To assess the relative contribution of specific and nonspecific effects of skin temperature biofeedback upon migraine headache, 11 migraine patients were taught to increase the temperature of their hand. Training to decrease the skin temperature of the hand served as a control for 12 other migraine patients. An additional 11 control subjects were not trained but kept records of migraine activity. Under carefully controlled double-blind procedures, migraine patients who learned to raise finger temperatures showed statistically significant and clinically therapeutic improvement during a 6-week follow-up period. However, they were not significantly better than those trained to lower finger temperatures, those who did not meet a learning criterion, or those receiving no training. While these groups did show some significant improvement when compared to subjects who learned to decrease finger temperature, the results are most parsimoniously explained through nonspecific rather than specific factors. The necessity of using double-blind procedures in evaluating therapeutic effectiveness is again stressed.
This article was presented as a Citation Award Paper at the Biofeedback Society of America meetings, San Diego, 1979. The work was supported in part by Rehabilitation Services Administration Grant No. 16-P-56810/5-17 to the University of Minnesota Medical Rehabilitation Research and Training Center and by a grant from the Division of Health Care Psychology, University of Minnesota. We would like to acknowledge the advice and support of Lee Willerman and John Belknap. We are grateful for the assistance of John Hendrickson, Dale Armin Miller, and Stephanie Waddingham in conducting the study and for the technical assistance of Robert Patterson, Steve Sheffield, P. Thain Marston, Kathy Guttormson, and Nancy Belknap.