Untitled

Abstract

The relative efficacy of EMG-frontalis feedback and progressive relaxation was examined in children with tension-type or combined headaches (8-14 yrs. old). Furthermore, the influence of parent involvement, in the form of a three-session educational approach, on training outcome was systematically explored (2 x 2 factor design). Fifty children took part in the study, 40 were randomly assigned to the four different treatment conditions, 10 children participated in the self-monitoring control group. The training comprised 6 sessions of 1 hr each in the relaxation treatment and 12 sessions of 1/2 hr duration in the biofeedback group. Headache diaries were kept by children and parents for 4-week period prior to therapy, and for a similar length of time at post-treatment and follow-up (6 months). Multivariate analyses of variance on the headache diary data yield no significant main or interaction effects of treatment format or of parent involvement, but only a main effect of period, indicating a general efficacy of the four treatment conditions. At follow-up the reduction of headache activity is even more prominent. A different evaluative approach points to the superiority of biofeedback revealing a mean effect size for biofeedback training that reflects a good to excellent improvement rate. Correlations between headache data from children and parents are high.

Psychological interventions for parents of children and adolescents with chronic illness

“…Twenty-two studies had an aim that was irrelevant to the objectives of this review, such as fidelity studies, mixed illnesses or the intervention focusing on the parents’ communication with professionals (Borhani 2011; Bruzzese 2008; Cakan 2007; Canino 2008; Carey 2008; Ellis 2007; Ellis 2008; Fedele 2013; Forsander 1995; Gerber 2010; Gulewitsch 2012; Harris 2001; Hommel 2012; Jay 1990; Kurowski 2013; Lyon 2013; Rasoli 2008; Scholten 2011; Van der Veek 2013; Wade 2010; Walker 1996; Wysocki 1997). Thirteen studies had an insufficient number of participants (n < 10) post-treatment in one or more arms of treatment (Forsander 2003; Gustafsson 1986; Haus 1976; Hernandez 1998; Kamps 2008; Kazak 2005; Kroner-Herwig 1998; Lasecki 2008; Sanders 1989; Sanders 1996; Satin 1989; Sieberg 2011; Warner 2011), one paper recruited participants prospectively (Betancourt 2004), and as mentioned above, one combined two sets of trial data (Grey 2011). These judgements were often difficult to make and led to extended discussion between review authors.…”

Psychological interventions for parents of children and adolescents with chronic illness

“…Of these 114 papers, 99 were found from the search of databases, six papers from the citation search, four papers from reference searches and five papers from authors of included studies. We deemed 35 studies (45 papers) to meet the inclusion criteria for the review, whilst 61 studies (69 papers) were excluded (Aleman 1992; Anderson 1999; Betancourt 2004; Braga 2005; Bruzzese 2008; Burke 1997; Burke 2001; Cakan 2007; Canino 2008; Carey 2008; Chernoff 2002; Chiang 2009; Ellis 2007; Ellis 2008; Evans 1999; Field 1998; Forsander 1995; Forsander 2003; Garbutt 2010; Gerber 2010; Giallo 2008; Glang 2007; Gustafsson 1986; Harris 2001; Haus 1976; Hernandez 1998; Hommel 2012; Hovell 1994; Humphreys 2000; Ireys 1996; Ireys 2001; Jay 1990; Johnson 1987; Kamps 2008; Kaslow 2000; Kazak 1996; Kazak 2005; Ketchen 2006; Klinnert 2005; Klinnert 2007; Kroner-Herwig 1998; Kupfer 2010; Lasecki 2008; Logan 1997; Mendez 1997; Nelson 2011; Perez 1999; Rasoli 2008; Sanders 1989; Sanders 1996; Satin 1989; Scholten 2011; Sieberg 2011; Staab 2002; Sullivan-Bolyai 2010; Szczepanski 2010; Wade 2010; Walders 2006; Walker 1996; Warner 2011; Wysocki 1997). …”

“…Sixteen studies had an aim that was irrelevant to the aim of the review such as fidelity studies, mixed illnesses or the intervention focusing on the parents communication with professionals (Bruzzese 2008; Cakan 2007; Canino 2008; Carey 2008; Ellis 2007; Ellis 2008; Forsander 1995; Gerber 2010; Harris 2001; Hommel 2012; Jay 1990; Rasoli 2008; Scholten 2011; Wade 2010; Walker 1996; Wysocki 1997). Thirteen studies had an insufficient number of participants (n < 10) at post-treatment in or one more arms of treatment (Forsander 2003; Gustafsson 1986; Haus 1976; Hernandez 1998; Kamps 2008; Kazak 2005; Kroner-Herwig 1998; Lasecki 2008; Sanders 1989; Sanders 1996; Satin 1989; Sieberg 2011; Warner 2011) and one paper recruited participants prospectively (Betancourt 2004). These judgements were often difficult to make and led to extended discussion between review authors.…”

MIPAS-Family—evaluation of a new multi-modal behavioral training program for pediatric headaches: clinical effects and the impact on quality of life

“…Treatment, more specifically, involved something we term sensory coping training (SCT) for patients with migraine, along with a SMT for children suffering from tension-type headaches as well as a pain coping training (PCP) [31]. The SCT was deduced from fundamental etiopathogenetical findings supporting migraine as learning theory based and as a neurobiological disease [28, 32, 33]. The SCT consisted of the following steps: (a) identification and body-oriented perception of specific acoustic, visual and smell-processing stimuli, (b) learning of a progressive muscle relaxation (PMR) training, counter conditioning, and habituation processing.…”

“…One exception is the “Stop the Headache” program of Kröner-Herwig and Dencke [26, 27], which added parent education to a specific stress management training (SMT) program. Based on their encouraging findings and results from family interaction studies and biopsychological investigations of migraine, we developed a multi-modal behavioral educational group program that included specific training for children and their parents [28–30]. This so-called Mi graine- Pa tient- S eminar Program (MIPAS-Family) has the advantage of incorporating the daily living activities of the children and the whole family as well as potentially reducing the financial costs of individual behavioral treatment.…”