A behavioural approach to the management of the symptoms of Raynaud's Disease and Phenomenon
A behavioural approach to the management of the symptoms of Raynaud's Disease and Phenomenon
This thesis addresses the questions of cause and effect in Raynaud's symptomatology (the former theoretically; the latter through questionnaire and interview), describes medical and behavioural approaches to treatment, and investigates the effect of one behavioural approach to the management of symptoms.
The subjective effects of Raynaud's are often ignored in the literature; therefore, pilot interviews with 4 patients were used in the design of a larger scale (79 participants) questionnaire based description of Raynaud's through the eyes of the sufferer. Results described three areas of interest: symptoms; the onset of Raynaud's and 'vasospastic' attacks; and the subjective effects of symptoms. Amongst other details, results suggested that for many sufferers the term attack is inappropriate as symptoms are continuous.
The treatment investigation consisted of a longitudinal, controlled comparison of the efficacy of Autogenic Training and Applied Relaxation with or without supplementary EMG or Temperature Biofeedback in 30 Raynaud's trainees and 10 Raynaud's controls. A cognitive model of biofeedback was adopted such that rather than being viewed as a treatment in its own right, EMG or temperature biofeedback signals 'fed back' to participants provided an insight into the effects on skin temperature control of the taught relaxation technique. 6 or 0 (control participants) training sessions were provided, and results evaluated across 3 sets of pre-, post- and follow-up assessments. The results indicated that whilst the treated participants reported subjective improvement at both post-treatment and follow-up assessment, objective laboratory tests of voluntary control of finger skin temperature and cold stress, and ambulatory monitoring tests of finger skin temperature away form the laboratory, provided no such evidence of efficacy of treatment.
University of Southampton
Wilks, Julia
011ac3aa-b3c3-428a-9a20-6e787fc23c23
2000
Wilks, Julia
011ac3aa-b3c3-428a-9a20-6e787fc23c23
Wilks, Julia
(2000)
A behavioural approach to the management of the symptoms of Raynaud's Disease and Phenomenon.
University of Southampton, Doctoral Thesis.
Record type:
Thesis
(Doctoral)
Abstract
This thesis addresses the questions of cause and effect in Raynaud's symptomatology (the former theoretically; the latter through questionnaire and interview), describes medical and behavioural approaches to treatment, and investigates the effect of one behavioural approach to the management of symptoms.
The subjective effects of Raynaud's are often ignored in the literature; therefore, pilot interviews with 4 patients were used in the design of a larger scale (79 participants) questionnaire based description of Raynaud's through the eyes of the sufferer. Results described three areas of interest: symptoms; the onset of Raynaud's and 'vasospastic' attacks; and the subjective effects of symptoms. Amongst other details, results suggested that for many sufferers the term attack is inappropriate as symptoms are continuous.
The treatment investigation consisted of a longitudinal, controlled comparison of the efficacy of Autogenic Training and Applied Relaxation with or without supplementary EMG or Temperature Biofeedback in 30 Raynaud's trainees and 10 Raynaud's controls. A cognitive model of biofeedback was adopted such that rather than being viewed as a treatment in its own right, EMG or temperature biofeedback signals 'fed back' to participants provided an insight into the effects on skin temperature control of the taught relaxation technique. 6 or 0 (control participants) training sessions were provided, and results evaluated across 3 sets of pre-, post- and follow-up assessments. The results indicated that whilst the treated participants reported subjective improvement at both post-treatment and follow-up assessment, objective laboratory tests of voluntary control of finger skin temperature and cold stress, and ambulatory monitoring tests of finger skin temperature away form the laboratory, provided no such evidence of efficacy of treatment.
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Published date: 2000
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Local EPrints ID: 464294
URI: http://eprints.soton.ac.uk/id/eprint/464294
PURE UUID: a62ee9b5-d3d2-4686-8d95-866bbf796f4f
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Date deposited: 04 Jul 2022 21:58
Last modified: 16 Mar 2024 19:23
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Author:
Julia Wilks
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