Behavioral treatment of Raynaud's disease

Surwit, Richard S.; Pilon, Robert N.; Fenton, Cynthia H.

doi:10.1007/bf00846683

Cited by 84 publications

(57 citation statements)

References 6 publications

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“…Therefore, the increase in skin temperature observed in the current study may not necessarily be an outcome of AT. In addition, previous AFT studies indicate that AFT does not increase skin temperature any more than AT (Keefe et al, 1980;Surwit et al, 1978). The results of this current study support such findings.…”

Section: Discussionsupporting

confidence: 90%

A Comparison of Psychological and Physiological Responses to Autogenic Training and Autogenic Feedback Training: The Response of Athletes New to Autogenic Training

Takai

Saijo

Kusumoto

2009

Int. J. Sport Health Sci.

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Section: Discussionsupporting

confidence: 90%

A Comparison of Psychological and Physiological Responses to Autogenic Training and Autogenic Feedback Training: The Response of Athletes New to Autogenic Training

Takai

Saijo

Kusumoto

2009

Int. J. Sport Health Sci.

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“…Unfortunately, most of the literature on the behavioral treatment of Raynaud's Disease consists of uncontrolled case studies. However, in a recent controlled study, Surwit, Pilon, and Fenton (1978) …”

mentioning

confidence: 95%

Biofeedback, Autogenic Training, and Progressive Relaxation in the Treatment of Raynaud's Disease: A Comparative Study

Keefe

Pilon

1980

J of App Behav Analysis

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Twenty-one female patients suffering from diagnosed idiopathic Raynaud's Disease were trained to raise digital skin temperature using either autogenic training, progressive muscle relaxation, or a combination of autogenic training and skin temperature feedback. Patients were instructed in the treatment procedures in three one-hour group sessions spaced one week apart. All patients were instructed to practice what they had learned twice a day at home. Patients kept records of the frequency of vasospastic attacks occurring over a four-week baseline period, and during the first four weeks and the ninth week of training. In addition, patients underwent four laboratory cold stress tests during which they were instructed to maintain digital temperature as the ambient temperature was slowly dropped from 260 to 17°C. Cold stress tests were given during week 1 of baseline and during weeks 1, 3, and 5 of training. Results indicated that all patients improved during the first four weeks of training. No significant differences between the three behavioral treatment procedures were obtained. In addition, the ability of patients to maintain digital temperature during the cold stress challenge showed significant improvement from the first to the last tests. Symptomatic improvement was maintained by all patients nine weeks after the start of the training. The implications of these findings for the behavioral treatment of Raynaud's Disease are discussed.DESCRIPTORS: Raynaud's Disease, progressive relaxation training, autogenic training, behavioral medicine, female patients Raynaud's Disease is a painful vasospastic disorder usually affecting the digits in the hands and feet. The etiology of the disorder in its idiopathic form is unclear and the efficacy of current surgical and pharmacologic treatments is questionable (Spittel, 1972). During a vasospastic episode the affected area goes through a three-stage color change; first blanching, then turning cyanotic blue, and finally becoming bright red as the vasospasm is relieved and reactive hyperemia ensues. Although the pathophysiology of the disease is not understood, it is widely accepted that activity of the sympathetic nervous system is a major contributing factor (Spittel, 1972).

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“…Investigators using biofeedback combined with relaxation training have observed clinical improve ment in four of five patients treated (3,7,8). These same reports have also suggested that motivational or psychological factors played a role in determining the clinical improvement.…”

mentioning

confidence: 88%

Treatment of Raynaud’s Disease: Evaluation of a Behavioral Approach

Jacobson¹,

Silverberg²,

Hackett³

et al. 1978

Psychopathology

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Eight patients with Raynaud’s disease were treated with a behavioral program which included skin temperature biofeedback, relaxation training and protocol individualization based on the investigators’ psychological understanding of each patient. Three patients improved clinically, although only one learned self-control of skin temperature. Anxiety reduction, brought about by relaxation or changes in the program to suit individual needs, appeared to be an important aspect of the treatment program.

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Behavioral treatment of Raynaud's disease

Cited by 84 publications

References 6 publications

A Comparison of Psychological and Physiological Responses to Autogenic Training and Autogenic Feedback Training: The Response of Athletes New to Autogenic Training

A Comparison of Psychological and Physiological Responses to Autogenic Training and Autogenic Feedback Training: The Response of Athletes New to Autogenic Training

Biofeedback, Autogenic Training, and Progressive Relaxation in the Treatment of Raynaud's Disease: A Comparative Study

Treatment of Raynaud’s Disease: Evaluation of a Behavioral Approach

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