Abstract
To investigate the feasibility of a behaviorally oriented intervention program with atopic dermatitis, 12 patients were exposed to a fixed sequence of treatment phases including a no-treatment baseline phase, a phase incorporating nonspecific treatment factors, and a phase involving frontal electromyographic (EMG) feedback and relaxation instructions. Photographic analyses of involved skin areas revealed significant remission of dermatological problems across the entire program, although significant changes could not be attributable to any specific phase. Ratings of itching level decreased within but not across treatment sessions, and variable correlations across subjects were found between frontal EMG and itching level. MMPI results from the dermatitis subjects were within normal limits. Overall, the results provided mixed support for the hypothesis that atopic dermatitis may be amenable to intervention through behaviorally oriented treatment procedures.
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Alexander, F.Psychosomatic medicine. New York: Morton, 1950.
Arthur, R. P., & Shelly, W. B. The nature of itching in dermatitis skin.Annals of Internal Medicine 1958,49 900–903.
Berg, T., & Johansson, S. G. O. IgE concentration in children with atopic dermatitis.International Archives of Allergy 1969,36 219–223.
Bethune, H. C., & Kidd, C. B. Psychophysiological mechanisms in skin diseases.Lancet 1961,11 1419–1422.
Budzynski, T. H., Stoyva, J. M., Adler, C. S., & Mullaney, D. J. EMG biofeedback and tension headache: A controlled outcome study.Psychosomatic Medicine 1973,35 484–496.
Davis, M., Saunders, D., Creer, T., & Chai, H. Relaxation training facilitated by biofeedback apparatus as a supplemental treatment in bronchial asthma.Journal of Psychosomatic Research 1973,17 121–128.
Frankel, F. H., & Mirsch, R. C. Hypnosis in a case of long-standing psoriasis in a person with character problems.International Journal of Clinical and Experimental Hypnosis 1973,21 121–130.
Frick, O. L. Atopic dermatitis—Part II. In T. B. Fitzpatrick, K. A. Arndt, W. H. Clark, A. Z. Eisen, E. J. Van Scott, & J. H. Vaughn (Eds.),Dermatology in general medicine. New York: McGraw-Hill, 1971.
Frick, O. L. Pathophysiology of allergic skin diseases.Cutis 1974,13 942–948.
Haynes, S. N.Principles of behavioral assessment. New York: Gardner Press, 1978.
Haynes, S. N., & Gannon, L. R. (Eds.).Psychosomatic disorders: A psychophysiological approach to etiology and treatment. Gardner Press, 1979.
Haynes, S. N., Griffin, P., Mooney, D., & Parise, M. Electromyographic biofeedback and relaxation instructions in the treatment of muscle-contraction headaches.Behavior Therapy 1975,6 672–678.
Haynes, S. N., Moseley, D., & McGowan, W. T. Relaxation training and biofeedback in the reduction of muscle tension.Psychophysiology 1975,12 523–527.
Haynes, S. N., Sides, H., & Lockwook, G. Relaxation instructions and frontalis electromyographic feedback intervention with sleep onset insomnia.Behavior Therapy 1977,8 644–652.
Haynes, S. N., Woodward, S., Moran, R., & Alexander, D. Relaxation treatment of insomnia.Behavior Therapy 1974,5 555–558.
Hill, L. W., Conference on infantile eczema.Journal of Pediatrics 1965,66 240–246.
Jacobson, E.Modern treatment of tense patients. Springfield, Illinois: Charles C Thomas, 1970.
Jarrett, A.The physiology and pathophysiology of the skin. London: Academic Press, 1973.
Johansson, S. G. O., & Juhlin, L. Immunologlobin E in “healed” atopic dermatitis and after treatment with corticosteroids and azathioprine.British Journal of Dermatology 1970,82 10–17.
Kline, M. V. Psoriasis and hypnotherapy: The acceptance of resistance in the treatment of a long-standing neurodermatitis with a sensory imagery technique.Journal of Clinical and Experimental Hypnosis 1959,4 18–22.
Luthe, W. Autogenic training: Method, research and application in medicine.American Journal of Psychotherapy 1963,17 174–185.
Luthe, W., & Schultz, J. H.Autogenic therapy (Vol. 2).Medical applications. New York: Grune and Stratton, 1969.
Miller, M. L. Psychodynamic mechanisms in a case of neurodermatitis.Psychosomatic Medicine 1943,10 309–313.
Moeller, T. A., & Love, W. Z., Jr. A method to reduce arterial hypertension through muscular relaxation: A technical report.Journal of Biofeedback 1973,1 37–43.
Obermayer, M. E.Psychocutaneous medicine. Springfield, Illinois: Charles C Thomas, 1955.
Pearlman, D. S. Management of atopic dermatitis: An allergist's point of view.Cutis 1974,13 1029–1035.
Raskin, M., Johnson, G., & Rondestvedt, J. Chronic anxiety treated by feedback induced muscle relaxation.Archives of General Psychiatry 1973,28 263–267.
Ratliff, R. G., & Stein, N. H. Treatment of neurodermatitis by behavior therapy: A case study.Behaviour Research and Therapy 1968,6 387–399.
Roth, H. L., & Kierland, R. R. The natural history of atopic dermatitis: A 20-year follow-up study.Archives of Dermatology 1964,89 209–215.
Ryan, T. H., & Wildinson, D. S.Textbook of dermatology. Oxford: Blackwell, 1972.
Shapiro, D., & Schwartz, G. E. Biofeedback and visceral learning: Clinical applications.Seminars in Psychiatry 1972,4 171–184.
Shapiro, G. G., Bierman, C. W., & Pierson, W. E. Urticaria: The final common pathway.Cutis 1974,13 957–962.
Solomon, L. M., & Beerman, H. Atopic dermatitis.American Journal of Medical Science 1966,252 478–499.
Stoyva, J. M., & Budzynski, T. H. Cultivated low arousal—an anti-stress response? In L. V. DiCara (Ed.),Recent advances in limbic and autonomic nervous system research. New York: Plenum, 1973.
Sulzberger, M. H. Atopic dermatitis—Part I. In T. B. Fitzpatrick, K. A. Arndt, W. H. Clark, A. Z. Elsen, E. J. Van Scott, & J. H. Vaughan (Eds.),Dermatology in general medicine. New York: McGraw-Hill, 1971.
Twerski, A. J., & Naar, R. Hypnotherapy in a case of refractory dermatitis.American Journal of Clinical Hypnosis 1974,16 202–205.
Weiss, T., & Engel, B. T. Operant conditioning of heart rate in patients with premature ventricular contractions.Psychosomatic Medicine 1971,33 301–321.
Winer, B. J.Statistical principles in experimental design. New York: McGraw-Hill, 1962.
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The authors would like to express their appreciation to Lori Lipari and Linda Gannon for their assistance with this research and manuscript preparation.
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Haynes, S.N., Wilson, C.C., Jaffe, P.G. et al. Biofeedback treatment of atopic dermatitis. Biofeedback and Self-Regulation 4, 195–209 (1979). https://doi.org/10.1007/BF00998821
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DOI: https://doi.org/10.1007/BF00998821