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Biofeedback for Cardiac Control as a Preventative Procedure with Normotensives: Directions for Future Research

Published online by Cambridge University Press:  06 October 2014

Christopher F. Sharpley
Affiliation:
Monash University
Richard K. Fleming
Affiliation:
Department of Psychology, University of Massachusetts
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Abstract

The prevention of cardiovascular disease in at risk persons poses a major challenge to behavioural health educators. Previous research on the development of reliable methods for teaching such people to control their blood pressure, thereby avoiding the development of essential hypertension and associated health dangers, has been reviewed elsewhere (Mullins & Sharpley, 1988). Data from previous studies are inconclusive, principally due to major methodological limitations in that research, but also because of failure to focus upon generalisation and maintenance to the real world of the subject. Several issues for future research are discussed in the present paper, with some specific suggestions made regarding dependent and independent variables, experimental design, subject population and procedure.

Type
Research Article
Copyright
Copyright © The Author(s) 1988

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References

REFERENCES

Bandura, A., Reese, L. & Adams, N.E. (1982). Microanalysis of action and fear arousal as a function of differential levels of perceived self-efficacy. Journal of Personality and Social Psychology, 43, 521.CrossRefGoogle ScholarPubMed
Bell, I.R. & Schwartz, G.E. (1975). Voluntary control and reactivity of human heart rate. Psychophysiology, 12, 339348.CrossRefGoogle ScholarPubMed
Benson, H.Dryer, T. & Hartley, L. (1978). Decreased VO2 consumption during exercise with elicitation of the relaxation response. Journal of Human Stress, 4, 3842.CrossRefGoogle ScholarPubMed
Blanchard, E.B., Scott, R.W., Young, L.D. & Haynes, M.R. (1974). The effects of feedback signal information content on the long-term self-control of heart rate. Journal of General Psychology, 91, 175187.Google ScholarPubMed
Blanchard, E.G., Young, L.D. & Haynes, M.R. (1975). A simple feedback system for the treatment of elevated blood pressure. Behavior Therapy, 6, 241245.CrossRefGoogle Scholar
Clarkson, T.B., Manuck, S.B. & Kaplan, J.R. (1986). Potential role of cardiovascular reactivity in atherogenesis, in Matthews, K.A., Weiss, S.M., Detre, T., Dembroski, T.M., Falkner, B., Manuck, S.B. & Williams, R.B. Jr. (Eds), Handbook of Stress, Reactivity, and Cardiovascular Disease. New York: Wiley.Google Scholar
Dimsdale, J., Alpert, B. & Schneiderman, N. (1986). Exercise as a modulator of cardiovascular reactivity, in Matthews, K.A., Weiss, S.M., Detre, T., Dembroski, T.M., Falkner, B., Manuck, S. & Williams, R. Jr. (Eds). Handbook of Stress, Reactivity, and Cardiovascular Disease. New York: John Wiley & Sons.Google Scholar
Falkner, B., Kushner, H., Onesti, G. & Angelakos, E.T. (1981). Cardiovascular characteristics in adolescents who develop essential hypertension. Hypertension, 3, 521527.CrossRefGoogle ScholarPubMed
Gatchel, R.J. (1974). Frequency of feedback and learned heart-rate control. Journal of Experimental Psychology, 103, 274283.CrossRefGoogle Scholar
Gellhorn, E. (1969). Further studies on the physiology and pathophysiology of the tuning of the central nervous system. Psychosomatics, 10, 94104.CrossRefGoogle ScholarPubMed
Gervino, E. & Veazey, A. (1984). The physiologic effects of Benson's relaxation response during sub-maximal aerobic exercise. Journal of Cardiac Rehabilitation, 4, 254259.Google Scholar
Green, J.A. & Shellenberger, R.D. (1986). Biofeedback research and the ghost in the box: A reply to Roberts. American Psychologist, 41, 10031005.CrossRefGoogle Scholar
Hetzel, B., & McMichael, T. (1987). The LS Factor. Melbourne: Penguin Books.Google Scholar
Jacobsen, E. (1978). You must relax. New York: McGraw-Hill.Google Scholar
Keys, A., Taylor, H.L., Blackburn, H., Brozek, J., Anderson, J.T. & Simonson, E. (1971). Mortality and coronary heart disease among men studied for 23 years. Archives of Internal Medicine, 128, 201214.CrossRefGoogle Scholar
Kristt, D.A. & Engel, B.T. (1975). Learned control of blood pressure in patients with high blood pressure. Circulation, 51, 370378.CrossRefGoogle ScholarPubMed
Matthews, K.A., Weiss, T.D., Detre, T., Dembroski, T.M., Falkner, B., Manuck, S.B. & C., Williams, R.B. Jr. (Eds), (1986). Handbook of Stress, Reactivity, and Cardiovascular Disease. New York: Wiley.Google Scholar
McKinney, M.E., Geller, D., Gatchell, R.J., Barber, G., Bothner, J. & Phelps, M.E. (1980). The production and generalization of large-magnitude heart rate deceleration by contingently faded biofeedback. Biofeedback and Self-Regulation, 5, 407416.CrossRefGoogle ScholarPubMed
Mullins, R.M. & Sharpley, C.F. (1988a) Biofeedback as a procedure for teaching blood pressure control to normotensives, Behaviour Change, 5.Google Scholar
Mullins, R.M. & Sharpley, C.F. (1988b). Vividness of Imagery and Locus of Control as Indicators of Normotensives' Ability to Learn Control of Blood Pressure, Behaviour Change, 5.Google Scholar
Norris, P.A. (1986). On the status of biofeedback and clinical practice. American Psychologist, 41, 10091010.CrossRefGoogle Scholar
Patel, C. (1975). Yoga and biofeedback in the management of hypertension. Journal of Psychosomatic Research, 19, 355360.CrossRefGoogle ScholarPubMed
Pavlovski, R. & Martin, R. (1985). Contingently faded heart rate biofeedback: Attempted replication of large-magnitude decreases. Biofeedback and Self-Regulation, 10, 189196.CrossRefGoogle Scholar
Qualls, P.J. & Sheehan, P.W. (1981). Electromyograph feedback as a relaxation technique: A critical analysis and reassessment. Psychological Bulletin, 90, 2142.CrossRefGoogle Scholar
Roberts, A.H. (1985). Biofeedback: research, training, and clinical roles. American Psychologist, 40, 938941.CrossRefGoogle ScholarPubMed
Rose, R.J. & Chesney, M.A. (1986). Cardiovascular stress reactivity: a behavior-genetic perspective. Behavior Therapy, 17, 314323.CrossRefGoogle Scholar
Shaffer, M. (1982). Life after stress. New York: Plenum.CrossRefGoogle Scholar
Sharpley, C.F. & Rogers, H.J. (1984). A meta-analysis of frontalis EMG levels with biofeedback and alternative procedures. Biofeedback and Self-Regulation, 9, 385393.CrossRefGoogle ScholarPubMed
Sheikh, A.A. (Ed.) (1984). Imagination and Healing, Farmindale, N.Y.: Baywood.Google Scholar
Sheikh, A.A. & Shaffer, J.T. (Eds.) (1979). The Potential of Fantasy and Imagination. New York: Brandon House.Google Scholar
Williamson, D.A. & Blanchard, E.B. (1979). Heart rate and blood pressure feedback. Biofeedback and Self-Regulation, 4, 134.CrossRefGoogle Scholar
Wood, D.L., Sheps, G.S., Elveback, L.R. & Schirger, A. (1984). Cold pressor test as a predictor of hypertension. Hypertension, 6, 301306.CrossRefGoogle ScholarPubMed