Skip to main content
Log in

A comparison of relaxation techniques with electrosleep therapy for chronic, sleep-onset insomnia

A sleep-EEG study

  • Articles
  • Published:
Biofeedback and Self-regulation Aims and scope Submit manuscript

Abstract

Two methods of relaxation therapy, electromyograph biofeedback and autogenic training, were compared to a nonrelaxation treatment, electrosleep therapy, in reducing sleep latency among 22 chronic, sleep-onset insomniacs. While none of the electrosleep patients improved on all-night laboratory electroencephalographic sleep records or daily home sleep logs, approximately one-half of the relaxation-treated patients showed marked improvement, which was sustained over a 1-month follow-up period. Although some sleep and treatment variables differentiated relaxation therapy responders from nonresponders, external stress appeared to be the most salient factor. Successful and unsuccessful patients could not be differentiated on any of the psychological variables studied.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Reference note

  • Staples, R., Coursey, R., & Smith, B.A comparison of EMG feedback, progressive relaxation and autogenic training as relaxation techniques. Unpublished manuscript, University of Maryland, 1975.

References

  • Backeland, F., & Hoy, P. Reported vs. recorded sleep characteristics.Archives of General Psychiatry 1971,24 548–551.

    Google Scholar 

  • Barabasz, A. F. Treatment of insomnia in depressed patients by hypnosis and cerebral electrotherapy.American Journal of Clinical Hypnosis 1976,19 120–122.

    Google Scholar 

  • Barlow, D. H., & Hersen, M. Single-case experimental designs.Archives of General Psychiatry 1973,29 319–325.

    Google Scholar 

  • Borkovec, T. D., & Fowles, D. C. Controlled investigation of the effects of progressive and hypnotic relaxation on insomnia.Journal of Abnormal Psychology 1973,82 153–158.

    Google Scholar 

  • Borkovec, T. D., Kaloupek, D. G., & Slama, K. M. The facilitative effect of muscle tension-release in the relaxation treatment of sleep disturbance.Behavior Therapy 1975,6 301–309.

    Google Scholar 

  • Borkovec, T. D., Steinmark, S. W., & Nau, S. D. Relaxation training and single-item desensitization in the group treatment of insomnia.Journal of Behavior Therapy and Experimental Psychiatry 1973,4 401–403.

    Google Scholar 

  • Borkovec, T. D., & Weerts, T. C.. Effects of progressive relaxation on sleep disturbance: An electroencephalographic evaluation.Psychosomatic Medicine 1976,38 173–180.

    Google Scholar 

  • Budzynski, T. H., & Stoyva, J. H. An instrument for producing deep muscle relaxation by means of analog information feedback.Journal of Applied Behavior Analysis 1969,2 231–237.

    Google Scholar 

  • Byrne, D. Repression-sensitization as a dimension of personality. In B. Maher (Ed.),Progress in experimental personality research (Vol. 1), New York: Academic Press, 1964.

    Google Scholar 

  • Byrne, D.Introduction to personality. Englewood Cliffs, New Jersey: Prentice-Hall, 1966.

    Google Scholar 

  • Carskadon, M., Dement, W., Mitler, M., Guilleminault, C., Zarcone, V., & Spiegel, R. Self-reports versus sleep laboratory findings in 122 drug-free subjects with complaints of chronic insomnia.American Journal of Psychiatry 1976,133 1382–1388.

    Google Scholar 

  • Cartwright, R. D., & Weiss, M. F. The effects of electrosleep on insomnia revisited.Journal of Nervous and Mental Disease 1975,161 134–137.

    Google Scholar 

  • Coursey, R. EMG feedback as a relaxation technique.Journal of Consulting and Clinical Psychology 1975,43 825–834.

    Google Scholar 

  • Coursey, R., Buchsbaum, M., & Frankel, B. L. Personality measures and evoked responses in chronic insomniacs.Journal of Abnormal Psychology 1975,84 239–249.

    Google Scholar 

  • Dahlstrom, W., Welsh, G., & Dahlstrom, L.An MMPI handbook (Rev. ed.). Minneapolis: University of Minnesota Press, 1972.

    Google Scholar 

  • Edwards, A.The social desirability variable in personality assessment and research. New York: Dryden, 1957.

    Google Scholar 

  • Elenewski, J. A study of insomnia: The relationship of psychopathology to sleep disturbance (Doctoral dissertation, University of Miami, 1971).Dissertation Abstracts International 1971,32(6-B), 3631–3632.

    Google Scholar 

  • Evans, D., & Bond, I. Reciprocal inhibition therapy and classical conditioning in the treatment of insomnia.Behavior Research and Therapy 1969,7 323–325.

    Google Scholar 

  • Frankel, B., Buchbinder, R., & Snyder, F. Ineffectiveness of electrosleep in chronic primary insomnia.Archives of General Psychiatry 1973,29 563–568.

    Google Scholar 

  • Frankel, B., Coursey, R., Buchbinder, R., & Snyder, F. Recorded and reported sleep in chronic primary insomnia.Archives of General Psychiatry 1976,33 615–623.

    Google Scholar 

  • Freedman, R., & Papsdorf, L. Biofeedback and progressive relaxation treatment of sleep-onset inomnia: A controlled, all-night investigation.Biofeedback and Self-Regulation 1976,1 253–271.

    Google Scholar 

  • Geer, J. H., & Katkin, E. S. Treatment of insomnia using a variant of systematic desensitization: A case report.Journal of Abnormal Psychology 1966,71 161–164.

    Google Scholar 

  • Gershman, L., & Clouser, R. A. Treating insomnia with relaxation and desensitization in a group setting by an automated approach.Journal of Behavior Therapy and Experimental Psychiatry 1974,5 31–35.

    Google Scholar 

  • Good, R. Frontalis muscle tension and sleep latency.Psychophysiology 1975,12 465–467.

    Google Scholar 

  • Hauri, P. The influence of evening activity on the onset of sleep.Psychophysiology 1969,5 426–430.

    Google Scholar 

  • Haynes, S. N., Follingstad, D., & McGowan, W. Insomnia: Sleep patterns and auxiety level.Journal of Psychosomatic Research 1974,18 69–74.

    Google Scholar 

  • Haynes, S. N., Price, M. G., & Simons, J. P. Stimulus control treatment of insomnia.Journal of Behavior Therapy and Experimental Psychiatry 1975,6 279–282.

    Google Scholar 

  • Haynes, S. N., Sides, H., & Lockwood, G. Relaxation instructions and frontalis electromyographic feedback intervention with sleep-onset insomnia.Behavior Therapy 1977,8 644–652.

    Google Scholar 

  • Hinkle, J. E., & Lutker, E. R. Insomnia: A new approach.Psychotherapy: Theory, Research and Practice 1972,9 236–237.

    Google Scholar 

  • Kahn, M., Baker, B. L., & Weiss, J. M. Treatment of insomnia by relaxation training.Journal of Abnormal Psychology 1968,73 556–558.

    Google Scholar 

  • Kales, A. Psychophysiological studies of insomnia.Annals of Internal Medicine 1969,71 625–629.

    Google Scholar 

  • Kales, A., Caldwell, A. B., Preston, T. A., Healey, S., & Kales, J. D. Personality patterns in insomnia.Archives of General Psychiatry 1976,33 1128–1134.

    Google Scholar 

  • Karacan, I., Williams, R., Littell, R., & Salis, P. Insomniacs: Unpredictable and idiosyncratic sleepers. In W. P. Koella & P. Levin (Eds.),Sleep: Physiology, biochemistry, psychology, pharmacology, clinical implications. Basel: Karger, 1973.

    Google Scholar 

  • Lewis, J. A. Electrosleep. In R. L. Williams & W. B. Webb (Eds.),Sleep therapy. Springfield, Illinois: Charles C Thomas, 1966.

    Google Scholar 

  • Lick, J. R., & Heffler, D. Relaxation training and attention placebo in the treatment of severe insomnia.Journal of Consulting and Clinical Psychology 1977,45 153–161.

    Google Scholar 

  • Monroe, L. Psychological and physiological differences between good and poor sleepers.Journal of Abnormal Psychology 1967,72 255–264.

    Google Scholar 

  • Montgomery, I., Perkin, G., & Wise, D. A review of behavioral treatments for insomnia.Journal of Behavior Therapy and Experimental Psychiatry 1975,6 93–100.

    Google Scholar 

  • Nicassio, P., & Bootzin, R. A comparison of progressive relaxation and autogenic training as treatments for insomnia.Journal of Abnormal Psychology 1974,83 253–260.

    Google Scholar 

  • Nicolis F. B., & Silvestri, L. C. Hypnotic activity of palcebo in relation to severity of insomnia: A quantitative evaluation.Clinical Pharmacology and Therapeutics 1967,8 841–848.

    Google Scholar 

  • Rechtschaffen, A. Polygraphic aspects of insomnia. In H. Gestaut (Ed.),The abnormalities of sleep in man. Bologna, Italy: Aulo Gaggi, 1968.

    Google Scholar 

  • Rechtschaffen, A., & Kales, A. (Eds.).A manual of standardized terminology, techniques and scoring system for sleep stages of human subjects (NIH Publication No. 204). Washington, D.C.: U.S. Government Printing Office, 1968.

    Google Scholar 

  • Rechtschaffen, A., & Monroe, L. Laboratory studies of insomnia. In A. Kales (Ed.),Sleep: Physiology and pathology. Philadelphia: Lippincott, 1969.

    Google Scholar 

  • Ribordy, S. C., & Denney, D. R. The behavioral treatment of insomnia: An alternative to drug therapy.Behaviour Research & Therapy 1977,15 39–50.

    Google Scholar 

  • Robinson, T.Presleep activity and sleep quality of good and poor sleepers. Unpublished doctoral dissertation, University of Chicago, 1969.

  • Rosenthal, S. H. Electrosleep: A double-blind clinical study.Biological Psychiatry 1972,4 179–185.

    Google Scholar 

  • Roth, T., Kramer, M., & Lutz, T. The nature of insomnia: A descriptive summary of a sleep clinic population.Comprehensive Psychiatry 1976,17 217–220.

    Google Scholar 

  • Schultz, J. H., & Luthe, W.Autogenic training. New York: Grune and Stratton, 1959.

    Google Scholar 

  • Siegel, S.Nonparametric statistics. New York: McGraw-Hill, 1956.

    Google Scholar 

  • Starker, S., & Hasenfeld, R. Daydream styles and sleep disturbance.Journal of Nervous and Mental Disease 1976,163 391–400.

    Google Scholar 

  • Steinmark, S. W., & Borkovec, T. D. Active and placebo treatment effects on moderate insomnia under counterdemand and positive demand instructions.Journal of Abnormal Psychology 1974,83 157–163.

    Google Scholar 

  • Weil, G., & Goldfried, M. R. Treatment of insomnia in an eleven year-old child through self-relaxation.Behavior Therapy 1973,4 282–284.

    Google Scholar 

  • Weiss, M. The treatment of insomnia through the use of electrosleep: An EEG study.Journal of Nervous and Mental Disease 1973,157 108–120.

    Google Scholar 

  • Woolfolk, R. L., Carr-Kaffashan, L., McNulty, T., & Lehrer, P. M. Meditation training as a treatment for insomnia.Behavior Therapy 1976,7 359–365.

    Google Scholar 

  • Zuckerman, M., & Lubin, B.Manual for the multiple affect adjective check list. San Diego: Educational and Industrial Testing Service, 1965.

    Google Scholar 

  • Zung, W. W. A self-rating depression scale.Archives of General Psychiatry 1965,12 63–70.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Coursey, R.D., Frankel, B.L., Gaarder, K.R. et al. A comparison of relaxation techniques with electrosleep therapy for chronic, sleep-onset insomnia. Biofeedback and Self-Regulation 5, 57–73 (1980). https://doi.org/10.1007/BF00999064

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00999064

Keywords

Navigation