Placebo-controlled evaluation of abbreviated progressive muscle relaxation and of relaxation combined with cognitive therapy in the treatment of tension headache.

Blanchard, Edward B.; Appelbaum, Kenneth A.; Radnitz, Cynthia L.; Michultka, Denise; Morrill, Belinda; Kirsch, Cynthia; Hillhouse, Joel; Evans, Donald; Guarnieri, Patricia; Attanasio, Virginia; Andrasik, Frank; Jaccard, James; Dentinger, Mark P.

doi:10.1037/0022-006x.58.2.210

Cited by 80 publications

(77 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Four of the studies had one comparator (Basler et al, 23 Holroyd et al, 17 Martin et al, 24 Tobin et al 19 ), three had two comparators (Martin et al, 26 Mosley et al, 18 Richardson and McGrath 25 ) and the remaining three studies had four comparators (Blanchard et al, 16 Blanchard et al, 20 Holroyd et al 21,22 ). Other active treatment comparators included relaxation in three studies (Blanchard et al, 16 Mosley et al, 18 Tobin et al 19 ), and one study each of combined relaxation with biofeedback (Blanchard et al 20 ), combined CBT with antidepressants (Holroyd et al 21,22 ), antidepressants (Holroyd et al 17 ) and biofeedback (Martin et al 26 ).…”

Section: Resultsmentioning

confidence: 99%

“…Of the 10 included studies, six employed mixed interventions (see Table 1), of which four studies combined some form of CBT with relaxation (Blanchard et al, 16 Holroyd et al, 17 Mosley et al, 18 Tobin et al 19 ), one with biofeedback (Blanchard et al 20 ) and the remaining study with placebo (Holroyd et al 21,22 ). In addition, one study allowed additional physical treatments such as pain medication, nerve blocks, acupuncture, massage and physical therapy for both the CBT and the wailing list control group (Basler et al 23 ).…”

Section: Resultsmentioning

confidence: 99%

“…Other active treatment comparators included relaxation in three studies (Blanchard et al, 16 Mosley et al, 18 Tobin et al 19 ), and one study each of combined relaxation with biofeedback (Blanchard et al 20 ), combined CBT with antidepressants (Holroyd et al 21,22 ), antidepressants (Holroyd et al 17 ) and biofeedback (Martin et al 26 ). Relaxation and biofeedback could therefore be part of the intervention or a comparator, making comparison between studies difficult.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Systematic review of cognitive behavioural therapy for the management of headaches and migraines in adults

Harris

Loveman

Clegg

et al. 2015

British Journal of Pain

View full text Add to dashboard Cite

Aim: This systematic review aimed to establish if cognitive behavioural therapy (CBT) can reduce the physical symptoms of chronic headache and migraines in adults. Methods: Evidence from searches of eight databases was systematically sought, appraised and synthesised. Screening of title and abstracts was conducted independently by two reviewers. Full papers were screened, data extracted and quality assessed by one reviewer and checked by a second. Data were synthesised narratively by intervention due to the heterogeneity of the studies. The inclusion criteria specified randomised controlled trials with CBT as an intervention in adults suffering from chronic headaches/ migraines not associated with an underlying pathology/medication overuse. CBT was judged on the basis of authors describing the intervention as CBT. The diagnosis of the condition had to be clinician verified. Studies had to include a comparator and employ headache/migraine-specific outcomes such as patientreported headache days. Results: Out of 1126 screened titles and abstracts and 20 assessed full papers, 10 studies met the inclusion criteria of the review. Some studies combined CBT with another intervention, as well as employing varying numbers of comparators. CBT was statistically significantly more effective in improving some headachesrelated outcomes in CBT comparisons with waiting lists (three studies), in combination with relaxation compared with relaxation only (three studies) or antidepressant medication (one study), with no statistically significant differences in three studies. Conclusions:The findings of this review were mixed, with some studies providing evidence in support of the suggestion that people experiencing headaches or migraines can benefit from CBT, and that CBT can reduce the physical symptoms of headache and migraines. However, methodology inadequacies in the evidence base make it difficult to draw any meaningful conclusions or to make any recommendations. Keywords British Journal of Pain 9(4)Headaches are thought to occur regularly in around 46% and migraine in 11% of the population, making it one of the most common neurological problems presented to general practitioners (GPs) and neurologists in the United Kingdom. 1 A primary care-based study set in 18 general practices in the south Thames region of England (urban and rural areas) based on 141,100 patients (aged 18 to 75 years) interviewed people reporting problematic experiences of headache in order to establish healthcare use and the cost associated with the provision of services to people with headaches. Extrapolating to the UK population, the authors suggest the total annual cost of migraines and headaches in 2011 was around £4.8 billion (including lost employment), with around £956 million due to healthcare use. 2 The authors propose that these figures may be underestimations, as most headaches are self-managed 3 and so not reported to GPs. This is supported by other significant organisations 4,5 and demonstrates the magnitude of the problem of headache...

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Systematic review of cognitive behavioural therapy for the management of headaches and migraines in adults

Harris

Loveman

Clegg

et al. 2015

British Journal of Pain

View full text Add to dashboard Cite

show abstract

“…En las últimas décadas se ha utilizado el análisis del cambio clínicamente significativo para comprobar la eficacia del tratamiento de los trastornos de conducta (Sheldrick, et al, 2001), del estrés marital (Jacobson et al, 1984), de las cefaleas tensionales (Blanchard et al, 1990). En el caso concreto de los trastornos alimentarios, existen muy pocos estudios donde se haya realizado un análisis de la eficacia clínica de los tratamientos aplicados.…”

Section: Introductionunclassified

Tratamiento de la imagen corporal en los trastornos alimentarios y cambio clínicamente significativo.

2014

View full text Add to dashboard Cite

Resumen: Las alteraciones de la imagen corporal son un factor mantenedor y de pronóstico en los trastornos alimentarios. Los tratamientos actuales para los trastornos alimentarios se podrían beneficiar de la intervención directa sobre la imagen corporal. En el siguiente trabajo se realiza un estudio controlado en el que se comprara la Terapia Cognitivo Conductual para los trastornos alimentarios con y sin un componente para el tratamiento de la imagen corporal apoyado con técnicas de realidad virtual. El objetivo de este trabajo fue comprobar si ambos tipos de tratamiento producen un cambio clínicamente significativo al finalizar el tratamiento y en el seguimiento al año en la imagen corporal, en la psicopatología especifica de los trastornos alimentarios y en la psicopatología general. Para ello evaluamos y tratamos a 34 participantes diagnosticadas de trastorno alimentario y comparamos sus resultados con un grupo de mujeres de población general con baja vulnerabilidad a los trastornos alimentarios. Los resultados indican que después del tratamiento se ha producido un cambio fiable y clínicamente significativo únicamente en la condición en la que se ha intervenido en la imagen corporal. Las implicaciones de este resultado y sus limitaciones son comentadas. Palabras claves: realidad virtual; cambio clínicamente significativo, bulimia nerviosa, imagen corporal, trastornos alimentarios, tratamiento psicológico, terapia cognitivo conductual. Title:The treatment of the body image disturbances in eating disorders and clinically significant change. Abstract: Body image disturbance is a significant maintenance and prognosis factor in eating disorders. Hence, existing eating disorder treatments can benefit from direct intervention in patients' body image. This paper includes a controlled study comparing cognitive behavioural treatment for eating disorders with and without a component for body image treatment using virtual reality techniques. The objective of this work was to check if both types of treatment produced a change clinically significant at the end of the treatment and the follow-up to the year, in body image, eating disorders and general psychopathology. Thirty-four participants diagnosed with eating disorders were treated and compared with the general population with low vulnerability to eating disorders. Results showed that only in the patients who received the body image treatment obtained a change clinically significant. The implications and limitations of these results are discussed below.

show abstract

“…Although a specific program of primary prevention is not feasible given the current state of knowledge, enough is known to implement a secondary prevention strategy. For example, there is increasing evidence of the effectiveness of cognitive behavioral therapy (CBT) for addressing such symptoms (Buckelew, 1989;Martin et al, 1989;Peck et al, 1989;Salkovskis, 1989;Blanchard et al, 1990;Hellman et al, 1990;Skinner et al, 1990;DeGuire et al, 1992;Keefe et al, 1992;Sharpe et al, 1992Sharpe et al, , 1996Payne and Blanchard, 1995;Sharpe, 1995;Speckens et al, 1995;Van Dulmen et al, 1996;Deale et al, 1997;Fulcher and White, 1997;Clark et al, 1998). Studies also indicate that medically unexplained symptoms are more difficult to treat once they have become chronic (Kellner, 1986(Kellner, , 1991Kroenke and Mangelsdorff, 1989;Craig et al, 1993;Barsky, 1998), providing an additional incentive to identify and treat sufferers early.…”

Section: Implement Strategies To Address Medically Unexplained Symptomentioning

confidence: 99%

Protecting Those Who Serve: Strategies to Protect the Health of Deployed U.S. Forces

WASHINGTON¹

2000

View full text Add to dashboard Cite

Placebo-controlled evaluation of abbreviated progressive muscle relaxation and of relaxation combined with cognitive therapy in the treatment of tension headache.

Cited by 80 publications

References 25 publications

Systematic review of cognitive behavioural therapy for the management of headaches and migraines in adults

Systematic review of cognitive behavioural therapy for the management of headaches and migraines in adults

Tratamiento de la imagen corporal en los trastornos alimentarios y cambio clínicamente significativo.

Protecting Those Who Serve: Strategies to Protect the Health of Deployed U.S. Forces

Contact Info

Product

Resources

About