The failure of intensive self-regulatory treatment with chronic daily headache: a prospective study.
Sixteen patients with chronic daily headache (HA) of moderate to severe intensity received 20 sessions of self-regulatory treatment including progressive muscle relaxation, thermal biofeedback, and cognitive stress coping therapy. Four stopped treatment after 12 visits (but had received all 3 treatment components). Only 2 of 12 completers (17%) showed more than 50% reduction in HA Index based on daily diaries. Chronic daily HA continues to be relatively refractory to self-regulatory treatment.
Barton
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Center for Stress and Anxiety Disorders, University at Albany-SUNY, Albany, New York, USA.
Blanchard
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D000328:Adult; D001676:Biofeedback, Psychology; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D005260:Female; D020773:Headache Disorders / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009126:Muscle Relaxation; D011446:Prospective Studies; D012648:Self Care; D017211:Treatment Failure