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Personality style as a predictor of success with biofeedback: Learned ability to manipulate physiological functions, clinical efficacy, and perceived success.

机译：人格风格可预测生物反馈是否成功：学习的操纵生理功能，临床功效和成功感的能力。

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摘要

The purpose of this study was to assess whether individuals with a unique personality style, as defined by the Five-Factor Model of personality, are more successful with biofeedback treatment than individuals with different dominant traits. Ultimately, the goal of such a positive finding, would be to consider personality style in a clinician's decision to use biofeedback treatment with a given patient, and thus save time and money that would be wasted in a "trial and error" selection approach.;The method was a quasi-experimental research design, where patients referred for biofeedback treatment at a private practice behavioral medicine clinic, were asked to complete an intake packet, as well as migraine and relaxation weekly inventory logs. Each participant underwent biofeedback treatment as indicated for her/his particular case. A psychophysiological stress profile was carried out at the start of treatment and after a period of biofeedback treatment. A Repeated Measures Analysis of Variance was employed to assess whether there was a change within individual participants on the physiological functions targeted during biofeedback treatment (i.e. reactivity to stress, recovery from stress, and on depth of relaxation). Symptom improvement (i.e. migraine severity) was examined descriptively, rather than statistically. In addition, a survey was distributed to a non-clinical sample to assess relationships between personality characteristics and perceived ability to succeed with biofeedback treatment. This more subjective measure of likelihood of seeking biofeedback treatment and perceived success was correlated with personality style, as measured using the Ten Item Personality Inventory (TIPI). It was analyzed using a Pearson-Product Correlation analysis.;Results for the migraine study are reported for the 3 participants, which means that, due to the small sample size, findings for the clinical portion of the study must be interpreted cautiously. Significant findings suggest that biofeedback treatment may effectively reduce the neck muscle tension reaction to cognitive stress. Borderline significant findings also suggest that there may be a relationship between biofeedback treatment and ability to recover from stress and deeply relax by lowering neck muscle tension and skin conductance. Non-significant, although noteworthy, was that heart rate decreased, and thus improved, for all 3 participants, across baseline, reactivity, and recovery conditions. However, the participants seemed to have many counter-therapeutic effects on the various other physiological measures. Descriptively, the frequency of headaches was reduced in all 3 participants, although intensity increased, and duration improved for 2 participants, while it worsened in 1 participant. Therefore, subjectively experienced migraine severity was both favorably and adversely affected by biofeedback treatment, depending on severity indicator.;Results for the survey study are reported for 216 participants. Participants tended to endorse high levels of all of the personality traits and there seemed to be a general sense of uncertainty about the likelihood that these individuals would engage in biofeedback treatment, but that once the decision was made to pursue treatment, participants tended toward believing that they would succeed. Agreeableness and Openness to Experience were significantly related to perceived success with biofeedback, so that as levels of these traits increased, perceived success with biofeedback also increased. There was a similar positive significant relationship between likelihood of seeking biofeedback and perceived success with biofeedback.
机译：这项研究的目的是评估由五因素人格模型定义的具有独特人格风格的个体是否比具有不同显性特征的个体在生物反馈治疗方面更成功。最终，这样一个积极发现的目标是在临床医师决定对特定患者使用生物反馈治疗时考虑人格风格，从而节省时间和金钱，而这会浪费在“反复试验”的选择方法中。该方法是一个准实验研究设计，其中要求在私人执业行为医学诊所转诊进行生物反馈治疗的患者填写摄入量数据包，以及每周的偏头痛和放松记录。每个参与者都根据其具体情况进行了生物反馈治疗。在治疗开始时和一段时间的生物反馈治疗后，进行了心理生理压力分布。采用方差重复测量分析来评估个体参与者是否在生物反馈治疗过程中针对的生理功能（即对压力的反应性，从压力中恢复以及放松深度）是否发生变化。症状改善（即偏头痛严重程度）是描述性检查，而非统计学检查。此外，还向非临床样本进行了一项调查，以评估人格特征与生物反馈治疗成功的感知能力之间的关系。使用十项人格量表（TIPI）来衡量，这种更主观的寻求生物反馈治疗和获得成功的可能性与人格风格相关。使用Pearson-Product Correlation分析进行了分析。偏头痛研究的结果已报告给3名参与者，这意味着，由于样本量较小，必须谨慎解释研究的临床部分发现。重要发现表明，生物反馈治疗可有效降低颈部肌肉对认知压力的紧张反应。重大的重要发现还表明，生物反馈治疗与通过降低颈部肌肉张力和皮肤电导而从压力中恢复并深度放松的能力之间可能存在某种关系。尽管值得注意，但在基线，反应性和恢复状态下，所有3名参与者的心率均下降，从而有所改善，但并不显着。但是，参与者似乎对各种其他生理措施有许多反治疗作用。从描述上看，尽管强度增加，并且2名参与者的持续时间有所改善，但所有3名参与者的头痛发生率均降低了，而1名参与者的头痛发生率有所提高。因此，根据严重程度指标，生物反馈治疗对主观经历的偏头痛的严重程度既有有利影响，也有不利影响。报道了216名参与者的调查研究结果。参与者倾向于认可所有人格特质的高水平，并且似乎普遍不确定这些人将进行生物反馈治疗的可能性，但是一旦决定进行治疗，参与者倾向于相信他们会成功。愉悦性和开放经验与生物反馈的成功感显着相关，因此，随着这些特征水平的提高，生物反馈的成功感也随之增加。寻求生物反馈的可能性与通过生物反馈获得的成功之间存在相似的积极显着关系。

著录项

  • 作者

    Lambert, Sasha.;

  • 作者单位

    Massachusetts School of Professional Psychology.;

  • 授予单位 Massachusetts School of Professional Psychology.;
  • 学科 Psychology Clinical.;Psychology Personality.;Psychology Physiological.
  • 学位 Psy.D.
  • 年度 2011
  • 页码 168 p.
  • 总页数 168
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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