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Journal of Applied Behavior Analysis logoLink to Journal of Applied Behavior Analysis
. 1977 Fall;10(3):381–390. doi: 10.1901/jaba.1977.10-381

Acquisition, discriminative stimulus control, and retention of increases/decreases in blood pressure of normotensive human subjects.

S T Elder, D M Welsh, A Longacre Jr, R MacAfee
PMCID: PMC1311201  PMID: 924913

Abstract

The aims of this study of 24 normotensive subjects were: to compare a free-operant with a discrete-trials training format; to determine the most effective training procedure by comparing instrumental conditioning with instructional set and a control; to see if both increases and decreases in blood pressure could be brought under discriminative control, and to examine the maintenance of acquired self-control of blood pressure. A 2 X 3 design was employed in which two trial formats (free operant and discrete trials) were factorially compared with three training conditions (instrumental conditioning, instructional set, and control). Instrumental conditioning was found superior to both the instructional set and control conditions in producing increases and decreases in mean diastolic blood pressure. The free-operant format led to a greater degree of learned BP control in that subjects were able to increase and decrease their blood pressure by 10% to 15% of basal value and to maintain the blood-pressure operant after contingent auditory feedback/reinforcement was removed. Training was discontinued when subjects in the other five groups failed to reach criterion after 10 consecutive acquisition sessions.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beatty J. Similar effects of feedback signals and instructional information on EEG activity. Physiol Behav. 1972 Aug;9(2):151–154. doi: 10.1016/0031-9384(72)90227-2. [DOI] [PubMed] [Google Scholar]
  2. Benson H., Shapiro D., Tursky B., Schwartz G. E. Decreased systolic blood pressure through operant conditioning techniques in patients with essential hypertension. Science. 1971 Aug 20;173(3998):740–742. doi: 10.1126/science.173.3998.740. [DOI] [PubMed] [Google Scholar]
  3. Blanchard E. B., Young L. D. Clinical applications of biofeedback training. A review of evidence. Arch Gen Psychiatry. 1974 May;30(5):573–589. doi: 10.1001/archpsyc.1974.01760110003001. [DOI] [PubMed] [Google Scholar]
  4. Brener J., Kleinman R. A. Learned control of decreases in systolic blood pressure. Nature. 1970 Jun 13;226(5250):1063–1064. doi: 10.1038/2261063a0. [DOI] [PubMed] [Google Scholar]
  5. Elder S. T., Eustis N. K. Instrumental blood pressure conditioning in out-patient hypertensives. Behav Res Ther. 1975 Jun;13(2-3):185–188. doi: 10.1016/0005-7967(75)90015-7. [DOI] [PubMed] [Google Scholar]
  6. Elder S. T., Ruiz Z. R. Instrumental conditioning of diastolic blood pressure in essential hypertensive patients. J Appl Behav Anal. 1973 Fall;6(3):377–382. doi: 10.1901/jaba.1973.6-377. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Kristt D. A., Engel B. T. Learned control of blood pressure in patients with high blood pressure. Circulation. 1975 Feb;51(2):370–378. doi: 10.1161/01.cir.51.2.370. [DOI] [PubMed] [Google Scholar]
  8. Lynch J. J., Paskewitz D. A. On the mechanisms of the feedback control of human brain wave activity. J Nerv Ment Dis. 1971 Sep;153(3):205–217. doi: 10.1097/00005053-197109000-00005. [DOI] [PubMed] [Google Scholar]
  9. Shapiro D., Schwartz G. E., Tursky B. Control of diastolic blood pressure in man by feedback and reinforcement. Psychophysiology. 1972 May;9(3):296–304. doi: 10.1111/j.1469-8986.1972.tb03213.x. [DOI] [PubMed] [Google Scholar]
  10. Shapiro D., Tursky B., Gershon E., Stern M. Effects of feedback and reinforcement on the control of human systolic blood pressure. Science. 1969 Feb 7;163(3867):588–589. doi: 10.1126/science.163.3867.588. [DOI] [PubMed] [Google Scholar]
  11. Shapiro D., Tursky B., Schwartz G. E. Differentiation of heart rate and systolic blood pressure in man by operant conditioning. Psychosom Med. 1970 Jul-Aug;32(4):417–423. doi: 10.1097/00006842-197007000-00011. [DOI] [PubMed] [Google Scholar]
  12. Stone R. A., DeLeo J. Psychotherapeutic control of hypertension. N Engl J Med. 1976 Jan 8;294(2):80–84. doi: 10.1056/NEJM197601082940204. [DOI] [PubMed] [Google Scholar]
  13. Walsh D. H. Interactive effects of alpha feedback and instructional set on subjective state. Psychophysiology. 1974 Jul;11(4):428–435. doi: 10.1111/j.1469-8986.1974.tb00568.x. [DOI] [PubMed] [Google Scholar]

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