Thermal biofeedback for primary Raynaud's phenomenon

a review of the literature

Maria Katsamanis Karavidas, Pei Shan Tsai, Carolyn Yucha, Angele McGrady, Paul M. Lehrer

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

The clinical presentation of primary Raynaud's phenomenon (RP) derives from various pathogenic triggers. The use of thermal biofeedback (TBF) may be of benefit in reducing the severity and frequency of attacks. This article summarizes the relevant research regarding the pathophysiology of primary RP and mechanism of TBF for RP. Systematic reviews of the efficacy of TBF for RP and treatment guidelines for clinicians are provided. The panel concludes that the level of evidence for TBF efficacy is categorized as Level IV: efficacious. The rationale, based on three randomized controlled trials conducted in independent laboratories, demonstrated "superiority or equivalence" of treatments that include TBF. However, randomly controlled trials (RCT) with positive clinical outcomes tended to be small. A large RCT with negative results did not effectively teach handwarming skills. Procedures for reviewing and rating of the levels of evidence of efficacy of studies was based on the Template for Developing Guidelines for the Evaluation of the Clinical Efficacy of Psychophysiological Interventions developed by the joint task force of the AAPB and the Society for Neuronal Regulation (SNR).

Original languageEnglish
Pages (from-to)203-216
Number of pages14
JournalApplied Psychophysiology Biofeedback
Volume31
Issue number3
DOIs
Publication statusPublished - Sep 2006

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Raynaud Disease
Hot Temperature
Guidelines
Advisory Committees
Randomized Controlled Trials
Joints
Research

Keywords

  • Primary Raynaud's phenomenon
  • Thermal biofeedback

ASJC Scopus subject areas

  • Psychology(all)
  • Clinical Psychology

Cite this

Thermal biofeedback for primary Raynaud's phenomenon : a review of the literature. / Karavidas, Maria Katsamanis; Tsai, Pei Shan; Yucha, Carolyn; McGrady, Angele; Lehrer, Paul M.

In: Applied Psychophysiology Biofeedback, Vol. 31, No. 3, 09.2006, p. 203-216.

Research output: Contribution to journalArticle

Karavidas, Maria Katsamanis ; Tsai, Pei Shan ; Yucha, Carolyn ; McGrady, Angele ; Lehrer, Paul M. / Thermal biofeedback for primary Raynaud's phenomenon : a review of the literature. In: Applied Psychophysiology Biofeedback. 2006 ; Vol. 31, No. 3. pp. 203-216.
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