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한국인 만성 긴장형두통 환자에서 바이오피드백을 활용한 자율적 이완훈련의 효과

Biofeedback-Assisted Autogenic Training for Chronic Tension-Type Headache in a Korean Population

박주언|유범희|강은호|안주연|구문선
대한신경정신의학회 (Korean Neuropsychiatric Association)|2008.05|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제47권 제3호|pp. 247-253

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만성 긴장형두통·바이오피드백·자율적 이완훈련·우울·불안.Chronic tension-type headache· Biofedback· Autogenic training· Depression· Anxiety.
주제분류정신과학

초록

Objectives：We aimed to evaluate the efficacy of biofeedback-assisted autogenic training for chronic tension-type headache, and to determine the relationship among the changes in electromyography (EMG) activity, headache activity, and mood states according to the psychophysiological treatment. Methods：Chronic tension-type headache patients aged from 20 to 40 years (n=35) were randomized to the treatment group receiving biofeedback-assisted autogenic training (8 sessions) or the monitoring-only control group. EMG activities, headache index, and various psychological variables were examined. Results：We found greater treatment response rate (≥50% reduction in headache index) in patients with biofeedbackassisted autogenic training than in the monitoring group (61% vs. 18%；χ2=6.882, df=1, p=0.01). There were no significant changes in the mean values of the pretreatment EMG activities across the sessions in either group (all p’s>0.1). Mood states including anxiety and depression improved over time in the both groups, with the improvements being more prominent in the treatment group. Moreover, the reduction in depression level predicted treatment outcome in terms of headache index (95% confidence interval：0.272-0.966, p=0.039). Conclusion：These results show that biofeedback-assisted autogenic training is effective for the treatment of chronic tension-type headache in a Korean population. Changes in mood states may be closely associated with the clinical outcome in the treatment of chronic tension-type headache using biofeedback-assisted autogenic training. (J Korean Neuropsychiatr Assoc 2008;47(3):247-253)

Abstract

Objectives：We aimed to evaluate the efficacy of biofeedback-assisted autogenic training for chronic tension-type headache, and to determine the relationship among the changes in electromyography (EMG) activity, headache activity, and mood states according to the psychophysiological treatment. Methods：Chronic tension-type headache patients aged from 20 to 40 years (n=35) were randomized to the treatment group receiving biofeedback-assisted autogenic training (8 sessions) or the monitoring-only control group. EMG activities, headache index, and various psychological variables were examined. Results：We found greater treatment response rate (≥50% reduction in headache index) in patients with biofeedbackassisted autogenic training than in the monitoring group (61% vs. 18%；χ2=6.882, df=1, p=0.01). There were no significant changes in the mean values of the pretreatment EMG activities across the sessions in either group (all p’s>0.1). Mood states including anxiety and depression improved over time in the both groups, with the improvements being more prominent in the treatment group. Moreover, the reduction in depression level predicted treatment outcome in terms of headache index (95% confidence interval：0.272-0.966, p=0.039). Conclusion：These results show that biofeedback-assisted autogenic training is effective for the treatment of chronic tension-type headache in a Korean population. Changes in mood states may be closely associated with the clinical outcome in the treatment of chronic tension-type headache using biofeedback-assisted autogenic training. (J Korean Neuropsychiatr Assoc 2008;47(3):247-253)

참고문헌 (36)

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관련 논문AI추천

긴장성 두통에 미치는 EMG biofeedback과 이완훈련의 상대적 효과한국심리학회 · 한국심리학회지:일반1987 · 제6권 제1호근 긴장성 두통환자에 대한 EMG 바이오피드백 훈련의 치료효과와 전두근 EMG 활동의 특정성 문제한국심리학회 · 한국심리학회지:일반1987 · 제6권 제2호EMG 바이오피드백을 이용한 긴장형 두통의 치료손정락한국건강심리학회 · 한국심리학회지: 건강2009 · 제14권 제4호긴장성두통에 미치는 자기효율성, 우울 및 다차원 건강 내외통제 수준에 따른 전두부 EMG 바이오피드백 훈련의 효과한국심리학회 · 한국심리학회지:일반1988 · 제7권 제1호긴장형 두통환자의 몰입수준에 따른 EMG바이오피드백 훈련과 이완 훈련의 효과문미숙, 손정락한국건강심리학회 · 한국심리학회지: 건강2009 · 제14권 제2호바이오피드백 훈련이 만성 두통 환자의 임상 증상 및 스트레스 반응에 미치는 효과유범희, 장명선, 정진상, 하양숙대한신경정신의학회 · 신경정신의학2004 · 제43권 제6호

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