긴장형 두통환자의 몰입수준에 따른 EMG바이오피드백 훈련과 이완 훈련의 효과
The Effects of EMG Biofeedback Training and Progressive Muscle Relaxation Training on Tension Headache Reduction in Tension Headache Patient's Absorption Capacity
손정락 (전북대학교)
- 다운로드 수
- 조회수
초록
본 연구는 긴장형 두통환자의 몰입 수준에 따른 EMG 바이오피드백 훈련과 점진적 이완훈련을 통한 두통감소의 효과를 검증하기 위해서 행해졌다. 몰입은 자신의 자각과 상상적이고 관념화된 역량을 전체 주의를 몰두하게 해주는 개인의 재능이다. 두통진단질문지를 통해 긴장형 두통 환자로 입증된 32명의 참여자들이 무선적으로 네 집단에 할당되었다; 고몰입(바이오피드백 훈련집단, 점진적 이완훈련집단), 저몰입(바이오피드백훈련집단, 점진적 이완훈련 집단). 2회기의 기저선 전두엽 EMG 수준이 2주동안 측정되었다. 바이오피드백 집단은 7주동안(8회기) 청각 피드백을 이용하여 근육활동을 좀 더 낮추라는 지시와 함께 EMG 바이오피드백 훈련을 받았다. 점진적 이완 훈련 집단은 7주동안(8회기) 점진적 근육이완 훈련 절차가 녹음된 테잎을 들었다. 추적회기에서는 2회기의 전두엽 EMG 수준이 2주 동안 측정되었다. 모든 참여자들은 모든 치료 단계동안 두통일지를 기록하도록 요청되었다. 고몰입 집단에서는, EMG바이오피드백 훈련보다 점진적 이완훈련 후에 유의하게 더 두통감소를 보였다. 저몰입 집단은 EMG바이오피드백 훈련 후에 유의하게 더 두통감소를 더 보였다. 처치방법에 따른 이러한 차이의 이유가 논의되었다. 마지막으로 본 연구의 시사점, 제한점 및 앞으로의 연구 제안점들이 논의되었다.
- keywords
- absoription, tension headache patients, EMG biofeedback training, progressive relaxation training, 몰입, 긴장형 두통환자, EMG 바이오피드백 훈련, 점진적 이완 훈련, absoription, tension headache patients, EMG biofeedback training, progressive relaxation training
Abstract
The present study was designed to test the effects of EMG Biofeedback Training and Progressive Muscle Relaxation Training on headache reduction in tension headache patients' absorption capacity. "Absorption" is the ability of a person to immerse his or her awareness and imaginative and ideational capacities into periods of total attention. Thirty-two subjects, proved to be tension headache patients through Diagnosis Questionnaire, were divided randomly into four groups: Biofeedback group in high absorption, and relaxation group in low absorption. Baseline frontalis EMG level of 2 sessions was measured for 2 weeks. Biofeedback groups receive contingent EMG feedback with instruction to lower there muscle activity level using the auditory feedback for 7 weeks(8 sessions). Relaxation training groups were instructed to practice taped progressive muscle relaxation training procedure for 7 weeks(8 sessions). Follow up frontalis EMG level of 2 sessions was measured for 2 weeks. All subjects were required to record their daliy headache level for all treatment stages. Groups in high absorption were significantly reduced after progressive muscle relaxation training than EMG biofeedback training. Groups in low absorption were significantly improved after EMG biofeedback training. Groups in high absorption were significantly reduced following progressive relaxation training than EMG biofeedback training. Reason for these differences in responsiveness to the treatment were discussed. Finally, implications, restrictions and suggestions of the present study were discussed.
- keywords
- absoription, tension headache patients, EMG biofeedback training, progressive relaxation training, 몰입, 긴장형 두통환자, EMG 바이오피드백 훈련, 점진적 이완 훈련, absoription, tension headache patients, EMG biofeedback training, progressive relaxation training
참고문헌
이지영, 손정락 (1993). EMG 바이오피드백 훈련과 인지치료가 긴장형 두통 환자의 두통 감소, 자기 효율성 및 건강 내외통제감에 미치는 영향. 한국심리학회지: 임상, 12(1), 94-107.
전현숙, 손정락 (1994). 긴장형 두통환자의 치료자 전문성에 대한 지각이 EMG 바이오피드백훈련 효과에 미치는 영향. 스트레스 연구, 2(2), 239-250.
조현섭, 손정락 (1988). 긴장형 두통에 미치는 내외 통제, 자기 효율성 및 우울 수준에 따른EMG바이오피드백의 효과. 한국심리학회지, 7(1), 43-53.
최인수, 김기석 (1990). 몰입특성과 전두근 EMG와의 관계. 한국심리학회지, 9, 98-107.
한인순, 손정락 (1987). 긴장형 두통에 미치는 EMG 바이오피드백과 이완 훈련의 상대적 효과. 한국심리학회지, 6(1), 10-20.
Ad Hoc Committee on the Classification of Headache. (1962). Classification of headache. Journal of American Medial Association, 179, 717-718.
Bakal, D. (1975). Headache; A biopsychological perspective. Psychological Bulletin, 82, 369-382.
Beatty, J., & Legewie, H. (1977). Biofeedback and behavior. New York: Plenum.
Blanchard, E. B., & Andrasik, F. (1985). Management of chronic headachs: A Psychological approach. New York: Pergamon Press.
Blanchard, E. B., Andrasik, F., Evans, D. D., Neff, D. F., Appelbaum, K. A., & Redichok, L. D. (1985). Case studies and clinical replication series. Behavior Therapy, 16, 308-327.
Blanchard, E. B., Andrasik, F., Neff, D. F., Jurish, S. E., O'Keefe, D. M. (1981). Social validation of the headache diary. Behavior Therapy, 12, 711-715.
Budzynski, T. H., Stoyva J. M., Adler C. S., & Mullaney, D. J. (1973). EMG biofeedback and tension headache: a controlled outcome study. Semin Psychiatry, 5(4), 397-410.
Chapman, ＆ Stanley, L. (1986). A review and clinical perspective on the use of EMG and behavior medicine. Psychotherapy, 22, 516-530.
Chesney, M. A., & Shelton, J. L. (1976). A comparison of muscle relaxation and electromyographic biofeedback for muscle contration headache, Journal of Behavior Therapy and Experimental Psychiatry, 7, 221-225.
Costa, P. T., Jr, & McCrae, R. R. (1992). Normal personality assessment in clinical practice: The NEO personality inventory. Psychological Assessment, 4, 5-13.
Counts, D. K., Hollandsworth, J. G., & Alcorn, J. D. (1978). Use of electromyographic biofeedback and one controlled relaxation in the treatment of test anxiety. Journal of Consulting and Clinical Psychology, 46, 990-996.
Coursey, R. D. (1975). Electromyography feedback as a relaxation technique. Journal of Consulting and Clinical Psychology, 43, 825-834.
Cox, D. J., Freundlich, A., & Meyer, R. G. (1975). Differential effectiveness of relaxation technique and placebo with tension headache, Journal of Consuliting and Clinical Psychology, 43, 892-898.
Cram, J. R. (1980). EMG biofeedback and the treatment of tension headache: A systematic analysis of treatment compoonents. Behavior Therapy, 11, 699-710.
Delman, R. P., & Johnson, H. J. (1976). Biofeedback and Progressive musclar relaxation: A comparison of psychophysiological effects. muscular relaxation: A comparison of psychophsysiological effects. Psychophysiology, 13, 181(Abstract).
Duckro, P. N. (1991). Biofeedback in the management of headache. Headache Quarterly, 2, 17-22.
Girdano, D. A., & Everly, G. S. Jr (1979), The health educator as industrial health consultant. Health Educ, 10(4), 11-3.
Glisky, M. L. & Kihlstrom, J. F. (1993). Hypnotizability and fecets of openess. International Journal of Clinical & Experimental Hypnosis, 41, 112-123.
Glisky, M. L., Tataryn, D. J., Tobias, B. A, Kihlstrom, J. F., & McConkey, K. M. (1991). Absorption, openness to experience, and hypnotizability. Journal of Personality & Social Psychology, 60, 264-272.
Haynes, S. N., Griffin, P., Nooney, D., & Parise, M. (1975). Electomyographic biofeedback and relaxation in the treatment of muscle contraction headache. Behavioral Therapy, 6, 672-678.
Hillgard, J. R. (1970). Personality and hypnosis: A study of imaginative involvement. Chicago; University of Chicago press.
Holroyd, K. A., & Andrasik, F. (1978). Coping and the self-control of chronic tension headache. J Consult Clin Psychol, 46(5), 1036-45.
Hudzinski, L. G., & Lawrence, G. S. (1988). Significance of EMG surface electrode placement models and headache findings. Headache, 28, 30-35.
Hutchings, D. & Reinking, R. (1975). EMS feedback vs. Jacobson relaxation training procedures in the treatment of tension headache. Sixth Annual Conference of the Biofeedback Research Society, Monterey, CA, USA.
Jacob, R. G., Turner, S. M., Szekely, B, C., & Edelman, B. H. (1983). Prediction outcome of relaxation therapy in headache: The role of "depression". Behavior Therapy, 14, 457-465.
Jacobson, E. (1974). Progressive relaxation. Chicago: University of Chicago Press.
Jamieson, G. L. (2006). The modified Tellegen adsorption scale: A Clearer window on the structure and meaning of absorption. Australia Journal of Clinical and Experimental Hypnosis, 33(2), 119-139.
Kelso, H., Anchor, K., & McElroy, M. (1988). The relationship between absorption capacity and EMG biofeedback relaxation training with a male clinical sample. Medical Psychopathology, 1, 51-63.
Kondo, C. & Canter, A. (1977). True and false electromyographic feedback: effect on tension headache. J Abnorm Psychol, 86(1), 93-5.
McKenzie, R. F., Ehrisman, W. J., Montgomery, P. S., & Barnes, R. H. (1974). The treatment of headache by means of electroence- phalographic biofeedback. Headache, 13(4), 164-72.
Neff, D. F.., Blanchard, E. B., & Andrasik, F. (1983). The relationship between capacity for absorption and chronic headache patients' response to relaxation and biofeedback treatment. Biofeedback and Self-Regulation, 8(1), 177-183.
Peck, C. L., & Kraft, G. H. (1977). Electromyographic biofeedback for pain related to muscle tension. A study of tension headache, back, and jaw pain. Arch Surg, 112(7), 889-95.
Penzien, D. B., Rains, J. C., & Andrasik, F. (2002). Behavioral management of recurrent headache: Three decades of experience and empiricism. Applied Psychophysiology and Biofeedback, 27, 163-181.
Qualls, P. J., & Sheehan, P. W. (1979). Capacity for absorption and relaxation during electromyograph biofeedback and no-feedback conditions. J Abnorm Psychol, 88(6), 652-62.
Qualls, P. J., & Sheehan, P. W. (1981a). Role of the feedback signal in electromyograph biofeedback: The relevance of attention. J Exp Psychol Gen, 110(2), 204-16.
Qualls, P. J., & Sheehan, P. W. (1981b). Electromyograph biofeedback as a relaxation technique: A critical appraisal and reassessment. Psychology Bulletin, 90(1), 21-42.
Qualls, P. J., & Sheehan, P. W. (1981c). Imagery encouragement absorption capacity and relaxation during electromyograph biofeedback. J Pers Soc Psychol, 41(2), 370-379.
Reich, B. A. (1989). Non-invasive treatment of vascular and muscle contraction headache: A comparative longitudinal clinical study. Headache, 29, 34-41.
Reinking, R. H. (1977). Cognitive set influences on Witkin's Rod-and-Frame Test. Percept Mot Skills, 44(2), 439-44.
Reinking, R. H., & Kohl, M. L. (1975). Effects of various forms of relaxation training on physiological and self-report measures of relaxation. J Consult Clin Psychol, 43(5), 595-600.
Russell, C. M., Dale, A, & Anderson, D. E. (1982). Locus of control and expectancy in electromyographic biofeedback. J Psychosom Res, 26(5), 527-32.
Schwartz, M. S., & Andrasik, F. (2003). Biofeedback: A practitiomer's guide. New York: Guilford Press.
Schwartz, M. S., & Associates (1995). Biofeedback: A Practitioner's guide. New York: Guilford Press.
Sime, W. E., & DeGood, D. E. (1977). Effect of EMG biofeedback and progressive muscle relaxation training on awareness of frontalis muscle tension. Psychophysiology, 14(6), 522-30.
Steffek, B. D., & Blanchard, E. B. (1991). The role of absorption capacity in thermal biofeedback treatment of vascular headache. Biofeedback Self Regul., 16(3), 267-75.
Stoyva, J. M. (1983). Guidlines in cultivation general relaxation: Biofeedback and autogenic relaxation: Biofeedback and autogenic traing combind. In J. V. Basmajian(Eds.). Biofeedback: Principples and pratice for clinicians. Balimore: Williams & Willkins.
Tellegen, A. (1978). On measures and conceptions of hypnosis. Am J Clin Hypn, 21(2-3), 219-37.
Tellegen, A. (1981). Praticing the two discipline for relaxation and enlightment, Journal of Experimental psychology: General, 110, 217-226.
Tellegen, A. (1992). Note on structure and meaning of the MPQ Absorption scale. Unpublished manuscript, University of Minnesota.
Tellegen, A., & Atkinson, G. (1974). Openness to absorbing and self-altering experiences("absorption"), a trait related to hypnotic susceptibilty. Journal of Abnormal Psychology, 83, 268-277.
- 다운로드 수
- 조회수
- 0KCI 피인용수
- 0WOS 피인용수