Biofeedback and Self-regulation

, Volume 4, Issue 3, pp 229–236 | Cite as

The use of EEG theata biofeedback in the treatment of a patient with sleep-onset insomnia

  • J. Stephen Bell
Case Reports And Training Techniques
Received:

Abstract

In this report, the treatment of a 42-year-old female with a complaint of chronic sleep-onset insomnia is described. Following the unsuccessful use of relaxation training, treatment consisted of 11 sessions of EEG theta rhythm (4–7 Hz) biofeedback. Theta density and five sleep indices were monitored throughout baseline, placebo, and treatment sessions. A significant increase in theta density was accompanied by reports of a decrease in sleep latency and an increase in total sleep time. This improvement was maintained after withdrawal of medication and at 3-month follow-up.

Keywords

Placebo Health Psychology Treatment Session Sleep Time Sleep Latency 
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References

  1. Bixler, E. O., Kales, A., Leo, L. A., & Slye, T. A comparison of subjective estimates and objective sleep laboratory findings in insomniac patients. In M. H. Chase, W. C. Stern, & P. L. Walter (Eds.),Sleep research (Vol. 2). University of California, Los Angeles: Brain Information Service/Brain Research Institute, 1973, P. 143.Google Scholar
  2. Bootzin, R. R.Stimulus control treatment for insomnia. Paper presented at the 80th Annual Conference of the American Psychological Association, Honolulu, Hawaii, 1972.Google Scholar
  3. Budzynski, T. H. Biofeedback procedures in the clinic.Seminars in Psychiatry 1973,5 4.Google Scholar
  4. Carskadon, M. A., Dement, W. C., Mitler, M. N., Guilleminault, C., Zarcone, V. P., & Spiegel, R. Self-reports versus sleep laboratory findings in 122 drug-free subjects with complaints of chronic insomnia.American Journal of Psychiatry 1976,133 12.Google Scholar
  5. Dunlop, D.British Medical Bulletin 1970,26 236.Google Scholar
  6. Dunnell, K., & Cartwright, A.Medicine takers, prescribers and hoarders. London: Routledge & Kegan Paul, 1972.Google Scholar
  7. Frankel, B. L., Buchbinder, R., Coursey, R., & Snyder, F. Sleep patterns and psychological test characteristics of chronic primary insomniacs. In M. H. Chase, W. C. Stern, & P. L. Walter (Eds.),Sleep research (Vol. 2). University of California, Los Angeles: Brain Information Service/Brain Research Institute, 1973. P. 149.Google Scholar
  8. Freedman, R., & Papsdorf, J. D., Biofeedback and progressive relaxation treatment of sleeponset insomnia—a controlled all-night investigation.Biofeedback and Self-Regulation 1976,1 3.Google Scholar
  9. Goldberg, D. P. The detection of psychiatric illness by questionnaire: A technique for the identification and assessment of non-psychotic illness. Institute of Psychiatry, Maudsley Monograph No. 21. Oxford University Press, 1972.Google Scholar
  10. Guilleminault, C., Spiegel, R., & Dement, W.A propos des insomnies, Confrontations Psychiatriques. Caen: in press.Google Scholar
  11. Hammond, E. G., & Garfinkel, L. Coronary heart disease, stroke and aortic aneurysm: Factors in etiology.Archives of Environmental Health 1969,19 167–182.Google Scholar
  12. Hauri, P., Phelps, P. J., & Jordan, J. D. Biofeedback as a treatment for insomnia.Proceedings of the 7th Annual Meeting of the Biofeedback Research Society, Denver, Colorado, 1976, 34.Google Scholar
  13. Haynes, S. N., Follingstad, D. R., & McGowan, W. T., Insomnia sleep patterns and anxiety level.Journal of Psychosomatic Research 1974.18 69–74.Google Scholar
  14. Hersen, M., & Barlow, D. H., Single case experimental designs: Strategies for studying behaviour change. Oxford: Pergamon, 1976.Google Scholar
  15. Jacobson, E.Progressive relaxation. Chicago: University of Chicago Press, 1938.Google Scholar
  16. Johns, M. W. Management of insomnia.Drugs 1972,4 290–294.Google Scholar
  17. Kales, A. Psychophysiological studies of insomnia.Annals of Internal Medicine 1969,71 625–629.Google Scholar
  18. Karacan, I., Williams, R. L., & Salis, P. J. New approaches to the evaluation and treatment of insomnia.Psychosomatics 1971,12 81–88.Google Scholar
  19. Mitchell, K. R., & White, R. G. Self-management of severe predormital insomnia.Journal of Behavior Therapy and Experimental Psychiatry 1977,8 57–63.Google Scholar
  20. Montgomery, I., Perkin, G., & Wise, D. A review of behavioural treatments for insomnia.Journal of Behavior Therapy and Experimental Psychiatry. 1975,6 93–100.Google Scholar
  21. Raskin, M., Johnson, G., & Rondestvedt, J. W. Chronic anxiety treated by feedback-induced muscle relaxation.Archives of General Psychiatry, 1973,28, Google Scholar
  22. Ribordy, S. C., & Denny, D. R. The behavioural treatment of insomnia. An alternative to drug therapy.Behaviour Research and Therapy 1977,15 39–50.Google Scholar
  23. Shepherd, M., Cooper, B., Brown, A. C., & Kalton, G.Psychiatric illness in general practice. Oxford: Oxford University Press, 1966.Google Scholar
  24. Shimizu, K., Shiotsuki, M., & Ichino, Y. All-night electroencephalographic study of insomnia.Clinical Electroencephalography 1970,1 21–29.Google Scholar
  25. Storms, M. D., & Nisbett, R. E. Insomnia and the attribution process.Journal of Personality and Social Psychology 1970,16(2), 319–328.Google Scholar

Copyright information

© Plenum Publishing Corporation 1979

Authors and Affiliations

  • J. Stephen Bell
    • 1
  1. 1.Andrew Duncan ClinicRoyal Edinburgh HospitalEdinburghScotland

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