A Cognitive-Behavioral Approach to Psychophysiological Disorders

  • Kenneth A. Holroyd
  • Margret A. Appel
  • Frank Andrasik


When applied to the treatment of psychophysiological disorders, cognitive-behavioral interventions seek to modify physiological symptoms indirectly by altering the way the individual responds cognitively and behaviorally to symptom-related stresses (Holroyd, 1979). Utilization of this treatment often requires not only a familiarity with cognitive-behavioral treatment techniques but also an understanding of the pathophysiology of the disorder being treated and of the ways coping can influence and be influenced by physiological processes. Therefore, we will begin with a general discussion of stress and coping, emphasizing the ways coping can influence psychophysiological symptoms. We will then discuss the treatment of three specific disorders chosen because they illustrate issues and problems that are likely to arise in the treatment of disorders with different etiologies and pathophysiologies.


Essential Hypertension Behavioral Medicine Coping Skill Cognitive Therapy Migraine Headache 
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  1. Ad Hoc Committee on Classification of Headache. Classification of headache. Journal of the American Medical Association, 1962, 179, 717–718.CrossRefGoogle Scholar
  2. Adams, H. E., Feuerstein, M., & Fowler, J. L. Migraine headache: Review of parameters, etiology, and intervention. Psychological Bulletin, 1980, 87, 217–237.PubMedCrossRefGoogle Scholar
  3. Adams, N. Relaxation and self-control interventions to lower psychological responsiveness to stress in college students at risk for hypertension. Unpublished doctoral dissertation, Ohio University, 1981.Google Scholar
  4. Agras, S., & Jacob, R. Hypertension. In O. F. Pomerleau & J. P. Brady (Eds.), Behavioral medicine: Theory and practice. Baltimore: Williams & Wilkins, 1979.Google Scholar
  5. Alexander, A. B. The treatment of psychosomatic disorders: Bronchial asthma in children. In B. B. Lahey & A. E. Kazdin (Eds.), Advances in clinical child psychology (Vol. 3). New York: Plenum Press, 1980.Google Scholar
  6. Alexander, A. B. Asthma. In S. N. Haynes & L. Gannon (Eds.), Psychosomatic disorders: A psychological approach to etiology and treatment. New York: Holt, Rinehart, & Winston, 1981.Google Scholar
  7. Alexander, A. B., Cropp, G. J. A., & Chai, H. Effects of relaxation training on pulmonary mechanics in children with asthma. Journal of Applied Behavior Analysis, 1979, 12, 27–35.PubMedCrossRefGoogle Scholar
  8. Alexander, F. Psychosomatic medicine. NewYork: Norton, 1939.Google Scholar
  9. Alexander, F., French, T., & Pollock, G. Psychosomatic specificity. Chicago: University of Chicago Press, 1968.Google Scholar
  10. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, D. C.: Author, 1980.Google Scholar
  11. Amkraut, A., & Solomon, G. F. From the symbolic stimulus to pathophysiologic response: Immune mechanisms. International Journal of Psychiatry in Medicine, 1974, 5, 541–563.PubMedCrossRefGoogle Scholar
  12. Andrasik, F., & Holroyd, K. A. Physiologic and self-support comparisons between tension headache sufferers and nonheadache controls. Journal of Behavioral Assessment, 1980, 2, 135–141.(a).CrossRefGoogle Scholar
  13. Andrasik, F., & Holroyd, K. A. Reliability and concurrent validity of headache questionnaire data. Headache, 1980, 20, 44–46.(b).PubMedCrossRefGoogle Scholar
  14. Andrasik, F., & Holroyd, K. A. A test of specific and non-specific effects in the biofeedback treatment of tension headache. Journal of Consulting and Clinical Psychology, 1980, 48, 575–586.(c).PubMedCrossRefGoogle Scholar
  15. Andrasik, F., & Holyrod, K. A. Three-year follow-up of EMG biofeedback and biofeedback control procedures: What mediates outcome? Paper presented at the meeting of the Association for the Advancement of Behavior Therapy, Los Angeles, November 1982.Google Scholar
  16. Andrasik, F., Holroyd, K. A., & Abell, T. Prevalence of headache within a college student population: A preliminary analysis. Headache, 1979, 19, 384–387.PubMedCrossRefGoogle Scholar
  17. Andrasik, F., Coleman, D., & Epstein, L. H. Biofeedback: Clinical and research considerations. In D. M. Doleys, R. L. Meredith, & A. R. Ciminero (Eds.), Behavioral psychology in medicine: Assessment and treatment strategies. New York: Plenum Press, 1982.Google Scholar
  18. Antonovsky, A. Health, stress and coping. San Francisco: Jossey-Bass, 1979.Google Scholar
  19. Appel, M. A., Holyrod, K. A., & Gorkin, L. Anger and the etiology and progression of physical illness. In C. VanDyke & L. Temoshok (Eds.), Emotions in health and illness: Foundations of clinical practice. New York: Academic Press, 1982.Google Scholar
  20. Bakal, D. A., Demjen, S., & Kaganov, S. Cognitive behavioral treatment of chronic headache. Headache, 1980, 20, 163. (Abstract).Google Scholar
  21. Beck, A. T., & Emery, G. Cognitive therapy of anxiety and phobic disorders. Philadelphia: Center for Cognitive Therapy, 1979.Google Scholar
  22. Blanchard, E. B., & Miller, S. T. Psychological treatment of cardiovascular disease. Archives of General Psychiatry, 1977, 34, 1402–1413.PubMedCrossRefGoogle Scholar
  23. Blanchard, E. B., Ahles, T. A., & Shaw, E. R. Behavioral treatment of headaches. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.), Progress in behavior modification (Vol. 8). New York: Academic Press, 1979.Google Scholar
  24. Blanchard, E. B., Andrasik, F., Ahles, T. A., Teders, S. J., & O’Keefe, D. Migraine and tension headache: A meta-analytic review. Behavior Therapy, 1980, 11, 613–633.CrossRefGoogle Scholar
  25. Blanchard, E. B., O’Keefe, D., Neff, D., Jurish, S., & Andrasik, F. Interdisciplinary agreement in the diagnosis of headache types. Journal of Behavioral Assessment, 1981, 3, 5–9.CrossRefGoogle Scholar
  26. Blanchard, E. B., Andrasik, F., Neff, D. F., Ahles, T. A., Arena, J. G., Jurish, S. E., Pallmeyer, T. P., Teders, S. J., & Rodichok, L. D. The short-term effects of relaxation training and biofeedback on three kinds of headaches. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy, Toronto, November 1981.Google Scholar
  27. Bowers, K. S., & Kelly, P. Stress, disease, psychotherapy, and hypnosis. Journal of Abnormal Psychology, 1979, 88, 490–505.PubMedCrossRefGoogle Scholar
  28. Brown, J. J., Lever, A. F., Robertson, J. I., & Schalekamp, M. A. Pathogenesis of essential hypertension. Lancet, 1976, 1(7971), 1217–1219.PubMedCrossRefGoogle Scholar
  29. Budzynski, T. H., Stoyva, J. M., Adler, C. S., & Mullaney, D. J. EMG biofeedback and tension headache: A controlled outcome study. Psychosomatic Medicine, 1973, 6, 509–514.Google Scholar
  30. Cannon, W. B. The wisdom of the body. New York: Norton, 1932.Google Scholar
  31. Cassel, J. The contribution of the social environment to host resistance. American Journal of Epidemiology, 1976, 104, 107–123.PubMedGoogle Scholar
  32. Clark, N. M., Feldman, C. H., Freudenberg, N., Millman, E. J., Wasilewski, Y., & Valle, I. Developing education for asthmatic children through study of self-management behavior. Paper presented at the meeting of the American Public Health Association, New York, November 1979.Google Scholar
  33. Cobb, S., & Rose, R. Hypertension, peptic ulcer, and diabetes in air traffic controllers. Journal of the American Medical Association, 1973, 224, 489–492.PubMedCrossRefGoogle Scholar
  34. Cohen, F., & Lazarus, R. S. Coping with the stresses of illness. In G. C. Stone, F. Cohen, & N. E. Adler (Eds.), Health psychology: A handbook. San Francisco: Jossey-Bass, 1979.Google Scholar
  35. Coyne, J. C., & Holyrod, K. A. Stress, coping and illness: A transactional perspective. In T. Millon, C. Green, & R. Meagher (Eds.), Handbook of health care clinical psychology. New York: Plenum Press, 1982.Google Scholar
  36. Coyne, J. C., & Lazarus, R. S. Cognition, stress, and coping: A transactional perspective. In I. L. Kutash & L. B. Schlesinger (Eds.), Pressure point: Perspectives on stress and anxiety. San Francisco: Jossey-Bass, 1980.Google Scholar
  37. Creer, T. L. The use of a time-out from positive reinforcement procedure with asthmatic children. Journal of Psychosomatic Research, 1970, 14, 117–120.PubMedCrossRefGoogle Scholar
  38. Creer, T. L. Asthma: Psychologic aspects and management. In E. Middleton, Jr., C. E. Reed, & E. F. Ellis (Eds.), Allergy: Principles and practice (Vol. 2). Saint Louis: C. V. Mosby, 1978.Google Scholar
  39. Creer, T. L. Asthma therapy: A behavioral health care system for respiratory disorders. New York: Springer Publishing, 1979.Google Scholar
  40. Creer, T. L. Asthma: Self-management. Paper presented at the National Jewish Hospital/National Asthma Center Conference on Asthma, Keystone, Colorado, January 1980.(a).Google Scholar
  41. Creer, T. L. Self-management behavioral strategies for asthmatics. Behavioral Medicine, 1980, 7, 14–24.(b).Google Scholar
  42. Creer, T. L., & Yoches, C. The modification of an inappropriate behavioral pattern in asthmatic children. Journal of Chronic Diseases, 1971, 24, 507–513.PubMedCrossRefGoogle Scholar
  43. Creer, T. L., Weinberg, E., & Molk, L. Managing a hospital behavior problem: Malingering. Journal of Behavior Therapy and Experimental Psychiatry, 1974, 5, 259–262.CrossRefGoogle Scholar
  44. Davies, M. Is high blood pressure a psychosomatic disorder? Journal of Chronic Diseases, 1971, 24, 239–258.PubMedCrossRefGoogle Scholar
  45. DeLozier, J. E., & Gagnon, R. O. National ambulatory medical care survey: 1973 summary, United States, May 1973–April 1974 (DHEW Publication No. HRA 76-1772). Washington, D. C.: U. S. Government Printing Office, 1975.Google Scholar
  46. DeQuattro, V., & Miura, Y. Neurogenic factors in human hypertension: Mechanism or myth. American Journal of Medicine, 1973, 55, 362–378.PubMedCrossRefGoogle Scholar
  47. Dirks, J. F., Jones, N. F., & Kinsman, R. A. Panic-fear: A personality dimension related to intractibility in asthma. Psychosomatic Medicine, 1977, 39, 120–126.PubMedGoogle Scholar
  48. Dirks, J. F., Kinsman, R. A., Horton, D. J., Fross, K. H., & Jones, N. F. Panic-fear in asthma: Rehospitalization following intensive long-term treatment. Psychosomatic Medicine, 1978, 40, 5–13.PubMedGoogle Scholar
  49. Dirks, J. F., Kinsman, R. A., Staudenmayer, H., & Kleiger, J. H. Panic-fear in asthma: Symptomatology as an index of signal anxiety and personality as an index of ego resources. Journal of Nervous and Mental Disease, 1979, 167, 615–619.PubMedCrossRefGoogle Scholar
  50. Epstein, L. H., & Abel, G. G. An analysis of biofeedback training effects with tension headache patients. Behavior Therapy, 1977, 8, 37–47.CrossRefGoogle Scholar
  51. Epstein, L. H., Abel, G. G., Collins, F., Parker, L., & Cinciripini, P. M. The relationship between frontalis muscle activity and self-reports of headache pain. Behavior Research and Therapy, 1978, 16, 153–160.CrossRefGoogle Scholar
  52. Esler, M., Julius, S., Zwelfer, A., Randall, O., Harburg, E., Gardiner, H., & DeQuattro, V. Mild high-renin essential hypertension: Neurogenic human hypertension? New England Journal of Medicine, 1977, 296, 405–411.PubMedCrossRefGoogle Scholar
  53. Fanchamps, A. The role of humoral mediators in migraine headache. Canadian Journal of Neurological Sciences, 1974, 1, 189–195.PubMedGoogle Scholar
  54. Farr, R. S., & Spector, S. L. What is asthma? In the Upjohn Company, The asthmatic patient in trouble. Greenwich, Conn.: CPC Communications, 1975.Google Scholar
  55. Freedman, R. Evaluation and treatment of Raynaud’s phenomenon. Paper presented at the meeting of the Biofeedback Society of America, San Diego, March 1979.Google Scholar
  56. Freedman, R. R., Lynn, S. J., Ianni, P., Hale, P. A., & Michael, D. Biofeedback treatment of Raynaud’s disease and phenomenon. Paper presented at the meeting of the Biofeedback Society of America, Albuquerque, March 1978.Google Scholar
  57. Galton, L. The silent disease. Hypertension. New York: Crown, 1973.Google Scholar
  58. Gentry, W. D. Preadmission behavior. In W. D. Gentry & R. B. Williams, Jr. (Eds.), Psychological aspects of myocardial infarction and coronary care. St. Louis: C. V. Mosby, 1975.Google Scholar
  59. Glass, D. C. Behavior patterns, stress, and coronary disease. Hillsdale, N.J.: Lawrence Erlbaum, 1977.Google Scholar
  60. Glass, D. C., Krakoff, L. R., Contrada, R., Hilton, W. F., Kehoe, K., Manucci, E. G., Collins, C., Snow, B., & Elting, E. Effect of harassment and competition upon cardiovascular and plasma catecholamine responses in Type A and Type B individuals. Psychophysiology, 1980, 17, 453–463.PubMedCrossRefGoogle Scholar
  61. Glock, C., & Lennard, H. Psychologic factors in hypertension: An interpretative review. Journal of Chronic Diseases, 1957, 5, 174–185.PubMedCrossRefGoogle Scholar
  62. Goldfried, M. R., & Trier, C. S. Effectiveness of relaxation as an active coping skill. Journal of Abnormal Psychology, 1974, 83, 348–355.PubMedCrossRefGoogle Scholar
  63. Graham, J. High blood pressure after battle. Lancet, 1945, 1, 239–246.CrossRefGoogle Scholar
  64. Graham, P. J., Rutter, M. L., Yule, W., & Pless, I. B. Childhood asthma: A psychosomatic disorder?—Some epidemiological considerations. British Journal of Preventive and Social Medicine, 1967, 21, 78–85.PubMedGoogle Scholar
  65. Gutman, M., & Benson, H. Interaction of environmental factors and systemic arterial blood pressure: A review. Medicine, 1971, 50, 543–553.CrossRefGoogle Scholar
  66. Harburg, E., Erfurt, J., Chape, G., Hausenstein, L., Schull, W., & Schork, M. Socio-ecological Stressor areas and black-white pressure: Detroit. Journal of Chronic Diseases, 1973, 26, 595–611.PubMedCrossRefGoogle Scholar
  67. Harburg, E., Blakelock, E., & Roeper, J. Resentful and reflective coping with arbitrary authority and blood pressure: Detroit. Psychosomatic Medicine, 1979, 41, 189–202.PubMedGoogle Scholar
  68. Harper, R. G., & Steger, J. C. Psychological correlates of frontalis EMG and pain in tension headache. Headache, 1978, 18, 215–218.PubMedCrossRefGoogle Scholar
  69. Harrell, J. Psychological factors and hypertension: A status report. Psychological Bulletin, 1980, 87, 482–501.PubMedCrossRefGoogle Scholar
  70. Harris, R., & Forsyth, R. Personality and emotional stress in essential hypertension in man. In G. Onesti, J. Kim, & J. Moyer (Eds.), Hypertension: Mechanisms and management. New York: Grune and Stratton, 1973.Google Scholar
  71. Haynes, S. N. Muscle-contraction headache: A psychophysiological perspective of etiology and treatment. In S. N. Haynes & L. R. Gannon (Eds.), Psychosomatic disorders: A psychological approach to etiology and treatment. New York: Holt, Rinehart & Winston, 1981.Google Scholar
  72. Henry, J. Understanding the early pathophysiology of essential hypertension. Geriatrics, 1976, 30, 59–72.Google Scholar
  73. Henry, J., & Cassel, J. Psychosocial factors in essential hypertension. American Journal of Epidemiology, 1969, 90, 171–210.PubMedGoogle Scholar
  74. Henry, J., & Stephens, P. Stress, health and the social environment: A sociobiologic approach to medicine. New York: Springer Publishing, 1977.CrossRefGoogle Scholar
  75. Henryk-Gutt, R., & Rees, W. C. Psychological aspects of migraine. Journal of Psychosomatic Research, 1973, 17, 141–153.PubMedCrossRefGoogle Scholar
  76. Holroyd, K. A. Stress, coping, and the treatment of stress related illness. In J. R. McNamara (Ed.), Behavioral approaches in medicine: Application and analysis. New York: Plenum Press, 1979.Google Scholar
  77. Holroyd, K. A., & Andrasik, F. Coping and the self-control of chronic tension headache. Journal of Consulting and Clinical Psychology, 1978, 46, 1036–1045.PubMedCrossRefGoogle Scholar
  78. Holroyd, K. A., & Andrasik, F. Self-control of tension headache. In F. J. McGuigan, W. E. Sime, & J. M. Wallace (Eds.), Stress and tension control. New York: Plenum Press, 1980.Google Scholar
  79. Holroyd, K. A. & Andrasik, F. A cognitive-behavioral approach to recurrent tension and migraine headache. In P. C. Kendall (Ed.), Advances in cognitive-behavioral research and therapy (Vol. 1). New York: Academic Press, 1982.Google Scholar
  80. Holroyd, K. A., & Andrasik, F. Do the effects of cognitive therapy endure: A two-year follow-up of tension headache sufferers treated with cognitive therapy or biofeedback. Cognitive Therapy and Research, in press.Google Scholar
  81. Holroyd, K. A., & Gorkin, L. Young adults at risk for hypertension: Effects of family history and anger management in determining responses to interpersonal conflict. Journal of Psychosomatic Research, in press.Google Scholar
  82. Holroyd, K. A., & Lazarus, R. A. Stress, coping and somatic adaption. In L. Goldberger & S. Breznitz (Eds.), Handbook of stress. New York: Free Press, 1982.Google Scholar
  83. Holroyd, K. A., Andrasik, F., & Westbrook, T. Cognitive control of tension headache. Cognitive Therapy and Research, 1977, 1, 121–133.CrossRefGoogle Scholar
  84. Holroyd, K. A., Andrasik, F., & Noble, J. A comparison of EMG biofeedback and a credible pseudotherapy in treating tension headache. Journal of Behavioral Medicine, 1980, 3, 29–39.PubMedCrossRefGoogle Scholar
  85. Holroyd, K. A., Penzien, D., Tobin, D., Hursey, K., Rogers, L., Marcille, P., & Holm, J. Psychological vs. physiological learning mediating tension headache improvements following biofeedback. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy, Los Angeles, November 1982.Google Scholar
  86. Horowitz, M. J., Hulley, S., Alvarez, W., Reynolds, A. M., Benfari, R., Blair, S., Borhani, N., & Simon, N. Life events, risk factors, and coronary disease. Psychosomatics, 1979, 20, 586–592.PubMedGoogle Scholar
  87. Howarth, E. Headache, personality and stress. British Journal of Psychiatry, 1965, 111, 1193–1197.PubMedCrossRefGoogle Scholar
  88. Hurley, F. E. Practical management of headache in office practice. Paper presented at the meeting of the Chicago Medical Society, Chicago, March 1969.Google Scholar
  89. Jenkins, C. D. Psychosocial modifiers of response to stress. Journal of Human Stress, 1979, 5, 3–15.PubMedCrossRefGoogle Scholar
  90. Jones, N. F., Kinsman, R. A., Dirks, J. F., & Dahlem, N. W. Psychological contributions to chronicity in asthma: Patient response styles influencing medical treatment and its outcome. Medical Care, 1979, 17, 1103–1118.PubMedCrossRefGoogle Scholar
  91. Julius, S., & Esler, M. Autonomic nervous system cardiovascular regulation in borderline hypertension. American Journal of Cardiology, 1975, 36, 685–696.PubMedCrossRefGoogle Scholar
  92. Kahn, H. A., Medalie, J. H., Neufeld, H. M., Riss, E., & Goldbourt, U. The incidence of hypertension and associated factors: The Israeli ischemic heart disease study. American Heart Journal, 1972, 84, 171–182.PubMedCrossRefGoogle Scholar
  93. Kaplan, H. B., Cassel, J. C., & Gore, S. Social support and health. Medical Care, 1977, 15, 47–58.PubMedCrossRefGoogle Scholar
  94. Kaplan, N. M. Your blood pressure: The most deadly high. New York: Krieger, 1976.Google Scholar
  95. Kaplan, N. M. Clinical hypertension (2nd ed.). Baltimore: Williams & Wilkins, 1978.Google Scholar
  96. Kaplan, N. M. The Goldblatt Memorial Lecture Part II: The role of the kidney in hypertension. Hypertension, 1979, 1, 456–461.PubMedCrossRefGoogle Scholar
  97. Kashiwagi, T., McClure, J. N., & Wetzel, R. D. Headache and psychiatric disorders. Diseases of the Nervous System, 1972, 33, 659–663.PubMedGoogle Scholar
  98. Katz, J. L., Weiner, H., Gutman, A., & Yu, T. F. Hyperuricemia, gout and the executive suite. Journal of the American Medical Association, 1973, 224, 1251–1257.PubMedCrossRefGoogle Scholar
  99. Kinsman, R. A., Dahlem, N. W., Spector, S., & Staudenmayer, H. Observations on subjective symptomatology, coping, behavior, and medical decisions in asthma. Psychosomatic Medicine, 1977, 39, 102–119.PubMedGoogle Scholar
  100. Knapp, P. H., Mathe, A. A., & Vachon, L. Psychosomatic aspects of bronchial asthma. In E. B. Weiss & M. S. Segal (Eds.), Bronchial asthma: Mechanisms and therapeutics. Boston: Little, Brown, 1976.Google Scholar
  101. Knapp, T. J., & Wells, L. A. Behavior therapy for asthma: A review. Behavior Research and Therapy, 1978, 16, 103–115.CrossRefGoogle Scholar
  102. Lance, J. W., & Anthony, M. Thermographic studies in vascular headache. Medical Journal of Australia, 1971, 1, 240.PubMedGoogle Scholar
  103. Largen, J. W., Mathew, J. R., Dobbins, K., Meyer, J. S., & Claghorn, J. L. Skin temperature self-regulation and non-invasive regional cerebral blood flow. Headache, 1978, 18, 203–210.PubMedCrossRefGoogle Scholar
  104. Lazarus, R. S. Psychological stress and the coping process. New York: McGraw-Hill, 1966.Google Scholar
  105. Lazarus, R. S. The stress and coping paradigm. In C. Eisdorfer, D. Cohen, A. Kleinman, & P. Maxim (Eds.), Theoretical bases for psychopathology. New York: Spectrum, 1980.Google Scholar
  106. Lazarus, R. S. Coping and adaption. In W. D. Gentry (Ed.), The handbook of behavioral medicine. New York: Guilford Press, 1982.Google Scholar
  107. Lazarus, R. S., & Launier, R. Stress-related transactions between person and environment. In L. A. Pervin & M. Lewis (Eds.), Perspectives in interactional psychology. New York: Plenum Press, 1978.Google Scholar
  108. Lazarus, R. S., Cohen, J. B., Folkman, S., Kanner, A., & Schaefer, C. Psychological stress and adaptation: Some unresolved issues. In H. Selye (Ed.), Selye’s guide to stress research (Vol. 1). New York: Van Nostrand Reinhold, 1980.Google Scholar
  109. Levinson, D. J. The seasons of a man’s life. New York: Knopf, 1978.Google Scholar
  110. Looney, J., Lipp, M., & Spitzer, R. A new method of classification for psychophysiologic disorders. American Journal of Psychiatry, 1978, 135, 304–308.PubMedGoogle Scholar
  111. Lynn, S. J., & Freedman, R. R. Transfer and evaluation in biofeedback treatment. In A. P. Goldstein & F. Kanfer (Eds.), Maximizing treatment gains: Transfer enhancement in psychotherapy. New York: Academic Press, 1979.Google Scholar
  112. Mason, J. W. Strategy in psychosomatic research. Psychosomatic Medicine, 1970, 32, 427–439.PubMedGoogle Scholar
  113. Mason, J. W. Clinical psychophysiology. In M. F. Reiser (Ed.), American handbook of psychiatry (Vol. 4). New York: Basic Books, 1975.Google Scholar
  114. Mathew, R. J., Largen, J. W., Dobbins, K., Meyer, J. S., Sakai, F., & Claghorn, J. L. Biofeedback control of skin temperature and cerebral blood flow in migraine. Headache, 1980, 20, 19–28.PubMedCrossRefGoogle Scholar
  115. McClelland, D. Inhibited power motivation and high blood pressure in men. Journal of Abnormal Psychology, 1979, 88, 182–190.PubMedCrossRefGoogle Scholar
  116. Mechanic, D. Medical sociology: A selective view. New York: Free Press, 1968.Google Scholar
  117. Medina, J. L., & Diamond, S. The role of diet in migraine. Headache, 1978, 18, 31–34.PubMedCrossRefGoogle Scholar
  118. Merrill, J. P. Hypertensive vascular disease. In J. V. Harrison, R. D. Adams, I. J. Bennett, W.H. Resnik, G. W. Thorn, & M. M. Wintrobe (Eds.), Principles of internal medicine. New York: McGraw-Hill, 1966.Google Scholar
  119. Middleton, E. Jr., Reed, C. E., & Ellis, E. F. (Eds.). Allergy: Principles and practice (Vol. 1). Saint Louis: C. V. Mosby, 1978.Google Scholar
  120. Miklich, D. R. Operant conditioning procedures with systematic desensitization in a hyperkinetic asthmatic boy. Journal of Behavior Therapy and Experimental Psychiatry, 1973, 4, 177–182.CrossRefGoogle Scholar
  121. Miklich, D. R., Renne, C. M., Creer, T. L., Alexander, A. B., Chai, H., Davis, M. H., Hoffman, A., & Danker-Brown, P. The clinical utility of behavior therapy as an adjunctive treatment for asthma. Journal of Allergy and Clinical Immunology, 1977, 60, 285–294.PubMedCrossRefGoogle Scholar
  122. Miller, N. E., & Dworkin, B. R. Critical issues in therapeutic applications of biofeedback. In G. E. Schwartz & J. Beatty (Eds.), Biofeedback. New York: Academic Press, 1977.Google Scholar
  123. Mitchell, K. R., & White, R. G. Control of migraine headache by behavioral self-management: A controlled case study. Headache, 1976, 16, 178–184.PubMedCrossRefGoogle Scholar
  124. Mitchell, K. R., & White, R. G. Behavioral self-management: An application to the problem of migraine headaches. Behavior Therapy, 1977, 8, 213–221.CrossRefGoogle Scholar
  125. Moos, R. H., & Tsu, V. D. The crisis of physical illness: An overview. In R. H. Moos (Ed.), Coping with physical illness. New York: Plenum Press, 1977.CrossRefGoogle Scholar
  126. Morillo, E., & Gardner, L. Bereavement as an antecedent factor in thyrotoxicosis of childhood: Four case studies with survey of possible metabolic pathways. Psychosomatic Medicine, 1979, 41, 545–555.PubMedGoogle Scholar
  127. Novaco, R. W. Anger control: The development and evaluation of an experimental treatment. Lexington, Mass.: Lexington Books, 1975.Google Scholar
  128. Obrist, P. The cardiovascular-behavioral interaction—As it appears today. Psychophysiology, 1976, 13, 95–107.PubMedCrossRefGoogle Scholar
  129. Obrist, P., Gaebelein, C., Teller, E., Langer, A., Grignolo, A., Light, K., & McCubbin, S. The relationship among heart rate, carotid dP/dt, and blood pressure in humans as a function of the type of stress. Psychophysiology, 1978, 15, 102–115.PubMedCrossRefGoogle Scholar
  130. Obrist, P., Light, K., Langer, A., Grignolo, A., & McCubbin, J. Behavioral-cardiac interactions: The psychosomatic hypothesis. Journal of Psychosomatic Research, 1978, 22, 301–325.PubMedCrossRefGoogle Scholar
  131. Ostfeld, A. M., Reis, D. J., & Wolff, H. G. Studies in headache: Bulbar conjunctival ischemia and muscle contraction headache. Archives of Neurological Psychiatry, 1957, 77, 113–119.CrossRefGoogle Scholar
  132. Page, L. Epidemiologic evidence on the etiology of human hypertension and its possible prevention. American Heart Journal, 1976, 91, 527–534.PubMedCrossRefGoogle Scholar
  133. Pancheri, P., Bellaterra, M., Matteoli, S., Cristofari, M., Polizzi, C., & Puletti, M. Infarct as a stress agent: Life history and personality characteristics in improved versus not-improved patients after severe heart attack. Journal of Human Stress, 1978, 4, 16-22; 41–42.CrossRefGoogle Scholar
  134. Patel, C. H. Biofeedback-aided relaxation and meditation in the management of hypertension. Biofeedback and Self Regulation, 1977, 2, 1–41.PubMedCrossRefGoogle Scholar
  135. Pinkerton, P. The enigma of asthma. Psychosomatic Medicine, 1973, 35, 461–462.PubMedGoogle Scholar
  136. Pranulis, M. Coping with acute myocardial infarction. In W. D. Gentry & R. B. Williams, Jr. (Eds.), Psychological aspects of myocardial infarction and coronary care. St. Louis: C.V. Mosby, 1975.Google Scholar
  137. Purcell, K., & Weiss, J. H. Asthma. In C. G. Costello (Ed.), Symptoms of psychopathology: A handbook. New York: Wiley, 1970.Google Scholar
  138. Rahe, R. H., & Ranson, R. J. Life change and illness studies: Past history and future directions. Journal of Human Stress, 1978, 4, 3–15.PubMedCrossRefGoogle Scholar
  139. Raskin, N. H., & Appenzeller, O. Headache. Philadelphia: Saunders, 1980.Google Scholar
  140. Reed, C. E., & Townley, R. G. Asthma: Classification and pathogenesis. In E. Middleton, Jr., C. E. Reed, & E. F. Ellis (Eds.), Allergy: Principles and practice (Vol. 2). Saint Louis: C. V. Mosby, 1978.Google Scholar
  141. Reinking, R., & Hutchings, D. Follow-up and extension of “Tension headaches: What method is most effective?” Paper presented at the meeting of the Biofeedback Research Society, Colorado Springs, February 1976.Google Scholar
  142. Rodgers, M., Dubey, D., & Reich, P. The influence of the psyche and the brain on immunity and disease susceptibility: A critical review. Psychosomatic Medicine, 1979, 41, 147–164.Google Scholar
  143. Rose, R., Jenkins, C., & Hurst, M. Air-traffic controller health change study. A prospective investigation of physical, psychological, and work-related changes. Report to the Federal Aviation Administration on research performed under contract DOT-FA73WA-3211, 1978.Google Scholar
  144. Roskies, E., & Lazarus, R. S. Coping theory and the teaching of coping skills. In P. Davidson & S. Davidson (Eds.), Behavioral medicine: Changing health life styles. New York: Brunner/Mazel, 1980.Google Scholar
  145. Ruskin, A., Beard, O., & Schaffer, R. Blast hypertension: Elevated arterial pressure in victims of the Texas City Disaster. American Journal of Medicine, 1948, 4, 228–236.PubMedCrossRefGoogle Scholar
  146. Scadding, J. G. Definition and clinical categorization. In E. B. Weiss & M. S. Segal (Eds.), Bronchial asthma: Mechanisms and therapeutics. Boston: Little, Brown, 1976.Google Scholar
  147. Schwartz, G. The brain as a health care system. In. G. C. Stone, F. Cohen, & N. E. Adler (Eds.), Health psychology: A handbook. San Francisco: Jossey-Bass, 1979.Google Scholar
  148. Seer, P. Psychological control of essential hypertension: Review of the literature and methodological critique. Psychological Bulletin, 1979, 86, 1015–1043.PubMedCrossRefGoogle Scholar
  149. Selby, G., & Lance, J. W. Observations on 500 cases of migraine and allied vascular headache. Journal of Neurology, Neurosurgery, and Psychiatry, 1960, 23, 23–32.PubMedCrossRefGoogle Scholar
  150. Selye, H. The stress of life. New York: McGraw-Hill, 1956.Google Scholar
  151. Selye, H. The stress of life (rev. ed.). New York: McGraw-Hill, 1976.Google Scholar
  152. Shapiro, A. Behavioral and environmental aspects of hypertension. Journal of Human Stress, 1978, 4, 9–17.PubMedCrossRefGoogle Scholar
  153. Shapiro, A. P., Schwartz, G., Ferguson, D., Redmond, D. P., & Weiss, S. M. Behavioral approaches to the treatment of hypertension: Clinical status. Annals of Internal Medicine 1977, 86, 626–636.CrossRefGoogle Scholar
  154. Siegel, S. C., Katz, R. M., & Rachelefsky, G. S. Asthma in infancy and childhood. In E. Middleton, Jr., C. E. Reed, & E. F. Ellis (Eds.), Allergy: Principles and practice (Vol. 2). St. Louis: C. V. Mosby, 1978.Google Scholar
  155. Stoyva, J. Self-regulation and the stress-related disorders: A perspective on biofeedback. In D. Mostofsky (Ed.), Behavior control and modification of physiological activity. Englewood Cliffs, N.J.: Prentice-Hall, 1976.Google Scholar
  156. Syme, S., & Torfs, C. Epidemiologic research in hypertension: A critical appraisal. Journal of Human Stress, 1978, 4, 43–48.PubMedCrossRefGoogle Scholar
  157. Taplin, P. S., & Creer, T. L. A procedure for using peak expiratory flow data to increase the predictability of asthma episodes. Journal of Asthma Research, 1978, 16, 15–19.PubMedCrossRefGoogle Scholar
  158. Taylor, C. B., Farquhar, J. W., Nelson, E., & Agras, W. S. Relaxation therapy and high blood pressure. Archives of General Psychiatry, 1977, 34, 339–342.PubMedCrossRefGoogle Scholar
  159. Thomas, C. The psychological dimension of hypertension. In J. Stamler, K. Stamler, & T. Pullman (Eds.), The epidemiology of essential hypertension. New York: Grune & Stratton, 1967.Google Scholar
  160. Toffler, A. Future shock. New York: Random House, 1970.Google Scholar
  161. Tunis, M. M., & Wolff, H. G. Studies in headache: Cranial artery vasoconstriction and muscle contraction headache. Archives of Neurological Psychiatry, 1954, 71, 425–434.CrossRefGoogle Scholar
  162. Turk, D. C., Meichenbaum, D. H., & Berman, W. H. Application of biofeedback for the regulation of pain: A critical review. Psychological Bulletin, 1979, 86, 1322–1338.PubMedCrossRefGoogle Scholar
  163. U. S. Department of Health, Education, and Welfare. Prevalence of selected chronic respiratory conditions, United States—1970 (DHEW Publication No. HRA-74-15H, Series 10, No. 84). Rockville, Md.: Health Resources Administration, 1973.Google Scholar
  164. Von Bertalanffy, L. General systems theory. New York: Braziller, 1968.Google Scholar
  165. Waters, W. E., & O’Connor, P. J. Prevalence of migraine. Journal of Neurology, Neurosurgery, and Psychiatry, 1975, 38, 613–616.PubMedCrossRefGoogle Scholar
  166. Weiner, H. Psychobiology and human disease. New York: Elsevier, 1977.Google Scholar
  167. Weisman, A. A study of the psychodynamics of duodenal ulcer exacerbations with special reference to treatment and the problem of specificity. Psychosomatic Medicine, 1956, 18, 2–42.PubMedGoogle Scholar
  168. Weisman, A. D., & Worden, J. W. Psychosocial analysis of cancer deaths. Omega: Journal of Death and Dying, 1975, 6, 61–75.CrossRefGoogle Scholar
  169. Weiss, J. H. The current state of the concept of a psychosomatic disorder. In Z. J. Lipowski, D. R. Lipsitt, & P. C. Whybrow (Eds.), Psychosomatic medicine: Current trends and clinical applications. New York: Oxford University Press, 1977.Google Scholar
  170. Weiss, J. M. Ulcers. In J. D. Maser & M. E. P. Seligman (Eds.), Psychopathology: Experimental models. San Francisco: Freeman, 1977.Google Scholar
  171. Welch, M. H. Obstructive diseases. In C. A. Guenter & M. H. Welch (Eds.), Pulmonary medicine. Philadelphia: Lippincott, 1977.Google Scholar
  172. Whitehead, W. E., Fedoravicius, A. S., Blackwell, B., & Wooley, S. A behavioral conceptualization of psychosomatic illness: Psychosomatic symptoms as learned responses. In J. R. McNamara (Ed.), Behavioral approaches to medicine: Application and analysis. New York: Plenum Press, 1979.Google Scholar
  173. Ziegler, D. K., Hassanein, R., & Hassanein, K. Headache syndromes suggested by factor analysis of symptom variables in a headache prone population. Journal of Chronic Disease, 1972, 25, 353–363.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1989

Authors and Affiliations

  • Kenneth A. Holroyd
    • 1
  • Margret A. Appel
    • 1
  • Frank Andrasik
    • 2
  1. 1.Department of PsychologyOhio UniversityAthensUSA
  2. 2.Department of PsychologyState University of New YorkAlbanyUSA

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