Biofeedback and Self-regulation

, Volume 9, Issue 4, pp 413–420 | Cite as

Management of pain in sickle cell disease using biofeedback therapy: A preliminary study

  • Joseph E. Thomas
  • Mabel Koshy
  • Lillie Patterson
  • Louise Dorn
  • Kurian Thomas


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.

Descriptor Key Words

biofeedback behavioral therapies pain crisis sickle cell disease 


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  1. 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.Google Scholar
  2. Erickson, M. H., & Rossi, E. L. (1979).Hypnotherapy. New York: Irvington.Google Scholar
  3. Fordyce, W. E. (1974).Behavioral methods for chronic pain and illness. St. Louis: C. V. Mosby.Google Scholar
  4. Hilgard, E. R., & Hilgard, J. (1975).Hypnosis in the relief of pain. Los Altos, California: Kaufmann.Google Scholar
  5. 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.Google Scholar
  6. Meichenbaum, D. (1977).Cognitive behavior modification: An integrative approach. New York: Plenum.Google Scholar
  7. Powars, D. R. (1975). Natural history of sickle cell disease: The first ten years.Seminars in Hematology, 12 267–285.Google Scholar
  8. Sternbach, R. A. (1974).Pain patients: Traits and treatment. New York: Academic Press.Google Scholar
  9. Thomas, J. E. (1978).Therapeutic relaxation: Tense-release technique. Chicago: Rehabilitation Institute of Chicago.Google Scholar
  10. 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.Google Scholar
  11. Zelzer, L. K., Dash, J., & Holland, J. P. (1979). Hypnotically-induced pain control in sickle cell anemia.Pediatrics, 64(4), 533–536.Google Scholar

Copyright information

© Plenum Publishing Corporation 1984

Authors and Affiliations

  • Joseph E. Thomas
    • 1
  • Mabel Koshy
    • 2
  • Lillie Patterson
    • 3
  • Louise Dorn
    • 3
  • Kurian Thomas
    • 4
  1. 1.Northwestern University Medical SchoolUSA
  2. 2.University of Chicago Medical SchoolUSA
  3. 3.Michael Reese Hospital and Medical CenterUSA
  4. 4.Knox CollegeUSA

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