Abstract
Fifteen patients with a history of painful episodes of sickle cell disease were given training in progressive relaxation, thermal biofeedback, cognitive strategies, and self-hypnosis to help them develop self-management skills to relieve pain. Results show a 38.5% reduction in the number of emergency room visits, a 31% reduction in the number of hospitalizations, and a 50% reduction in the inpatient stay during the 6 months since the beginning of therapy compared to 6 months prior to therapy. Analgesic intake was reduced by 29% for those who were using it regularly. This is a preliminary study, and the results are considered only as suggestive of the potential use of biofeedback therapy and behavioral management in alleviating painful episodes in sickle cell disease.
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References
Addison, R. A., Harasimiew, S. J., & Thomas, J. E. (1979).Chronic pain treatment outcome analysis aided by computerised medical information. Paper presented at the 56th Annual Session, American Congress of Rehabilitation Medicine, Honolulu, Hawaii.
Erickson, M. H., & Rossi, E. L. (1979).Hypnotherapy. New York: Irvington.
Fordyce, W. E. (1974).Behavioral methods for chronic pain and illness. St. Louis: C. V. Mosby.
Hilgard, E. R., & Hilgard, J. (1975).Hypnosis in the relief of pain. Los Altos, California: Kaufmann.
Koshy, M. (1977).The role of the emergency room in the care of sickle cell disease patients. Paper presented at the National Sickle Cell Disease Conference, New Orleans.
Meichenbaum, D. (1977).Cognitive behavior modification: An integrative approach. New York: Plenum.
Powars, D. R. (1975). Natural history of sickle cell disease: The first ten years.Seminars in Hematology, 12 267–285.
Sternbach, R. A. (1974).Pain patients: Traits and treatment. New York: Academic Press.
Thomas, J. E. (1978).Therapeutic relaxation: Tense-release technique. Chicago: Rehabilitation Institute of Chicago.
Turk, D. C. (1978). Applications of coping skills training to the treatment of pain. In C. D. Spielberger & I. G. Sarason (Eds.),Stress and anxiety (Vol. 5). New York: Brunner/Mazel.
Zelzer, L. K., Dash, J., & Holland, J. P. (1979). Hypnotically-induced pain control in sickle cell anemia.Pediatrics, 64(4), 533–536.
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Thomas, J.E., Koshy, M., Patterson, L. et al. Management of pain in sickle cell disease using biofeedback therapy: A preliminary study. Biofeedback and Self-Regulation 9, 413–420 (1984). https://doi.org/10.1007/BF01000558
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DOI: https://doi.org/10.1007/BF01000558