Blood pressure-lowering effects of biofeedback treatment in hypertension: A meta-analysis of randomized controlled trials

Hypertension Research

Volumn 26, Issue 1, 2003, Pages 37-46

  Nakao, Mutsuhiro ^a,b   Yano, Eiji ^a   Nomura, Shinobu ^b,c   Kuboki, Tomifusa ^b  

^a TEIKYO UNIVERSITY   (Japan)

^b UNIVERSITY OF TOKYO   (Japan)

^c WASEDA UNIVERSITY   (Japan)

Author keywords

Biofeedback; Blood pressure; Hypertension; Meta analysis; Randomized controlled trial

Indexed keywords

BLOOD PRESSURE REGULATION; CLINICAL TRIAL; COGNITIVE THERAPY; CONFIDENCE INTERVAL; CONTROLLED CLINICAL TRIAL; DIASTOLIC BLOOD PRESSURE; ESSENTIAL HYPERTENSION; FEEDBACK SYSTEM; HEART MUSCLE RELAXATION; HUMAN; META ANALYSIS; QUALITY CONTROL; RANDOMIZED CONTROLLED TRIAL; RELAXATION TRAINING; REVIEW; SELF MONITORING; SYSTOLIC BLOOD PRESSURE; TREATMENT OUTCOME;

EID: 0037272849     PISSN: 09169636     EISSN: None     Source Type: Journal    
DOI: 10.1291/hypres.26.37     Document Type: Review

References (58)

1. Shapiro D, Tursky B, Gershon E, Stern M: Effects of feedback and reinforcement on the control of human systolic blood pressure. Science 1969; 163: 588-589.
2. Benson H, Shapiro D, Tursky B, Schwartz GE: Decreased systolic blood pressure through operant conditioning techniques in patients with essential hypertension. Science 1971; 173: 740-742.
3. Schwartz MS: Biofeedback: A Practitioner's Guide. New York, The Guildford Press, 1995.
4. Nomura S, Nakao M, Kuboki T, Suematsu H, Shimosawa T, Fujita T: Blood pressure biofeedback treatment of hypertension: development of a practical blood pressure biofeedback system, in Kikuchi T, Sakuma H, Saito L, Tsuboi K (eds): Biobehavioral Self-Regulation Eastern and Western Perspectives. Tokyo, Springer-Verlag, 1995, pp 593-597.
5. Nakao M, Nomura S, Kuboki T, Suematsu H, Shimosawa T, Fujita T: Blood pressure biofeedback treatment of hypertension II: application of blood pressure biofeedback system to the treatment of essential hypertension. in Kikuchi T, Sakuma H, Saito L, Tsuboi K (eds): Biobehavioral Self-Regulation Eastern and Western Perspectives. Tokyo, Springer-Verlag, 1995, pp 598-603.
6. Nakao M, Nomura S, Shimosawa T, et al: Clinical effects of blood pressure biofeedback treatment on hypertension by auto-shaping. Psychosom Med 1997; 59: 331-338.
7. Nakao M, Nomura S, Shimosawa T, Fujita T, Kuboki T: Blood pressure biofeedback treatment, organ damage, and sympathetic activity in mild hypertension. Psychother Psychosom 1999; 68: 341-347.
8. Nakao M, Nomura S, Shimosawa T, Fujita T, Kuboki T: Blood pressure biofeedback treatment of white-coat hypertension. J Psychosom Res 2000; 48: 161-169.
9. Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med 1997; 157: 2413-2445.
10. Health and Public Policy Committee, American College of Physicians: Biofeedback for hypertension. Ann Intern Med 1985; 102: 709-715.
11. Fahrion SL: Hypertension and biofeedback. Hypertension 1991; 18: 663-682.
12. Muratani H, Kimura Y, Fukiyama K, et al: Control of blood pressure and life-style-related risk factors in elderly Japanese hypertensive subjects. Hypertens Res 2000; 23: 441-449.
13. Japanese Society of Hypertension Guidelines Subcommittee for the Management of Hypertension: Guidelines for the Management of Hypertension for General Practitioners. Hypertens Res 2001; 24: 613-634.
14. Okazaki T, Himeno E, Nanri H, Ikeda M: Effects of a community-based lifestyle-modification program on cardiovascular risk factors in middle-aged women. Hypertens Res 2001; 24: 647-653.
15. Hozawa A, Ohkubo T, Kikuya M, et al: Blood pressure control assessed by home, ambulatory and conventional blood pressure measurements in the Japanese general population: the Ohasama study. Hypertens Res 2002; 25: 57-63.
16. Hunyor SN, Henderson RJ, Lal SKL, et al: Placebo-controlled biofeedback blood pressure effect in hypertensive humans. Hypertension 1997; 29: 1225-1231.
17. Eisenberg DM, Delbanco TL, Berkey CS, et al: Cognitive behavioral techniques for hypertension: are they effective? Ann Intern Med 1993; 118: 964-972.
18. Linden W, Chambers BA: Clinical effectiveness of non-drug treatment for hypertension: a meta-analysis. Ann Behav Med 1994; 16: 35-45.
19. Devine EC, Reifschneider E: A meta-analysis of the effects of psychoeducational care in adults with hypertension. Nur Res 1995; 44: 237-245.
20. Yucha CB, Clark L, Smith M, Uris P, LaFleur B, Duval S: The effect of biofeedback in hypertension. Appl Nurs Res 2001; 14: 29-35.
21. Hayes RJ: Methods for assessing whether change depends on initial value. Stat Med 1988; 7: 915-927.
22. Kaufmann PG, Jacobs RG, Ewart CKK, et al: Hypertension intervention pooling project. Health Psychol 1988; 7(Suppl): 209-224.
23. Jacob RG, Chesney MA, Williams DM, Ding Y, Shapiro AP: Relaxation therapy for hypertension: design effects and treatment effects. Ann Behav Med 1991; 13: 5-17.
24. Chalmers TC, Smith H Jr, Blackburn B, et al: A method for assessing the quality of a randomized control trial. Control Clin Trials 1981; 2: 31-49.
25. Henderson RJ, Hart MG, Lal SKL, Hunyor SN: The effect of home training with direct blood pressure biofeedback of hypertensives: a placebo-controlled study. J Hypertens 1998; 16: 771-778.
26. Blanchard EB, Khramelashvili VV, McCoy GC, et al: The USA-USSR collaborative cross-cultural comparison of autogenic training and thermal biofeedback in the treatment of mild hypertension. Health Psychol 1988; 7(Suppl): 175-192.
27. Patel C, North WRS: Randomised controlled trial of yoga and bio-feedback in management of hypertension. Lancet 1973; 2: 1053-1055.
28. Frankel BL, Patel DJ, Horwitz D, Friedewald WT, Gaarder KR: Treatment of hypertension with biofeedback and relaxation techniques. Psychosom Med 1978; 40: 276-293.
29. Blanchard EB, Miller ST, Abel GG, Haynes MR, Wicker R: Evaluation of biofeedback in the treatment of borderline essential hypertension. J Appl Behav Anal 1979; 12: 99-109.
30. McGrady AV, Yonker R, Tan SY, Fine TH, Woerner M: The effect of biofeedback-assisted relaxation training on blood pressure and selected biochemical parameters in patients with essential hypertension. Biofeedback Self Regul 1981; 6: 343-353.
31. Patel C, Marmot MG, Terry DJ: Controlled trial of biofeedback-aided behavioural methods in reducing mild hypertension. Br Med J 1981; 282: 2005-2008.
32. Goldstein IB, Shapiro D, Thananopavarn C, Sambhi MP: Comparison of drug and behavioral treatments of essential hypertension. Health Psychol 1982; 1: 7-26.
33. Hafner RJ: Psychological treatment of essential hypertension: a controlled comparison of meditation and meditation plus biofeedback. Biofeedback Self Regul 1982; 7: 305-316.
34. Luborsky L, Crits-Christoph P, Brady JP, et al: Behavioral versus pharmacological treatments for essential hypertension: a needed comparison. Psychosom Med 1982; 44: 203-213.
35. Zurawski RM, Smith TW, Houston BK: Stress management for essential hypertension: comparison with a minimally effective treatment, predictors of response to treatment, and effects on reactivity. J Psychosom Res 1987; 31: 453-462.
36. Achmon J, Granek M, Golomb M, Hart J: Behavioral treatment of essential hypertension: a comparison between cognitive therapy and biofeedback of heart rate. Psychosom Med 1989; 51: 152-164.
37. Irvine MJ, Logan AG: Relaxation behavior therapy as sole treatment for mild hypertension. Psychosom Med 1991; 53: 587-597.
38. Jacob RG, Shapiro AP, O'Hara P, et al: Relaxation therapy for hypertension: setting-specific effects. Psychosom Med 1992; 54: 87-101.
39. Jurek IE, Higgins JT Jr, McGrady A: Interaction of biofeedback-assisted relaxation and diuretic in treatment of essential hypertension. Biofeedback Self Regul 1992; 17: 125-141.
40. Blanchard EB, Eisele G, Gordon MA, et al: Thermal biofeedback as an effective substitute for sympatholytic meditation in moderate hypertension: a failure to replicate. Biofeedback Self Regul 1993; 18: 237-253.
41. Canino E, Cardona R, Monsalve P, Perez Acuna F, Lopez B, Fragachan F: A behavioral treatment program as a therapy in the control of primary hypertension. Acta Cient Venez 1994; 45: 23-30.
42. McGrady A: Effects of group relaxation training and thermal biofeedback on blood pressure and related physiological and psychological variables in essential hypertension. Biofeedback Self Regul 1994; 19: 51-66.
43. Blanchard EB, Eisele G, Vollmer A, et al: Controlled evaluation of thermal biofeedback in treatment of elevated blood pressure in unmedicated mild hypertension. Biofeedback Self Regul 1996; 21: 167-190.
44. Paran E, Amir M, Yaniv N: Evaluating the response of mild hypertensives to biofeedback-assisted relaxation using a mental stress test. J Behav Ther Exp Psychiatry 1996; 27: 157-167.
45. Sterne JAC, Egger M: Funnel plots for detecting bias in meta-analysis: guidelines on choice of axis. J Clin Epidemiol 2001; 54: 1046-1055.
46. Egger M, Davey Smith G, Schneider M, Minder CE: Bias in meta-analysis detected by a simple, graphical test. Br Med J 1997; 315: 629-634.
47. Sterne JAC, Gavaghan DJ, Egger M: Publication and related bias in meta-analysis: power of statistical tests and prevalence in the literature. J Clin Epidemiol 2000; 53: 1119-1129.
48. Colditz GA, Burdick E, Mosteller F: Heterogeneity in meta-analysis of data from epidemiologic studies: a commentary. Am J Epidemiol 1995; 142: 371-382.
49. DerSimonian R, Laird N: Meta-analysis in clinical trials. Control Clin Trials 1986; 7: 177-188.
50. Follmann D, Elliott P, Cutler J: Variance imputation for overviews of clinical trials with continuous response. J Clin Epidemiol 1992; 45: 769-773.
51. SAS Institute Inc: SAS/IMS User's Guide, Release 6.03 Edition. Cary, SAS Institute Inc, 1988.
52. Benson H, Rosner BA, Marzetta BR, Klemchuk HM: Decreased blood-pressure in pharmacologically treated hypertensive patients who regularly elicited the relaxation response. Lancet 1974; 23: 289-291.
53. Benson H: The Relaxation Response. New York, William Morrow, 1975, pp55-79.
54. Benson H: The relaxation response: therapeutic effect. Science 1997; 278: 1694-1695.
55. Lehrer PM, Carr R, Sargunaraj D, Woolfolk RL: Stress management techniques: are they all equivalent, or do they have specific effects? Biofeedback Self Regul 1994; 19: 353-401.
56. Ashida T, Sugiyama T, Okuno S, Ebihara A, Fujii J: Relationship between home blood pressure measurement and medication compliance and name recognition of antihypertensive drugs. Hypertens Res 2000; 23: 21-24.
57. Nakao M, Nomura S: Stress and hypertension: effects of blood pressure biofeedback: a review. Jpn J Psychosom Ther 1995; 7: 505-509 (in Japanese).
58. Masuo K, Mikami H, Itoh M, Ogihara T, Tuck ML: Sympathetic activity and body mass index contribute to blood pressure levels. Hypertens Res 2000; 23: 303-310.