慢性頭痛におけるbiofeedback療法の有効性と心理面との関連性について

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Review was made on the relationship between the efficacy of biofeedback therapy and psycological aspects in the patients with muscle contraction headache and migraine treated with biofeedback. Psychological tests were performed using Taylor's Manifest Anxiety Scale (MAS), Yatabe-Guilford test (YG) and Self-Rating Questionnaire for Depression (SRQ-D). As for the depression, less SRQ-D scores were obtained in the effective cases with biofeedback than in non-effective cases. Also, significantly higher efficacy was observed in the normal and slightly depressive cases than in severely depressive cases (p<0.025). Concerning anxiety, both diseases showed lower AMS scores in effective cases than in non-effective cases. Even in the therapeutic results classified by the degree of anxiety, as to the muscle contraction headache, the cases of low MAS scores with less than 20 showed significantly superior efficacy than in the cases of high scores over 21 (P<0.025). In migraine, some differences were observed, and the best therapeutic results were obtained in the cases with low scores less than 16 points, followed by the cases of high MAS scores with over 26. In YG test, type-A and type-D showed favorable therapeutic results, while type-E showed unfavorable therapeutic results. In migraine, not only Type-D but also Type-B showed favorable therapeutic results, and favorable efficacy was observed in the type showing the extrovert pattern. Biofeedback therapy is reported to be effective on the psychological aspect, but it was ineffective for the cases showing more marked depression, high anxiety (at muscle contraction headache), emotional unstability, non-adaptability to society and neurotic personality with the introvert pattern.
日本心身医学会の論文
1983-08-01

慢性頭痛におけるbiofeedback療法の有効性と心理面との関連性について

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