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. 2018 Oct 1;2018(9):CD003968. doi: 10.1002/14651858.CD003968.pub5

Bussone 1998.

Study characteristics
Methods RCT. 2 arms. Assessed at pretreatment, post‐treatment, 6 months, 12 months
Participants End of treatment: n = 35
Start of treatment: n = 35
Sex: 17 F, 18 M
Mean age = 11.4 years (range 11 to 15)
Source = specialised headache clinic
Diagnosis = headache
Mean years of pain (mean) = 2.6
Interventions "Biofeedback (assisted relaxation)"
"Relaxation"
Outcomes Primary pain outcome: Pain Index
Primary disability outcome: none
Primary depression outcome: none
Primary anxiety outcome: State Trait Anxiety Index
  1. Pain Total Index (headache diary)

  2. State Trait Anxiety Index (STAI)

  3. Analgesic use

Notes COI: not reported
Funding: "Preparation of this research was supported in part by a research grant from the National Institute of Nuerological Disorders and Stroke, NS‐29855."
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "Patients were randomly assigned to one of two experimental conditions"
Comment: probably done, method not described
Allocation concealment (selection bias) High risk "... with the constraint that subjects be over‐sampled in BFB‐REL treatment (2:1 ratio) in order to make actual treatment available to as many children as possible."
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk No description found in text
Comment: probably not done
Incomplete outcome data (attrition bias)
All outcomes Low risk No dropouts reported in study
Selective reporting (reporting bias) High risk Data incompletely reported