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Skin temperature biofeedback and migraine headaches

A double-blind study

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Abstract

To assess the relative contribution of specific and nonspecific effects of skin temperature biofeedback upon migraine headache, 11 migraine patients were taught to increase the temperature of their hand. Training to decrease the skin temperature of the hand served as a control for 12 other migraine patients. An additional 11 control subjects were not trained but kept records of migraine activity. Under carefully controlled double-blind procedures, migraine patients who learned to raise finger temperatures showed statistically significant and clinically therapeutic improvement during a 6-week follow-up period. However, they were not significantly better than those trained to lower finger temperatures, those who did not meet a learning criterion, or those receiving no training. While these groups did show some significant improvement when compared to subjects who learned to decrease finger temperature, the results are most parsimoniously explained through nonspecific rather than specific factors. The necessity of using double-blind procedures in evaluating therapeutic effectiveness is again stressed.

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Reference notes

  • Diamond, S., & Franklin, M.Intensive biofeedback therapy in the treatment of headache. Paper presented at the Biofeedback Research Society meetings, Monterey, California, 1975.

  • Drury, R. L., DeRisi, W., & Liberman, R.Temperature feedback therapy for migraine headache: A controlled study. Paper presented at the Biofeedback Research Society meetings, Monterey, California, 1975.

  • Peper, E., & Grossman, E. R.Thermal biofeedback training in children with headache. Paper presented at the Annual Meeting of the Biofeedback Research Society, Colorado Springs, 1974.

  • Turin, A.Biofeedback for migraines. Paper presented at the Biofeedback Research Society meetings, Monterey, California, 1975.

  • Zamani, Reza.Treatment of migraine headache: Bio-feedback versus deep muscle relaxation. Reports from the Research Laboratories of the Department of Psychiatry (PR-75-2), University of Minnesota, 1975.

  • Carlson, J. G. (Ed.).Biofeedback as a research tool (Task Force Study Section Report). Denver: Biofeedback Society of America, 1978.

    Google Scholar 

  • Sedorow, L. M., & Masterson, J.Effects of knowledge of target response, feedback, and direction of change on self-control of fingertip temperature. Unpublished manuscript, 1977.

  • Alberstein, B. Biofeedback and skin temperature control.Psychophysiology 1977,14 115. (Abstract)

    Google Scholar 

  • Lynch, W. C., Hama, H., Kohn, S., & Miller, N. E.Instrumental learning of vasomotor responses: A progress report. Paper presented at the Annual Meeting of the Biofeedback Research Society, Colorado Springs, 1974.

  • Packer, L. E., & Selekman, W. L.Within-subjects control in EMG and thermo-biofeedback training: The baseline effect. Paper presented at the Annual Meeting of the Biofeedback Society of America, Orlando, 1977.

  • Reynolds, A.Patterns of vasomotor activity during temperature and photoplethysmograph feedback training for peripheral vasodilation. Paper presented at the Annual Meeting of the Biofeedback Society of America, San Diego, 1979.

  • Turin, A. C.Biofeedback and suggestion in finger temperature training: An effect for the control but not for the “treatments.” Paper presented at the Annual Meeting of the Biofeedback Society, Orlando, 1977.

  • Gugliclmi, S., & Roberts, A. H.Biofeedback for Raynuad's disease: A double blind study. Paper presented at the meetings of the Society for Psychophysiological Research, Madison, Wisconsin, 1979.

  • Jessup, B.Autogenic feedback for migraine: A bidirectional control group study. Unpublished paper, University of Western Ontario, 1978.

  • Cohen, M. J., Rickles, W. H., & McArthur, D. L.Four modalities of biofeedback training for migraine headache. Paper presented at the Annual Meeting of the Society for Behavioral Medicine, San Francisco, 1979.

References

  • Blanchard, E. B., Theobald, D. E., Williamson, D. A., Silver, B. V., & Brown, D. A. Temperature biofeedback in the treatment of migraine headaches: a controlled evaluation.Archives of General Psychiatry 1978,35 581–588.

    Google Scholar 

  • Boudewyns, P., & Cornish, R. Finger temperature norms for migraine sufferers.Behavior therapy 1978,9 689.

    Google Scholar 

  • Fordyce, W. E.Behavioral methods for chronic pain and illness. St. Louis: C. V. Mosby, 1976.

    Google Scholar 

  • Friar, L. R., & Beatty, J. T. Migraine: Management by operant control of vasoconstriction.Journal of Consulting and Clinical Psychology 1976,44 46–53.

    Google Scholar 

  • Friedman, A. P. Reflection on the problem of headache.Journal of the American Medical Association 1964,190 445–447.

    Google Scholar 

  • Gardner, E. T., & Keefe, F. J. The effects of knowledge of response on temperature biofeedback training.Biofeedback and Self-Regulation 1976,1 314. (Abstract)

    Google Scholar 

  • Headrick, M. W., Feather, B. W., & Wells, D. T. Unidirectional and large magnitude heartrate changes with augmented sensory feedback.Psychophysiology 1971,8 132–142.

    Google Scholar 

  • Johnson, W. G., & Turin, A. Biofeedback treatment of migraine headache: A systematic case study.Behavior Therapy 1975,6 394–397.

    Google Scholar 

  • Katkin, E. S., & Goldband, S. The placebo effect and biofeedback. In R. Gatchel & K. Price (Eds.),Clinical applications of biofeedback: Appraisal and status. New York: Pergamon Press, 1979.

    Google Scholar 

  • Kewman, D. G.,Voluntary control of digital skin temperature for treatment of migraine headaches (Doctoral dissertation, University of Texas at Austin, 1977). (Ann Arbor, Michigan: University Microfilms No. 77-29053)

  • Lance, J. W. The pathophysiology and treatment of migraine.New Zealand Medical Journal 1974,79 954–960.

    Google Scholar 

  • Miller, N. E. Biofeedback and visceral learning.Annual Review of Psychology 1978,29 373–404.

    Google Scholar 

  • Price, K. P. Vascular reactivity of migraineurs and non-migraineurs: A comparison of responses to self-control procedures.Headache 1976,16 210–217.

    Google Scholar 

  • Roberts, A. H. The behavioral treatment of pain. In J. M. Ferguson & C. B. Taylor (Eds.),A comprehensive handbook of behavioral medicine. New York: Spectrum, 1980.

    Google Scholar 

  • Roberts, A. H., Kewman, D. G., & Macdonald, H. Voluntary control of skin temperature: Unilateral changes using hypnosis and feedback.Journal of Abnormal Psychology 1973,82 163–168.

    Google Scholar 

  • Roberts, A. H., Schuler, J., Bacon, J. G., Patterson, R., & Zimmermann, R. L. Individual differences and autonomic control: Absorption, hypnotic susceptibility, and the unilateral control of skin temperature.Journal of Abnormal Psychology 1975,84 272–279.

    Google Scholar 

  • Sargent, J. D., Green, E. E., & Walters, E. D. The use of autogenic feedback training in a pilot study of migraine and tension headaches.Headache 1972,12 120–125.

    Google Scholar 

  • Schultz, J. H., & Luthe, W.Autogenic training. New York: Grune and Stratton, 1959.

    Google Scholar 

  • Schumacher, G. A., & Wolff, H. G. Experimental studies on headache.Archives of Neurology and Psychiatry 1941,45 199–214.

    Google Scholar 

  • Surwit, R. S. Peripheral vasomotor: Raynaud's disease.Behavioral Medicine Newsletter 1978,1(3), 9–11.

    Google Scholar 

  • Surwit, R. S., Pilon, R. N., & Fenton, C. H. Behavioral treatment of Raynaud's disease.Journal of Behavioral Medicine 1978,1 323–335.

    Google Scholar 

  • Suwit, R. S., Shapiro, D., & Feld, J. L. Digital temperature auto regulation and associated cardiovascular changes.Psychophysiology 1976,13 242–248.

    Google Scholar 

  • Waters, W., & O'Connor, P. Epidemiology of headache and migraine in women.Journal of Neurology, Neurosurgery and Psychiatry 1971,34 148–153.

    Google Scholar 

  • Wickramasekera, I. E. Temperature feedback for the control of migraine.Journal of Behavior Therapy and Experimental Psychiatry 1973,4 343–345.

    Google Scholar 

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Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, University Hospitals, University of Michigan, 48109, Ann Arbor, Michigan

    Donald Kewman

  2. Scripps Clinic and Research Foundation, USA

    Alan H. Roberts

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  1. Donald Kewman
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  2. Alan H. Roberts
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Additional information

This article was presented as a Citation Award Paper at the Biofeedback Society of America meetings, San Diego, 1979. The work was supported in part by Rehabilitation Services Administration Grant No. 16-P-56810/5-17 to the University of Minnesota Medical Rehabilitation Research and Training Center and by a grant from the Division of Health Care Psychology, University of Minnesota. We would like to acknowledge the advice and support of Lee Willerman and John Belknap. We are grateful for the assistance of John Hendrickson, Dale Armin Miller, and Stephanie Waddingham in conducting the study and for the technical assistance of Robert Patterson, Steve Sheffield, P. Thain Marston, Kathy Guttormson, and Nancy Belknap.

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Kewman, D., Roberts, A.H. Skin temperature biofeedback and migraine headaches. Biofeedback and Self-Regulation 5, 327–345 (1980). https://doi.org/10.1007/BF00999808

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