greater scores on the BPS subscales of External Stimulation, Time, and Constraint. The findings are discussed as to how they contribute to past research examining the role of culture and gender on boredom proneness levels. [ABSTRACT FROM AUTHOR] Copyright of North American Journal of Psychology is the property of North American Journal of Psychology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Biobehavioral interventions for migraine incorporate both physiologic and psychological factors. ... more Biobehavioral interventions for migraine incorporate both physiologic and psychological factors. This article details treatments for migraine management and prevention, ranging from traditional to newly emerging interventions. Similarly, this article reviews key person-related factors that may affect migraine prevalence and management. Aspects related to patient-physician relationships and communication are also reviewed. Research involving childhood and adolescent migraine is reviewed, and special considerations regarding this population are summarized. Clinical trials and other studies have provided evidence that these behavioral interventions, when combined with pharmacotherapy, show a marked improvement in primary treatment outcomes, such as a decrease in headache frequency and duration.
Four emotionally disturbed, hospitalized children between 9 and 11 years of age were treated for ... more Four emotionally disturbed, hospitalized children between 9 and 11 years of age were treated for social skill deficits. Training was evaluated in a multaplebasehne design across subjects and mcluded instrnctmns, performance feedback, modehng, role playing, and social reinforcement Furthermore, training was conducted in a group and utihzed natural role-play situations. Initially, two chddren were trained while the other two observed training. This procedure was used to evaluate the effects of observational learning. Later, treatment condltmns were reversed. Observational learning was of minimal benefit The effects of direct social skills treatment, however, were immediate and generalized to untreated scenes and to behavior on the ward. Effects were maintmned at a 15-week followup.
Ratings obtained from the significant others of treated headache patients were compared to daily ... more Ratings obtained from the significant others of treated headache patients were compared to daily diary ratings made by the patients themselves in order to socially validate the headache diary. The correlation between these two measures was significant (r = 0.44). Global ratings made by the patients correlated significantly with the diary reports (r = 0.36). These results indicate that the improvement detected by the headache diary, the most common form of self-report assessment in headache research, is observed to a significant degree by others in the patient's environment.
Headaches are quite common in children and adolescents, and they appear to persist into adulthood... more Headaches are quite common in children and adolescents, and they appear to persist into adulthood in a sizable number of individuals. Assessment approaches (interview, pain diaries, and general and specific questionnaires) and behavioral treatment interventions (contingency management, relaxation, biofeedback, and cognitive behavior therapy) are reviewed, as is the evidence base for their use. The article concludes with practical suggestions for headache management.
... American Journal of Mental Deficiency, 1972, 77, 128-136. Coleman, AD, & Boren, JJ Aninfo... more ... American Journal of Mental Deficiency, 1972, 77, 128-136. Coleman, AD, & Boren, JJ Aninformation system for measuring patient behavior and its use by staff. ... Quilitch, HR A comparison of three staff-management procedures. ... New York: Academic Press, 1969. ...
Pulsing electromagnetic field (PEMF) therapy may be a viable form of complementary and alternativ... more Pulsing electromagnetic field (PEMF) therapy may be a viable form of complementary and alternative medicine. Clinical applications include the treatment of fractures, wounds, and heart disease. More recent applications involve treatment of recurrent headache disorders. This paper reviews available studies investigating PEMF for headache management. Possible mechanisms for effects (neurochemical, electrophysical, and cardiovascular) are discussed. The available data suggest that PEMF treatment for headache merits further study. Suggestions for future research are provided.
Eleven patients with episodic cluster headache were assessed and offered a treatment program cons... more Eleven patients with episodic cluster headache were assessed and offered a treatment program consisting of 8 weeks of training in abbreviated progressive relaxation followed by 12 sessions of thermal biofeedback. Four dropped out before treatment began. Of the seven who completed the full treatment regimen, three (27~o of initial sample) reported some degree of improvement when their next cluster bout occurred. In no one was the disorder eliminated.
The present study examined the abifity o f three headache groups (migraine, mixed migraine/tensio... more The present study examined the abifity o f three headache groups (migraine, mixed migraine/tension, and tension) to accurately discriminate subjective levels o f muscle tension at the forearm flexor, fron talis, and trapezius muscle sites. Discrimination ability was assessed at pre-and posttreatment using a psychophysical method o f magnitude production. Results show that the ability to discriminate muscle tension levels at pretreatment varied across the headache groups, with migraineurs being the most accurate (r = .854), followed by the mixed headache group (r = . 785), and finally the tension headache group (r = . 732). Discrimination ability significantly increased at the posttreatment assessment. A multiple regression analysis showed that pretreatment performance on the muscle discrimination task significantly predicted outcome (r = . 75) from relaxation and biofeedback training for migraine patients but not for the mixed or tension headache groups.
Researchers administer thermal biofeedback in several different formats, although the most common... more Researchers administer thermal biofeedback in several different formats, although the most common are continuous administration and a series of brief trials separated by frequent rest breaks. The present study directly compared these two administration schedules with individuals suffering from migraine headache. Optimal training effects occurred for the continuous schedule of administration. Surprisingly, the interrupted schedule actually led to decreases in hand temperature over eight sessions. Possible reasons for this finding and its implications are discussed.
Eighty-seven medicated essential hypertensives received either thermal biofeedback (TBF) or progr... more Eighty-seven medicated essential hypertensives received either thermal biofeedback (TBF) or progressive muscle relaxation (PMR) training as a substitute for their second-stage antihypertensive medication. The psychological changes accompanying the treatments were obtained at pretreatment, at posttreatment and at the 3-and 6-month follow-up. Few psychological changes were noted, owing in part to the absence of psychopathological elevations at pretreatment. Short-term psychological changes were greater in patients who were withdrawn from their second-stage antihypertensive medication and then treated compared with those treated and then withdrawn from their medication. This finding may reflect the presence of antihypertensive medication side effects involving psychological factors. In general, TBF patients were more Type B at long-term follow-up compared with PMR patients, who tended toward greater Type A characteristics.
Results for 11 older (60 years or greater) headache patients treated with combinations of biofeed... more Results for 11 older (60 years or greater) headache patients treated with combinations of biofeedback and relaxation are presented. Overall, only 18.2 % were clinically improved after treatment. None of the 5 tension headache patients were improved. Suggestions for future work with the older headache patient are offered.
Comparisons are made of self-reported medical costs from a sample of headache patients who underw... more Comparisons are made of self-reported medical costs from a sample of headache patients who underwent various combinations of relaxation training and biofeedback training. The average costs for the 2 years prior to selfregulatory treatment were $955 + 480 (3 SEM) for 45 patients; for the 2 years after completing treatment the average costs were $52 + 28 (3 SEM) for patients. Within the limitations of the study, medical costs do seem to have been markedly reduced.
Accurate discrimination of changes in physiological response has been noted as an important eleme... more Accurate discrimination of changes in physiological response has been noted as an important element in learning to control that response. Using a magnitude production procedure involving forearm isometric contractions, it was found that the ability to discriminate muscle tension varied across headache groups, with the no-headache control group (r = . 76) being most accurate, followed by the tension group (r = .68), the mixed tension and migraine group (r = .60), and finally the migraine group (r = .51). The most important result, however, was that muscle discrimination ability significantly predicted clinical outcome from treatment by relaxation training for tension headache subjects (r = .50) but did not predict outcome for migraine or mixed headache subjects.
Thermal biofeedback is widely used to treat various clinical disorders. Given its widespread util... more Thermal biofeedback is widely used to treat various clinical disorders. Given its widespread utility, and the variability among the biofeedback systems currently on the market, it is important to investigate which systems are most effective for training various skills. This study compared the performance of normal subjects on two different computer-biofeedback systems. Results indicated a significant difference in subject performance between the two systems. Limitations and implications of these findings are discussed.
... The core of our WISE sensor is a low-power Texas Instruments microcontroller MF&a... more ... The core of our WISE sensor is a low-power Texas Instruments microcontroller MF'S430F149. The controller features a 16-bit architecture, ultra-low power consumption (less than 1 mA in active mode and -1 pA in standby mode), 60KB on-chip flash memory, 2KB RAM, 12-bit ...
ABSTRACT The present study investigated cultural differences in boredom proneness scores. The par... more ABSTRACT The present study investigated cultural differences in boredom proneness scores. The participants consisted of undergraduate students from the United States (N = 449) and Germany (N = 767) who completed the 28- item Boredom Proneness Scale (BPS). The results indicated that students from the United States possessed significantly higher BPS scores than their German counterparts. Specifically, U.S. participants had greater scores on the BPS subscales of External Stimulation, Affective Responses, and Perception of Time. In addition, a main effect for gender was found with males possessing higher BPS total scores than females. Males had greater scores on the BPS subscales of External Stimulation, Time, and Constraint. The findings are discussed as to how they contribute to past research examining the role of culture and gender on boredom proneness levels. [ABSTRACT FROM AUTHOR] Copyright of North American Journal of Psychology is the property of North American Journal of Psychology and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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