Behavioral Control of Tension Headaches

  • Leonard H. Epstein
  • Paul M. Cinciripini


Headache pain is a widely reported physical complaint. Survey data indicates that up to 65% of nonclinical populations report periodic headaches (20). The majority of headaches can be classified as tension or migraine varieties, with tension headaches accounting for up to 80% of headaches (1). The purpose of this chapter is to present research relevant to the assessment and treatment of tension headaches.


Tension Headache Pain Report Headache Pain Headache Report Headache Intensity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Appenzeller, O. Vasomotor function in migraine. Headache 9:147–155, 1969.PubMedCrossRefGoogle Scholar
  2. 2.
    Bakal, D. A. Headache: A biopsychological perspective. Psychol Bull 82:369–382, 1975.PubMedCrossRefGoogle Scholar
  3. 3.
    Budzynski, T. H., and Stoyva, J. N. An instrument for producing deep muscle relaxation by means of analog information feedback. J. Appl. Behav. Anal 2:231–237, 1969.PubMedCrossRefGoogle Scholar
  4. 4.
    Budzynski, T., Stoyva, J. N., and Adler, C. Feedback-influenced muscle relaxation: Application to tension headache. J. Behav. Ther. and Exper. Psychiat. 1:205–211, 1970.CrossRefGoogle Scholar
  5. 5.
    Budzynski, T. H., Stoyva, J. N., Adler, C. S., and Mullaney, D. J. EMG biofeedback and tension headache: A controlled outcome study. Psychosom. Med. 35:484–496, 1973.PubMedGoogle Scholar
  6. 6.
    Chesney, M. A., and Shelton, J. L. A comparison of muscle relaxation and electromyogram biofeedback treatments for muscle contraction headache. J. Behav. Ther. and Exper. Psychiat. 7:221–225, 1976.CrossRefGoogle Scholar
  7. 7.
    Cox, D. J., Freundlick, A., and Meyer, R. G. Differential effectiveness of electromyograph feedback, verbal relaxation instructions, and medication placebo with tension headaches. J. Consult. Clin. Psychol. 43:892–899, 1975.PubMedCrossRefGoogle Scholar
  8. 8.
    Epstein, L. H., and Abel, G. G. Analysis of biofeedback training effects for tension headache patients. Behav. Ther. 8:37–47, 1977.CrossRefGoogle Scholar
  9. 9.
    Epstein, L. H., Abel, G. G., Collins, F., Parker, L., and Cinciripini, P. M. The relationship between frontalis muscle activity and self-reports of headache pain. Behav. Res. and Ther., in press.Google Scholar
  10. 10.
    Epstein, L. H., and Blanchard, E. B. Biofeedback, self-control, and self-management. Biofeedback Self. Regul. 2:201–211, 1977.PubMedCrossRefGoogle Scholar
  11. 11.
    Epstein, L. H., Hersen, M. and Hemphill, D. P. Music feedback in the treatment of tension headache: An experimental case study. J. Behav. Ther. and Exper. Psychiat. 5:59–63, 1974.CrossRefGoogle Scholar
  12. 12.
    Fordyce, W. F. Behavioral Methods for Chronic Pain and Illness. St. Louis: C. V. Mosby, 1976.Google Scholar
  13. 13.
    Friedman, A. P., and Losin, S. Evaluation of UML-491 in treatment of vascular headaches. Arch. Neurol. 4:241–245, 1961.PubMedCrossRefGoogle Scholar
  14. 14.
    Haynes, S. N., Griffin, P., Mooney, D., and Parise, M. Electromyographic biofeedback and relaxation instructions in the treatment of muscle contraction headaches. Behav. Ther. 6:672–678, 1975.CrossRefGoogle Scholar
  15. 15.
    Hefferline, R. F., and Perera, T. B. Proprioceptive discrimination of a covert operant without its observation by the subject. Science 139:834–835, 1963.PubMedCrossRefGoogle Scholar
  16. 16.
    Holroyd, K. R., Andrasik, F., and Westbrook, T. Cognitive control of tension headache. Cognitive Ther. Res. 1:121–133, 1977.CrossRefGoogle Scholar
  17. 17.
    Malmo, R. B., Shagass, C., and Davis, F. H. Symptom specificity and bodily reactions during psychiatric interview. Psychosom. Med. 12:362–376, 1950.PubMedGoogle Scholar
  18. 18.
    Mitchell, K. R., and White, R. G. Behavioral self-management: An application to the problem of migraine headaches. Behav. Ther. 8:213–221, 1977.CrossRefGoogle Scholar
  19. 19.
    Norton, R. G. and Nielson, W. R. Headaches: The importance of consequent events. Behav. Ther. 8:504–506, 1977.CrossRefGoogle Scholar
  20. 20.
    Ogden, H. D. Headache studies; statistical data. J. Allergy 23:58–75, 1952.PubMedCrossRefGoogle Scholar
  21. 21.
    Phillips, C. The modification of tension headache pain using EMG biofeedback. Behav. Res. and Ther. 15:119–130, 1977.CrossRefGoogle Scholar
  22. 22.
    Shedivy, D. I., and Kleinman, K. M. Lack of correlation between frontalis EMG and either neck EMG or verbal ratings of tension. Psychophysiol. 14:182–186, 1977.CrossRefGoogle Scholar
  23. 23.
    Tasto, D. L., and Hinkle, J. E. Muscle relaxation treatment for tension headaches. Behav. Res. and Ther. 11:347–349, 1973.CrossRefGoogle Scholar
  24. 24.
    Tunis, M. M., and Wolff, H. G. Studies on headache: cranial artery vasoconstriction and muscle contraction headache. Arch. Neurol. Psychiatry 71:425–434, 1954.Google Scholar
  25. 25.
    Wickramasekera, I. The application of verbal instructions and EMG feedback training to the management of tension headache: Preliminary observations. Headache 13:74–76, 1973.PubMedCrossRefGoogle Scholar
  26. 26.
    Wolff, H. G., Headache and Other Head Pain. New York: Oxford University Press, 1963.Google Scholar

Copyright information

© Spectrum Publications, Inc. 1981

Authors and Affiliations

  • Leonard H. Epstein
  • Paul M. Cinciripini

There are no affiliations available

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