Behavioral Self-management in an Inpatient Headache Treatment Unit: Increasing Adherence and Relationship to Changes in Affective Distress
Objective.–To evaluate prospectively the contribution of a psychological self‐management program to the amelioration of headache‐related distress of patients with intractable migraine treated in a comprehensive, multidisciplinary, inpatient program. Background.–Previous research has shown the effect...
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| Veröffentlicht in: | Headache 2000-05, Vol.40 (5), p.377-383 |
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| creator | Hoodin, F. Brines, B.J. Lake III, A.E. Wilson, J. Saper, J.R. |
| description | Objective.–To evaluate prospectively the contribution of a psychological self‐management program to the amelioration of headache‐related distress of patients with intractable migraine treated in a comprehensive, multidisciplinary, inpatient program.
Background.–Previous research has shown the effectiveness of this overall inpatient program but did not examine the relationships between the use of relaxation and other headache‐related behavioral factors.
Methods.–Data from 221 admissions to a Commission on Accreditation of Rehabilitation Facilities‐accredited, nationally recognized, inpatient treatment unit were analyzed for the current study. On admission and on discharge (average length of stay, 12.9 days), subjects completed a 7‐day retrospective, self‐report questionnaire assessing health behavior compliance and emotional factors. The intervention consisted of intensive medical therapy in addition to cognitive‐behavioral treatment delivered in a group setting.
Results.–Adherence increased significantly for relaxation practice and life‐style modifications of diet, exercise, and sleep regulation for headache prevention (P |
| doi_str_mv | 10.1046/j.1526-4610.2000.00057.x |
| format | Article |
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Background.–Previous research has shown the effectiveness of this overall inpatient program but did not examine the relationships between the use of relaxation and other headache‐related behavioral factors.
Methods.–Data from 221 admissions to a Commission on Accreditation of Rehabilitation Facilities‐accredited, nationally recognized, inpatient treatment unit were analyzed for the current study. On admission and on discharge (average length of stay, 12.9 days), subjects completed a 7‐day retrospective, self‐report questionnaire assessing health behavior compliance and emotional factors. The intervention consisted of intensive medical therapy in addition to cognitive‐behavioral treatment delivered in a group setting.
Results.–Adherence increased significantly for relaxation practice and life‐style modifications of diet, exercise, and sleep regulation for headache prevention (P<.00001). Beck Depression Inventory scores decreased significantly (P<.00001), and a greater decrease in depression by the end of the program was reported by subjects who practiced relaxation most compared with those who practiced relaxation least.
Conclusions.–Low baseline adherence rates for health behavior increased significantly during the final week of inpatient treatment. Behavioral self‐management variables, not headache reduction, were significantly associated with patients' reduction in affective distress.</description><identifier>ISSN: 0017-8748</identifier><identifier>EISSN: 1526-4610</identifier><identifier>DOI: 10.1046/j.1526-4610.2000.00057.x</identifier><identifier>PMID: 10849032</identifier><language>eng</language><publisher>Boston, MA, USA: Blackwell Science Inc</publisher><subject>Adaptation, Psychological ; Adult ; Affective Symptoms - etiology ; Affective Symptoms - therapy ; chronic daily headache ; Cognitive Behavioral Therapy ; depression ; Depression - etiology ; Depression - therapy ; Female ; Humans ; inpatient ; Inpatients ; Male ; Michigan ; migraine ; Migraine Disorders - complications ; Migraine Disorders - therapy ; Neuropsychological Tests ; Patient Compliance - statistics & numerical data ; Program Evaluation - statistics & numerical data ; Prospective Studies ; relaxation ; Relaxation Therapy - statistics & numerical data ; Self Care - statistics & numerical data ; Stress, Physiological - etiology ; Stress, Physiological - prevention & control ; Stress, Physiological - therapy</subject><ispartof>Headache, 2000-05, Vol.40 (5), p.377-383</ispartof><rights>Copyright Blackwell Publishing Ltd. May 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4797-9e7af04a11817a836dd169e6f71fe9d37faf5f5f756443aa25c727ffbaf164db3</citedby><cites>FETCH-LOGICAL-c4797-9e7af04a11817a836dd169e6f71fe9d37faf5f5f756443aa25c727ffbaf164db3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1526-4610.2000.00057.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1526-4610.2000.00057.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10849032$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoodin, F.</creatorcontrib><creatorcontrib>Brines, B.J.</creatorcontrib><creatorcontrib>Lake III, A.E.</creatorcontrib><creatorcontrib>Wilson, J.</creatorcontrib><creatorcontrib>Saper, J.R.</creatorcontrib><title>Behavioral Self-management in an Inpatient Headache Treatment Unit: Increasing Adherence and Relationship to Changes in Affective Distress</title><title>Headache</title><addtitle>Headache: The Journal of Head and Face Pain</addtitle><description>Objective.–To evaluate prospectively the contribution of a psychological self‐management program to the amelioration of headache‐related distress of patients with intractable migraine treated in a comprehensive, multidisciplinary, inpatient program.
Background.–Previous research has shown the effectiveness of this overall inpatient program but did not examine the relationships between the use of relaxation and other headache‐related behavioral factors.
Methods.–Data from 221 admissions to a Commission on Accreditation of Rehabilitation Facilities‐accredited, nationally recognized, inpatient treatment unit were analyzed for the current study. On admission and on discharge (average length of stay, 12.9 days), subjects completed a 7‐day retrospective, self‐report questionnaire assessing health behavior compliance and emotional factors. The intervention consisted of intensive medical therapy in addition to cognitive‐behavioral treatment delivered in a group setting.
Results.–Adherence increased significantly for relaxation practice and life‐style modifications of diet, exercise, and sleep regulation for headache prevention (P<.00001). Beck Depression Inventory scores decreased significantly (P<.00001), and a greater decrease in depression by the end of the program was reported by subjects who practiced relaxation most compared with those who practiced relaxation least.
Conclusions.–Low baseline adherence rates for health behavior increased significantly during the final week of inpatient treatment. Behavioral self‐management variables, not headache reduction, were significantly associated with patients' reduction in affective distress.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Affective Symptoms - etiology</subject><subject>Affective Symptoms - therapy</subject><subject>chronic daily headache</subject><subject>Cognitive Behavioral Therapy</subject><subject>depression</subject><subject>Depression - etiology</subject><subject>Depression - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>inpatient</subject><subject>Inpatients</subject><subject>Male</subject><subject>Michigan</subject><subject>migraine</subject><subject>Migraine Disorders - complications</subject><subject>Migraine Disorders - therapy</subject><subject>Neuropsychological Tests</subject><subject>Patient Compliance - statistics & numerical data</subject><subject>Program Evaluation - statistics & numerical data</subject><subject>Prospective Studies</subject><subject>relaxation</subject><subject>Relaxation Therapy - statistics & numerical data</subject><subject>Self Care - statistics & numerical data</subject><subject>Stress, Physiological - etiology</subject><subject>Stress, Physiological - prevention & control</subject><subject>Stress, Physiological - therapy</subject><issn>0017-8748</issn><issn>1526-4610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkd1u0zAYhi0EYmVwC8jigLMUO3HsBHHSdT-dVA0EnTi0viafW5fEKXY6ulvgqnGWaUIcIcuybD_PK8svIZSzKWdCfthNeZ7KRMh4kDLGpnHmanp8RiZPF8_JhDGukkKJ4oS8CmEXISFL-ZKccFaIkmXphPw-wy3c2c5DQ79hY5IWHGywRddT6yg4eu320Nthv0CoodoiXXmE_gG5dbb_GJEqngTrNnRWb9GjqzCqNf2KTXQ7F7Z2T_uOzrfgNhiG5JkxWPX2Dum5Db3HEF6TFwaagG8e11Nye3mxmi-S5eer6_lsmVRClSopUYFhAjgvuIIik3XNZYnSKG6wrDNlwORxqFwKkQGkeaVSZcwaDJeiXmen5P2Yu_fdzwOGXrc2VNg04LA7BK1iclqkMoLv_gF33cG7-Dad8kIyIYoiQsUIVb4LwaPRe29b8PeaMz2UpXd66EQPneihLP1Qlj5G9e1j_mHdYv2XOLYTgU8j8Ms2eP_fwXpxMTvPVdSTUY8fjMcnHfwPLVWmcv395kp_md-s2IIt9WX2B_58swc</recordid><startdate>200005</startdate><enddate>200005</enddate><creator>Hoodin, F.</creator><creator>Brines, B.J.</creator><creator>Lake III, A.E.</creator><creator>Wilson, J.</creator><creator>Saper, J.R.</creator><general>Blackwell Science Inc</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200005</creationdate><title>Behavioral Self-management in an Inpatient Headache Treatment Unit: Increasing Adherence and Relationship to Changes in Affective Distress</title><author>Hoodin, F. ; Brines, B.J. ; Lake III, A.E. ; Wilson, J. ; Saper, J.R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4797-9e7af04a11817a836dd169e6f71fe9d37faf5f5f756443aa25c727ffbaf164db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Affective Symptoms - etiology</topic><topic>Affective Symptoms - therapy</topic><topic>chronic daily headache</topic><topic>Cognitive Behavioral Therapy</topic><topic>depression</topic><topic>Depression - etiology</topic><topic>Depression - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>inpatient</topic><topic>Inpatients</topic><topic>Male</topic><topic>Michigan</topic><topic>migraine</topic><topic>Migraine Disorders - complications</topic><topic>Migraine Disorders - therapy</topic><topic>Neuropsychological Tests</topic><topic>Patient Compliance - statistics & numerical data</topic><topic>Program Evaluation - statistics & numerical data</topic><topic>Prospective Studies</topic><topic>relaxation</topic><topic>Relaxation Therapy - statistics & numerical data</topic><topic>Self Care - statistics & numerical data</topic><topic>Stress, Physiological - etiology</topic><topic>Stress, Physiological - prevention & control</topic><topic>Stress, Physiological - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoodin, F.</creatorcontrib><creatorcontrib>Brines, B.J.</creatorcontrib><creatorcontrib>Lake III, A.E.</creatorcontrib><creatorcontrib>Wilson, J.</creatorcontrib><creatorcontrib>Saper, J.R.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoodin, F.</au><au>Brines, B.J.</au><au>Lake III, A.E.</au><au>Wilson, J.</au><au>Saper, J.R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Behavioral Self-management in an Inpatient Headache Treatment Unit: Increasing Adherence and Relationship to Changes in Affective Distress</atitle><jtitle>Headache</jtitle><addtitle>Headache: The Journal of Head and Face Pain</addtitle><date>2000-05</date><risdate>2000</risdate><volume>40</volume><issue>5</issue><spage>377</spage><epage>383</epage><pages>377-383</pages><issn>0017-8748</issn><eissn>1526-4610</eissn><abstract>Objective.–To evaluate prospectively the contribution of a psychological self‐management program to the amelioration of headache‐related distress of patients with intractable migraine treated in a comprehensive, multidisciplinary, inpatient program.
Background.–Previous research has shown the effectiveness of this overall inpatient program but did not examine the relationships between the use of relaxation and other headache‐related behavioral factors.
Methods.–Data from 221 admissions to a Commission on Accreditation of Rehabilitation Facilities‐accredited, nationally recognized, inpatient treatment unit were analyzed for the current study. On admission and on discharge (average length of stay, 12.9 days), subjects completed a 7‐day retrospective, self‐report questionnaire assessing health behavior compliance and emotional factors. The intervention consisted of intensive medical therapy in addition to cognitive‐behavioral treatment delivered in a group setting.
Results.–Adherence increased significantly for relaxation practice and life‐style modifications of diet, exercise, and sleep regulation for headache prevention (P<.00001). Beck Depression Inventory scores decreased significantly (P<.00001), and a greater decrease in depression by the end of the program was reported by subjects who practiced relaxation most compared with those who practiced relaxation least.
Conclusions.–Low baseline adherence rates for health behavior increased significantly during the final week of inpatient treatment. Behavioral self‐management variables, not headache reduction, were significantly associated with patients' reduction in affective distress.</abstract><cop>Boston, MA, USA</cop><pub>Blackwell Science Inc</pub><pmid>10849032</pmid><doi>10.1046/j.1526-4610.2000.00057.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adaptation, Psychological Adult Affective Symptoms - etiology Affective Symptoms - therapy chronic daily headache Cognitive Behavioral Therapy depression Depression - etiology Depression - therapy Female Humans inpatient Inpatients Male Michigan migraine Migraine Disorders - complications Migraine Disorders - therapy Neuropsychological Tests Patient Compliance - statistics & numerical data Program Evaluation - statistics & numerical data Prospective Studies relaxation Relaxation Therapy - statistics & numerical data Self Care - statistics & numerical data Stress, Physiological - etiology Stress, Physiological - prevention & control Stress, Physiological - therapy |
| title | Behavioral Self-management in an Inpatient Headache Treatment Unit: Increasing Adherence and Relationship to Changes in Affective Distress |
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