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The Role of Parent Training in the Cognitive Behavioral Treatment of Children's Headaches

Published online by Cambridge University Press:  16 June 2009

Lee Beames
Affiliation:
University of Queensland, Australia
Matthew R. Sanders
Affiliation:
University of Queensland, Australia
William Bor
Affiliation:
University of Queensland, Australia

Extract

This study reports on the effects of a cognitive-behavioral treatment program for two pre-adolescent children with chronic headaches. The program involved a combination of training the child in self-management skills (e.g. relaxation training, attention training, cognitive self-statements), and training for parents in how to prompt and reinforce children's self-help behaviors. Self-report assessment utilized a headache diary, a general activity measure, and a depression measure, whilst parental report measures were taken of the child's headache behavior and contingent parental care-giving behavior. Child headache behavior at school was also recorded by the child's teacher. The results indicated that by six months follow-up the subjects had improved in headache intensity 100% and 61% respectively, and in headache frequency 100% and 84% respectively. Both subjects also showed decreases in headache behaviors and reductions in contingent care-giving behavior by parents. Overall, the results suggest the potential usefulness of systematic involvement of parents in cognitive-behavioral treatment of children's chronic headaches.

Type
Clinical Section
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1992

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References

Cautela, J. and Groden, J. (1978). Relaxation: A Comprehensive Manual for Adults, Children and Children with Special Needs. Champaign, Illinois: Research Press.Google Scholar
Craig, K. D. (1983). Modeling and social learning factors in chronic pain. In Bonica, J. J., Lindblom, U. and Iggo, A. (Eds). Advances in Pain Research and Therapy: Vol. 5. (pp. 813828). New York: Raven Press.Google Scholar
Crockett, D. J., Prkachin, K. M. and Craig, K. D. (1977). Factors of the language of pain in patient and volunteer groups. Pain 4, 175.CrossRefGoogle Scholar
Duckro, D. N. and Cantwell-Simmons, E. (1989). A review of studies evaluating biofeedback and relaxation training in the management of pediatric headaches. Headache 29, 428433.CrossRefGoogle Scholar
Dunne-Geier, B., McGrath, P. J., Rourke, B. P., Latter, J. and D'Astous, J. (1986). Adolescent chronic pain: the ability to cope. Pain 26, 2332.CrossRefGoogle Scholar
Fentress, D. W., Masek, B. J., Mehegan, J. E. and Benson, H. (1986). Biofeedback and relaxation-response training in the treatment of pediatric migraine. Developmental Medicine and Child Neurology 28, 139146.CrossRefGoogle ScholarPubMed
Feuerstein, M. and Adams, H. E. (1977). Cephalic vasomotor feedback in the modification of migraine headache. Biofeedback and Self-Regulation 2, 241254.CrossRefGoogle ScholarPubMed
Fordyce, W. E. (1975). Behavioral concepts in chronic pain and illness. In Davison, P. O. (Ed). Behavioral Management of Anxiety, Depression and Pain (pp. 147188). New York: Bruner/Mazel.Google Scholar
Houts, A. C. (1982). Relaxation and thermal feedback treatment of child migraine headache: a case study. American Journal of Clinical Biofeedback 5, 154157.Google Scholar
Kazdin, A. E. (1981). Assessment techniques for childhood depression. Journal of the American Academy of Child Psychiatry 20, 358375.CrossRefGoogle ScholarPubMed
Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatry 46, 305315.Google ScholarPubMed
Larsson, B. and Melin, L. (1986). Chronic headaches in adolescents: treatment in a school setting with relaxation training as compared with information-contact and self-registration. Pain 25, 325336.CrossRefGoogle Scholar
Lichstein, K. L., Hoelscher, T. J., Nickel, R. and Hoon, P. W. (1983). An integrated blood volume pulse biofeedback system for migraine treatment. Biofeedback and Self-Regulation 8, 127134.CrossRefGoogle ScholarPubMed
Marrazo, M. J. and Hickling, E. J. (1983). The psychological treatment of childhood migraine: a review and case presentation.Paper presented at the meeting of the Biofeedback Society of America,Denver, Colorado(March).Google Scholar
Meichenbaum, D. (1976). Cognitive factors in biofeedback therapy. Biofeedback and Self-Regulation 1, 201216.CrossRefGoogle ScholarPubMed
Melzack, R. and Wall, P. D. (1965). Pain mechanisms: a new theory. Science 150, 971979.CrossRefGoogle ScholarPubMed
Melzack, R. and Wall, P. D. (1982). The Challenge of Pain. New York: Basic Books.Google Scholar
Payne, B. and Norfleet, M. A. (1986). Chronic pain and the family. Pain 26, 122.CrossRefGoogle ScholarPubMed
Pepper, E. and Grossman, E. R. (1974). Preliminary observation of thermal biofeedback in children with migraine.Paper presented at the meeting of the Biofeedback Research Society,Colorado Springs(February).Google Scholar
Ramsden, R., Friedman, B. A. and Williamson, D. A. (1983). Treatment of childhood headache reports with contingency management procedures. Journal of Clinical Child Psychology 12, 202206.CrossRefGoogle Scholar
Richardson, G. M., McGrath, P. J., Cunningham, S. T. and Humphreys, P. (1983). Validity of the headache diary for children. Headache 23, 184187.CrossRefGoogle ScholarPubMed
Richter, I. L.McGrath, P. J., Humphreys, P. J., Goodman, J. T., Firestone, P. and Keene, D. (1986). Cognitive and relaxation treatment of paediatric migraine. Pain 25, 195203.CrossRefGoogle ScholarPubMed
Sanders, M., Rebgetz, M., Morrison, M., Bor, W., Gordon, A., Dadds, M. and Shepherd, R. (1989). Cognitive-behavioural treatment of recurrent non-specific abdominal pain: acquisition, generalization and side effects. Journal of Consulting and Clinical Psychology 57, 294300.CrossRefGoogle Scholar
Saylor, C. F., Finch, A. J., Spirito, A. and Bennett, B. (1984). The Children's Depression Inventory: systematic evaluation of psychometric properties. Journal of Consulting and Clinical Psychology 52. 955967.CrossRefGoogle ScholarPubMed
Turk, D. C., Meichenbaum, D. and Genest, M. (1983). Pain and behavioral medicine: a cognitive-behavioral perspective. New York: Guilford Press.Google Scholar
Waranch, H. R. and Keenan, D. M. (1985). Behavioral treatment of children with recurrent headaches. Journal of Behavior Therapy and Experimental Psychiatry 16(1), 3138.CrossRefGoogle ScholarPubMed
Weisenberg, M. (1977). Pain and pain control. Psychological Bulletin 84, 1008.CrossRefGoogle ScholarPubMed
Werder, D. (1978). An exploratory study of childhood migraine using thermal biofeedback as a treatment alternative. Biofeedback and Self Regulation 3(3), 251255.Google Scholar
Werder, D. S. and Sargent, J. D. (1984). A study of childhood headache using biofeedback as a treatment alternative. Headache 24, 122126.CrossRefGoogle ScholarPubMed
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