Abstract
Direct biofeedback of blood pressure was compared with frontal EMG biofeedback and with self-instructed relaxation for the treatment of essential hypertension in a controlled group outcome study. Patients were followed up for four months after the end of treatment. Generalization of treatment effects was assessed through pre- and posttreatment measurements of blood pressure under clinical conditions in a physician's office. There were no significant reductions in diastolic blood pressure. The systolic blood pressure (SBP) of the patients receiving blood pressure biofeedback decreased 8.1 mm mercury (p = 0.07) and the SBP of the patients in the relaxation condition decreased 9.5 mm mercury (p = 0.05). In the generalization measures, there were significant reductions in SBP for the relaxation group. The results are discussed in terms of the general lack of replicability within the area of biofeedback treatment of hypertension.
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- Beug H., Gerisch G., Müller E. Cell dissociation: univalent antibodies as a possible alternative to proteolytic enzymes. Science. 1971 Aug 20;173(3998):742–743. doi: 10.1126/science.173.3998.742. [DOI] [PubMed] [Google Scholar]
- Blanchard E. B., Miller S. T. Psychological treatment of cardiovascular disease. Arch Gen Psychiatry. 1977 Dec;34(12):1402–1413. doi: 10.1001/archpsyc.1977.01770240028002. [DOI] [PubMed] [Google Scholar]
- 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]
- 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]
- Goldman H., Kleinman K. M., Snow M. Y., Bidus D. R., Korol B. Relationship between essential hypertension and cognitive functioning: effects of biofeedback. Psychophysiology. 1975 Sep;12(5):569–573. doi: 10.1111/j.1469-8986.1975.tb00049.x. [DOI] [PubMed] [Google Scholar]
- 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]
- Lew E. A. High blood pressure, other risk factors and longevity: the insurance viewpoint. Am J Med. 1973 Sep;55(3):281–294. doi: 10.1016/0002-9343(73)90130-7. [DOI] [PubMed] [Google Scholar]
- Shoemaker J. E., Tasto D. L. The effects of muscle relaxation on blood pressure of essential hypertensives. Behav Res Ther. 1975 Feb;13(1):29–43. doi: 10.1016/0005-7967(75)90049-2. [DOI] [PubMed] [Google Scholar]
- Surwit R. S., Shapiro D., Good M. I. Comparison of cardiovascular biofeedback, neuromuscular biofeedback, and meditation in the treatment of borderline essential hypertension. J Consult Clin Psychol. 1978 Apr;46(2):252–263. doi: 10.1037//0022-006x.46.2.252. [DOI] [PubMed] [Google Scholar]