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Development and clinical trial of a minimal contact,cognitive-behavioral treatment for tension headache
Authors:David L Tobin  Kenneth A Holroyd  Anita Baker  Russ V C Reynolds  Jeffrey E Holm
Institution:(1) Ohio University, USA;(2) Institute of Psychiatry, Northwestern University Medical School, 320 East Huron, 60611 Chicago, Illinois, USA
Abstract:The effectiveness of two primarily self-administered treatments for chronic tension headache were compared. Twenty-four recurrent tension headache sufferers received either relaxation therapy alone or relaxation training plus cognitive-behavioral therapy in a primarily self-administered treatment format. Both treatments yielded substantial reductions in headache activity and smaller but significant reductions in depression. However, patients who received the combined treatment recorded significantly larger reductions in headache activity than patients receiving relaxation training alone. In addition, high pretreatment levels of headache activity and daily life stress were associated with a poor response to relaxation training but were unrelated to patients' response to the combined treatment. These results suggest that cognitive-behavioral interventions may enhance the effectiveness of primarily self-administered relaxation training, particularly with selected subgroups of patients.Portions of this paper were presented at the 7th annual meeting of the Society of Behavioral Medicine, San Francisco, March 1986. We are grateful for the assistance of the following people: Gary Cordingley, Cynthia Eldrige, Karl G. Hursey, Tammy Paolicci, Don Penzien, Steve Richardson, Angello Theofanous, and Michelle Young.Anita Baker, M.S., was killed in a highway accident on January 3, 1988. We deeply regret the loss of our friend and colleague. Jeffrey Holm, Ph.D., is currently affiliated with the University of North Dakota, Department of Psychology.
Keywords:headache  cognitive behavior therapy
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