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Behavioral treatment of Raynaud's disease

Abstract

In order to assess the efficacy of a behavioral intervention in the treatment of idiopathic Raynaud's disease, 30 female patients were trained to control their digital skin temperature using autogenic training or a combination of autogenic training and skin temperature feedback either in the laboratory or at home. All trained subjects demonstrated a significant ability to maintain digital skin temperature in the presence of a cold stress challenge and reported significant reductions in both frequency and intensity of vasospastic attacks. The addition of skin temperature feedback to autogenic training did not provide additional clinical benefit.

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References

  • Benson, H. (1975).The Relaxation Response, Morrow, New York.

    Google Scholar 

  • Blanchard, E. B., and Haynes, M. R. (1975). Biofeedback treatment of a case of Raynaud's disease.J. Behav. Ther. Exp. Psychiat. 6: 230–234.

    Google Scholar 

  • Jacobson, E. (1964).Anxiety and Tension Control: A Physiologic Approach, Lippincott, Philadelphia.

    Google Scholar 

  • Keefe, F. J., Kopel, S., and Gordon, S.B. (1978).A Practical Guide to Behavioral Assessment, Springer, New York.

    Google Scholar 

  • Lewis, T. (1949).Vascular Disorders of the Limbs: Described for Practitioners and Students, MacMillan, London.

    Google Scholar 

  • Patton, H. D. (1965). The autonomic nervous system. In Ruch, T. C., Patton, H. D., Woodbury, J. W., and Towe, A. L. (eds.),Neurophysiology, Saunders, Philadelphia, pp. 226–251.

    Google Scholar 

  • Paul, G. L., and Trimble, R. W. (1970). Recorded vs. “live” relaxation training and hypnotic suggestion: Comparative effectiveness for reducing physiological arousal and inhibiting stress response.Behav. Ther. 285–302.

  • Schultz, J. H., and Luthe, W. (1969).Autogenic Methods, Grune and Stratton, New York.

    Google Scholar 

  • Shapiro, D., Mainardi, J. A., and Surwit, R. S. (1977). Biofeedback and self-regulation in essential hypertension. In Schwartz, G. E., and Beatty, J. (eds.),Biofeedback: Theory and Practice, Academic Press, New York, pp. 313–350.

    Google Scholar 

  • Silver, B. V., and Blanchard, E. B. (1978). Biofeedback and relaxation training in the treatment of psychophysiologic disorders: Or, are the machines really necessary?J. Behav. Med. 1: in press.

  • Sirota, A. D., Schwartz, G. E., and Shapiro, D. (1974). Voluntary control of heart rate: Effect on reaction to aversive stimulation.J. Abnorm. Psychol. 83: 261–267.

    Google Scholar 

  • Spittell, J. A., Jr. (1972). Raynaud's phenomenon and allied vasospastic conditions. In Fairbairn, J. F., Juergens, J. L., and Spittell, Jr. J. A., (eds.),Allen, Barker, and Hines, Peripheral Vascular Diseases, Saunders, Philadelphia, pp. 387–420.

    Google Scholar 

  • Surwit, R. S. (1973). Biofeedback: A possible treatment for Raynaud's disease.Sem. Psychiat. 5: 483–489.

    Google Scholar 

  • Surwit, R. S., and Keefe, F. J. (in press). Frontalis EMG biofeedback: An electronic panacea.Behav. Ther. (in press).

  • Surwit, R. S., Shapiro, D. and Feld, J. L. (1976). Digital temperature autoregulation and associated cardiovascular changes.Psychophysiology 13: 242–248.

    Google Scholar 

  • Surwit, R. S., Shapiro, D. and Good, M. I. (1978). A comparison of cardiovascular biofeedback, neuromuscular biofeedback and meditation in the treatment of borderline essential hypertension.J. Consul. Clin. Psychol. 46: 252–263.

    Google Scholar 

  • Taub, E. (1977). Self-regulation of human tissue temperature. In Schwartz, G. E., and Beatty, J. (eds.),Biofeedback: Theory and Practice, Academic Press, New York, pp. 265–300.

    Google Scholar 

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This research was supported by National Institute of Mental Health Research Grant MH-25104 to Richard S. Surwit.

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Surwit, R.S., Pilon, R.N. & Fenton, C.H. Behavioral treatment of Raynaud's disease. J Behav Med 1, 323–335 (1978). https://doi.org/10.1007/BF00846683

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  • DOI: https://doi.org/10.1007/BF00846683

Key words

  • autogenic training
  • biofeedback
  • digital skin temperature
  • Raynaud's disease