Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-26T11:35:03.771Z Has data issue: false hasContentIssue false
  • English
  • Français

Partner Involvement in the Treatment of Chronic Headaches

Published online by Cambridge University Press:  06 October 2014

Ian I. Kneebone  and
Paul R. Martin
Ian I. Kneebone
Affiliation:
The University of Western Australia
Paul R. Martin
Affiliation:
The University of Western Australia
Get access

Abstract

The present study tested the hypothesis that involving the partners of headache sufferers in a group cognitive-behavioural stress-coping intervention for chronic headaches would enhance treatment outcome. A treatment program in which partners were involved (PI) was compared with a standard treatment program in which partners were not included (NPI) and a no-treatment control condition (NTC). The NPI condition was effective compared to the NTC condition, but there was less evidence that the PI condition was effective. No significant differences were found between the PI and NPI conditions at posttreatment or follow-up. These results are considered in terms of the usefulness of involving partners in group headache-treatment and the manner of their involvement. In addition, the possibility that partner involvement may actually detract from treatment effectiveness is discussed in terms of its impact on motivation and personal responsibility for change.

Type
Research Article
Information
Behaviour Change , Volume 9 , Issue 4 , December 1992 , pp. 201 - 215
Copyright
Copyright © The Author(s) 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Arnow, B.A., Taylor, C.B., Agras, W.A., & Telch, M.J. (1985). Enhancing agoraphobia treatment outcome by changing couple communication patterns. Behavior Therapy, 16, 452–467.CrossRefGoogle Scholar
Bakal, D.A. (1982). The psychobiology of chronic headaches. New York: Springer.Google Scholar
Barlow, D.H., O'Brien, G.T., & Last, C.G. (1984). Couples treatment of agoraphobia. Behavior Therapy, 15, 41–58.Google Scholar
Barlow, D.H., & Waddell, M.T. (1985). Agoraphobia. In Barlow, D.H. (Ed.), Clinical handbook of psychological disorders (pp. 1–68). New York: Guilford Press.Google Scholar
Black, D.R., Gleser, L.J., & Kooyers, K.J. (1990). A meta-analytic evaluation of couples weight-loss programs. Health Psychology, 9, 330–347.Google Scholar
Black, D.R., & Lantz, C.E. (1984). Spouse involvement and a possible long-term follow-up trap in weight loss. Behaviour Research and Therapy, 22, 557–562.CrossRefGoogle Scholar
Blanchard, E.B., Andrasik, F., Neff, D.F., Saunders, N.L., Arena, J.G., Pallmeyers, T.P., Teders, S.J., Jurish, S.E., & Rodichok, L.D. (1983). Four process studies in the behavioural treatment of chronic headache. Behaviour Research and Therapy, 21, 209–220.Google Scholar
Brownell, K.D., Heckerman, C.L., Westlake, R.J., Hayes, S.C., & Monti, P.M. (1978). The effects of couples training and partner co-operativeness in the behavioral treatment of obesity. Behaviour Research and Therapy, 22, 557–562.Google Scholar
Brownell, K.D., & Stunkard, A.J. (1981). Couples training, pharmocotherapy and behavior therapy in the treatment of obesity. Archives of General Psychiatry, 38, 1224–1229.CrossRefGoogle Scholar
Collins, F.L., & Thompson, J.K. (1979). Reliability and standardization of self-reported headache pain. Journal of Behavioral Assessment, 1, 73–86.Google Scholar
Coyne, L., Sargent, J., Segerson, J., & Obourn, R. (1976). Relative potency scale for analgesic drugs: Use of psychophysical procedures with clinical judgements. Headache, 16, 70–71.Google Scholar
Hedberg, A.G., & Campbell, L. (1974). A comparison of four behavioral treatments of alcoholism. Journal of Behaviour Therapy and Experimental Psychiatry, 5, 251–256.Google Scholar
Holroyd, K.A., Penzien, D.B., Hursey, K.G., Tobin, D.L., Rogerts, L., Holm, J.E., Marcille, P.J., Hall, J.R., & Chila, A.G. (1984). Change mechanisms in EMG biofeedback training: Cognitive changes underlying improvements in tension headaches. Journal of Consulting and Clincial Psychology, 52, 1039–1053.CrossRefGoogle Scholar
Hunt, G.M., & Azrin, N.H. (1973). A community reinforcement approach to alcholism. Behaviour Research and Therapy, 11, 91–104.CrossRefGoogle Scholar
Israel, A.C., & Saccone, A.J. (1979). Follow-up effects of choice of mediation and target reinforcement on weight loss. Behavior Therapy, 10, 260–265.CrossRefGoogle Scholar
Kunzer, M.B. (1987). Marital adjustment of headache sufferers and their spouses. Journal of Psychosocial Nursing and Mental Health Services, 25, 12–17.Google Scholar
Martin, P.R. (1985). Classification of headache: The need for a radical revision. Cephalalgia, 5, 1–4.Google Scholar
Martin, P.R. (in press). Psychological management of chronic headaches: A functional perspective. New York: Guilford Press.Google Scholar
Martin, P.R., Marie, G.V., & Nathan, P.R. (1992). Psychophysiological mechanism of chronic headaches: Investigation using pain induction and pain reduction procedures. Journal of Psychosomatic Research, 36, 132–148.Google Scholar
Martin, P.R., Nathan, P.R., Milech, B.D., & van Keppel, M. (1989). Cognitive therapy versus self-management training in the treatment of chronic headaches. British Journal of Clinical Psychology, 28, 347–361.CrossRefGoogle Scholar
Mathews, A., Teasdale, J., Mumby, M., Johnston, D., & Shaw, P. (1977). A home-based treatment program for agoraphobia. Behavior Therapy, 8, 915–924.Google Scholar
McCrady, B.S., Noel, N.E., Abrams, D.B., Stout, R.L., Nelson, H.F., & Hay, W.M. (1986). Comparitive effectiveness of three types of spouse involvement in out-patient behavioral alcoholism treatment. Journal of Studies on Alcohol, 47, 459–467.Google Scholar
McIntyre-Kinsolver, K., Lichtenstein, E., & Mermelstein, R.J. (1986). Spouse training in a multi-component smoking cessation program. Behavior Therapy, 17, 67–74.Google Scholar
Mermelstein, R., Lichtenstein, E., & Mclntyre, K. (1983). Partner support and relapse in smoking cessation programs. Journal of Consulting and Clinical Psychology, 51, 465–466.Google Scholar
Munby, J.K., & Johnston, D.W. (1980). Agoraphobia: The long-term follow-up of behavioural treatment. British Journal of Psychiatry, 137, 418–427.Google Scholar
Murphy, J.K., Williamson, D.A., Buxton, A.E., Moody, S.C., Absher, N., & Warner, M. (1982). The long-term effect of spouse involvement upon weight loss and maintenance. Behavior Therapy, 13, 681–693.CrossRefGoogle Scholar
O'Farrell, T.J. (1989). Marital and family treatment in alcoholism treatment. Journal of Substance Abuse Treatment, 6, 23–29.CrossRefGoogle ScholarPubMed
O'Farrell, T.J., & Bayog, R.D. (1986). Antabuse contracts for married alcoholics and their spouses: A method to maintain Antabuse ingestion and decrease conflict about drinking. Journal of Substance Abuse Treatment, 3, 1–8.Google Scholar
Philips, C. (1977). The modification of tension headache pain using EMG biofeedback. Behaviour Research and Therapy, 15, 119–129.Google Scholar
Rosenthal, B.S., Allen, G.T., & Winter, C. (1980). Husband involvement in the behavioral treatment of overweight women, initial effects and long term follow-up. International Journal of Obesity, 4, 165–172.Google ScholarPubMed
Reinking, R.H., & Hutchings, D. (1981). Follow-up to: “Tension headaches: What form of therapy is most effective?”. Biofeedback and Self-Regulation, 6, 57–62.Google Scholar
Roy, R. (1986). Marital conflicts and exacerbation of headache: Some clinical observations. Headache, 26, 360–364.CrossRefGoogle ScholarPubMed
Scheffe, H. (1959). The analysis of variance. New York: John Wiley.Google Scholar
Simone, S., & Long, M. (1985). Marital cognitive-behavioral treatment for chronic tension headache: A case study. Behavior Therapist, 8, 26, 36–37.Google Scholar
Spanier, G.B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and Family, 38, 15–28.Google Scholar
Winkler, R., James, R., Fatovich, B., & Underwood, P. (1982). Migraine and tension headache: A multi-modal approach to the prevention and control of headache pain. Nedlands, Western Australia: Self-Care Research, University of Western Australia.Google Scholar
Winkler, R.C., Underwood, P., James, R., & Fatovich, B. (1982). The relative effectiveness of self-management groups and general practice in the treatment of chronic headache. In Sheppard, J.L. (Ed.), Advances in behavioural medicine (Vol 2, pp. 255–268). Sydney: Cumberland College of Health Sciences.Google Scholar