Validity of the Internal-External Scale in Its Relationship with Political Position

The study was designed to interpret previous reports of a relationship between left wing political position and externality on Rotter's (1966) Internal-External (I-E) Scale. I-E items phrased in the first person were associated with a criterion measure of locus of control, and externality on the scale predicted inferior performance in a skill-controlled task. However, political position was related to neither the criterion measure of locus of control nor to successful performance in a skill-controlled task. Thus, there was no evidence that political position was related to locus of control in spite of its relationship with the I-E Scale. There was discussion of implications for the validity of the I-E Scale and for studying relationships between personality and political variables.     

Validity of the Internal-External Scale in its relationship with political position

The study was designed to interpret previous reports of a relationship between left wing political position and externality on Rotter's (1966) Internal-External (I-E) Scale. I-E items phrased in the first person were associated with a criterion measure of locus of control, and externality on the scale predicted inferior performance in a skill-controlled task. However, political position was related to neither the criterion measure of locus of control nor to successful performance in a skill-controlled task. Thus, there was no evidence that political position was related to locus of control in spite of its relationship with the I-E Scale. There was discussion of implications for the validity of the I-E Scale and for studying relationships between personality and political variables.     

Task performance and electromyopotential as functions of task difficulty and EMG feedback

The dearth of empirical research in the application of biofeedback is discussed. Exp. 1 assessed relationships among biofeedback EMG training, EMG levels, cognitive task performance, and task difficulty. 72 subjects (male or female college students) were administered 1 trial on an iconic memory task with either EMG audio feedback, sham EMG audio feedback, or no feedback. Three levels of task difficulty were used. One 20-min. training session significantly lowered EMG responses, and task performance was inversely related to task difficulty. No relationship between EMG level and task performance was observed. Exp. 2 investigated the effect of increased EMG responses on cognitive task performance for one level of difficulty. One biofeedback training session did not significantly increase frontalis EMG, and there was no relationship between increased EMG and task performance.     

Effects of active and passive EMG biofeedback training on performance of motor and cognitive tasks.

The goal of this study was to compare the effects of general relaxation (passive group) and neuromuscular tension control (active group), both using EMG biofeedback techniques, on the performance of memorization, simple reaction time, and rotary pursuit. 18 subjects were given five consecutive daily sessions of training or were placed under control conditions, after which their performance on these various tasks was evaluated. Results indicate that control of neuromuscular tension seemed to facilitate performance on all tasks over that of the control group. Except for simple reaction time, there was no difference between the "active" and "passive" groups. The results are interpreted in terms of factors in selection of subjects and experimental conditions.     

Comparative effectiveness of patterned biofeedback vs meditation training on EMG and skin temperature changes

This study examined whether a low arousal, relaxation pattern of frontalis EMG decreases and peripheral skin temperature increases could be attained more effectively through biofeedback or meditation training. Thirty female subjects, ranging in age from 21 to 59, were randomly assigned to one of three groups: patterned biofeedback, clinically standardized meditation or control. Prior to training, subjects were administered the EPI. Each subject was seen weekly for seven sessions. Subjective experiences and time spent practising at home were also recorded. Repeated measures ANCOVA's performed on the EMG and skin temperature means indicated that the meditation group showed significantly lower EMG levels at the end of treatment than the control group. No group had significant temperature increases nor were there any significant differences in practice time. The biofeedback group had difficulty in patterning the two feedback signals simultaneously. Extraverts in the control group had the highest EMG levels. The most positive subjective reports came from subjects in the meditation group. Meditation offers a viable alternative as a relaxation procedure, requiring little time to learn and devoid of any performance criteria levels.     

BIOFEEDBACK AND RATIONAL-EMOTIVE THERAPY IN THE MANAGEMENT OF MIGRAINE HEADACHE

Twenty-four migraine patients were randomly assigned to one of four conditions: (a) self-monitoring of headache activity (waiting list), (b) frontalis EMG biofeedback, (c) digit temperature biofeedback, and (d) digit temperature biofeedback plus Rational-Emotive Therapy (RET). Bidirectional control over the target physiological response was assessed through a reversal design in each session. Following at least a four-week baseline, the three biofeedback groups received 8 to 10, 30-minute sessions of bidirectional biofeedback training, scheduled twice a week. Subjects in the combined digit temperature biofeedback plus RET group received three 40-minute sessions of RET as an addition to the third, fifth, and seventh biofeedback sessions. Records of daily home practice were kept throughout treatment and three-month followup. Subjects on the waiting list monitored headaches for at least five months, corresponding to “baseline”, “treatment”, and three-month followup. Digit temperature biofeedback alone and in conjunction with RET did not prove to be more effective than the control conditions. All the EMG subjects reduced headache activity to two-thirds or less of the baseline level by the third month of followup. Bidirectional digit temperature performance did not improve with training, was demonstrated in only 33% of the biofeedback sessions, was not maintained over time, and was unrelated to improvement in headache activity. EMG subjects reported biofeedback performance to be an easier task and met the performance criterion on 85% of the sessions. The frequency of home practice contributed over 55% of the variance in retrospective estimates of headache improvement but was not related to changes in daily records of headache activity.     

A controlled evaluation of paraspinal EMG biofeedback in the treatment of chronic low back pain

Sixty-six chronic low back pain sufferers were randomly divided into three groups. Following individual assessments consisting of psychological questionnaires, pain monitoring, and measurement of paraspinal electromyogram (EMG), one group received paraspinal EMG biofeedback and another a placebo treatment. The third group received no intervention. Two further assessments were carried out on all groups immediately after treatment and at a 3-month follow-up. All groups showed significant reduction in pain, anxiety, depression, and paraspinal EMG following treatment and at follow-up, but there were no differences between groups. A regression analysis failed to identify subjects' characteristics that predicted positive outcome in the biofeedback group. However, high scores on the Evaluative scale of the McGill Pain Questionnaire and high hypnotizability were significant predictors of positive outcome for the placebo group. It is concluded that paraspinal EMG biofeedback is not a specific treatment for chronic low back pain in a nonhospitalized population.     

Physiological changes after biofeedback and relaxation training for multiple-pain tension-headache patients

This paper is concerned with the psychophysiology of "muscle-contraction" headaches in a group of Compensation patients suffering from multiple pain problems in addition to headaches. A total of 55 of these patients were divided into 4 groups which received frontalis EMG biofeedback, relaxation training, combined biofeedback-relaxation training, or no treatment. Differences were observed among the 3 experimental treatments and the control group with respect to headache changes, but there were no differences among groups with respect to the changes observed in four underlying physiological responses as a function of time or practice. While the subjects who showed the largest changes in headache characteristics were those who exhibited the largest decreases in frontalis EMG, these were also the subjects whose initial frontalis EMG levels were the highest. It is concluded that, in keeping with a growing literature, the link between frontalis EMG and "muscle-contraction" headaches is a tenuous one and that the changes brought about in headache symptomatology through biofeedback or relaxation training are most likely attributable to a generalization of feelings of mastery over the environment or of self-efficacy brought about in the subjects through apparent success at the task.     

Heterogeneity of biofeedback training effects in spasmodic torticollis: a single-case approach

Data from 184 biofeedback sessions are presented, in which 10 subjects with spasmodic torticollis had been trained to reduce pathologic activity in the hypertrophied sternocleidomastoid muscle. Each session was conducted as a single case experiment with nine successive trials. Attempts were made to distinguish motor learning processes which can be elicited independently from the biofeedback-condition from the effects of specific biofeedback information. Results showed dramatic decreases of muscle activity under biofeedback. Contrary to expectation, action potentials did not decrease across a course of 14 training sessions. Instead, effects were exhibited in an all-or-none fashion early in the training. Single-case ARIMA intervention analysis has shown that in 59% of the sessions EMG decreases demonstrated under biofeedback could be elicited prior to biofeedback in a condition of instructed control. Case studies revealed complex interactions of instructed control, specific biofeedback effects, unspecific effects of the biofeedback setting, and cognitive processes. Effects obtained within experimental sessions varied highly between subjects. Results are discussed in terms of newer concepts of basal ganglia dysfunction, and conclusions for the use of biofeedback paradigms in torticollis subjects are outlined.     

The influence of labor market discrimination on locus of control

Prior research has established the existence of racial differences in locus of control as well as a relationship between labor market experience and locus of control. This study extends this line of inquiry by examining the relationship between labor market discrimination and subsequent change in locus of control. Drawing on a national probability sample (N = 2857) of young men, multiple regression analysis was used to estimate the effect of labor market discrimination (over a 2-year period) on subsequent locus of control. The results indicate that perceptions of employment discrimination influence the level of externality among blacks, over and above racial identification. Blacks who view themselves as victims of employment discrimination experience twice the increase in externality as blacks reporting no awareness of discrimination.     

The treatment of tension headache—I. Muscular abnormality and biofeedback

The specificity and efficacy of a short EMG biofeedback treatment were assessed in a selected group of chronic tension-headache cases—those having significantly elevated levels of muscle tension. The effects of training patients to raise/maintain EMG levels were compared to those obtained from patients who were trained to lower tension levels. The results showed little evidence of increased self-control of the muscle despite successful EMG control during six bio-feedback sessions. A progressive and significant reduction in resting level was found only in the groups trained to reduce EMG levels. The treatment proved ineffectual in reducing headache. The implications of the dissociation of muscle tension and headache are discussed both with respect to current views of tension headaches and the role of biofeedback in their treatment.     

Role of the feedback signal in electromyograph biofeedback: the relevance of attention

This article describes two experiments designed to examine the hypothesis that the critical role of the feedback signal in frontalis electromyograph (EMG) biofeedback is an attentional one. In both experiments, high- and low-absorption subjects were assigned to either a biofeedback condition, a no-feedback condition, or an attentional demand condition in which external stimuli, related to relaxation, were presented as an attentional focus. The two experiments differed essentially in the type of attentional demand condition that was employed and varied the compelling nature of the demand on subjects for an external attentional focus. The pattern of results was consistent with the attentional hypothesis. For low-absorption subjects, performance in the biofeedback and attentional demand conditions was equivalent and appreciably greater than in the no-feedback condition. For high-absorption subjects, an interference effect of biofeedback was observed, but data indicated a similar interference effect on the performance of subjects when the attentional demand condition was most compelling. The pattern of results obtained point to the special relevance of attentional processes and highlight their lack of emphasis in contemporary theoretical models of EMG biofeedback.     

TREATMENT OF FACIAL PARALYSIS OF CNS-ORIGIN: INITIAL STUDIES

Many hemiplegic patients suffer a chronic (central) facial paralysis. Usually these patients have lost voluntary control of the involved muscles, while their ability to produce spontaneous emotional expression remains intact. Electromyographical (EMG) biofeedback and Neuro Developmental Treatment (NDT) are well-documented methods for the rehabilitation of these patients. EMG biofeedback has been described and evaluated by Huffman (1978). This technique and Huffman's findings will be briefly reviewed in the current paper. The NDT method, as well as our own pilot study, are also described. Huffman found that a combination of myofeedback and mirror-feedback led to more progress than treatment with mirror-feedback alone. From the NDT study, it is clear that improvements in orofacial functioning can be achieved. In the discussion, some principles from the neurosciences are put forward to explain the results.     

Prior task failure as a determinant of biofeedback and cognitive task performance

In a study of the effects of controllability of outcomes upon behavior in a biofeedback context, 40 college students were assigned to four groups differing in pretreatment: (1) a success-failure group, given false feedback in a fictitious blood-vessel control task for two sessions designed to convey success followed by two sessions of failure feedback; (2) a failure-failure group, given false failure feedback throughout pretreatment; (3) a contingent failure group, receiving actual feedback in a temperature biofeedback task with criteria that assured failure throughout pretreatment; and (4) a control group, given no specific task during this phase. In a subsequent phase, all subjects received actual frontal (forehead) electromyographic (EMG) response training with biofeedback. In analyses of the results, during EMG training, the contingent failure group attained lower levels than the other three groups. By contrast, on a cognitive (anagram) task, interpolated between pretreatment and EMG training, the contingent failure group demonstrated relatively poorer performance than the other groups. The results are discussed in terms of reactance and learned helplessness theories of perceived loss of control in this context.Some of the data reported here were included in a thesis submitted by the second author in partial fulfillment of requirements for the master's degree in psychology, University of Hawaii, 1981. The entire paper was the basis for a presentation at the annual meeting of the Biofeedback Society of America, Albuquerque, 1984.     

Effects of electromyographic biofeedback on reaction time and movement time

The effects of electromyographic (EMG) biofeedback on reaction time (RT) and movement time (MT) were investigated utilizing 42 right-handed, male subjects from a university population. Subjects were randomly divided into three groups, a control group and two experimental groups. Both experimental groups were exposed to their EMG signals from their triceps brachii during the task, one experimental group received written information explaining the purpose of the EMG was to improve performance through biofeedback. Reaction times of the first block of 25 trials were significantly faster than those on the subsequent three blocks of trials for all groups. This provided evidence of learning. No other significant effects for reaction times were observed. Mean movement time for the EMG-only group was significantly slower than the means of either the Control group or EMG-Biofeedback group, with no difference between the latter two. The differences between experimental groups may have been related to alteration of strategy, anxiety, motivation.     

MODIFICATION OF COMBINED MIGRAINE-MUSCLE CONTRACTION HEADACHES USING BVP AND EMG FEEDBACK

The effect of blood volume pulse (BVP) and frontalis muscle action potential (EMG) feedback on control of vasoconstriction of the temporal artery and frontalis muscle activity in combined migraine-muscle tension subjects was investigated in a multiple baseline design (across subjects and responses). The data indicated: (a) both subjects obtained an ability to control BVP during BVP feedback and EMG during EMG feedback; (b) there were decreases in frequency of migraine headaches during BVP feedback and decreases in muscle contraction headaches during EMG feedback. The results of this study supported the theoretical explanation of two pain mechanisms involved in combined muscle contraction-migraine headaches as well as the effectiveness of biofeedback procedures that target directly the specific pain mechanism in the elimination of the two types of head pain.     

Effectiveness of biofeedback and relaxation training in reducing the side effects of cancer chemotherapy.

Assessed the effectiveness of electromyographic (EMG) and skin-temperature (ST) biofeedback and relaxation training (RT) in reducing the aversiveness of cancer chemotherapy. Eighty-one cancer patients, equated on several individual-difference variables, were randomized to one of six groups formed by a 3 (EMG Biofeedback, ST Biofeedback, No Biofeedback) x 2 (RT, No RT) factorial design. Outcome was assessed with physiological, patient-reported, and nurse-reported indices taken over five consecutive chemotherapy treatments. RT patients showed decreases in nausea and anxiety during chemotherapy and physiological arousal after chemotherapy. EMG and ST biofeedback reduced some indices of physiological arousal but had no other effects on chemotherapy side effects. These findings suggest that RT can be effective in reducing the adverse consequences of chemotherapy and that the positive effects found for biofeedback in prior research were due to the RT that was given with the biofeedback, not to the biofeedback alone.     

Driving locus of control and driving behaviors: Inducing change through driver training

Locus of control perceptions have been used to predict driving safety as a stable, dispositional variable. Based on social learning theory, this study tested whether a defensive driving training program coupled with observer feedback could influence domain-specific locus of control beliefs regarding controllability of accidents and therefore impact driving behaviors. Over a 5-week period, 112 individuals’ driving locus of control and driving behaviors were assessed two times, before and after a defensive driving training program and observer feedback. Drivers experienced significant changes in their driving locus of control perceptions. Specifically, drivers reported significantly lower externality and higher internality after training as compared to before training. The changes in driving locus of control predicted an increase in safe driving behaviors. In addition, pretraining motivation to learn predicted a decrease in externality, whereas pretraining self-efficacy predicted the increase in internality. The results indicate that driving locus of control can be influenced by training and observer feedback, and the changes in driving locus of control can predict change in driving behaviors. Findings of the study point to the potential for organizations to enhance driving safety by influencing drivers’ locus of control perceptions.     

Computer automation of biofeedback training

A computer-automated system has been developed for implementing response-contingent training strategies in EMG biofeedback-assisted relaxation training. An on-line minicomputer is programmed to (1) monitor progress within a training session as reflected in EMG signals; (2) compare the progress data with criteria set by the operator at the beginning of the session; and (3) on the basis of these comparisons, periodically adjust feedback gain (sensitivity) and make changes in the within-session training sequence. The system is designed to allow various adaptive training strategies to be software programmable. One of these strategies, a “shaping” procedure commonly employed in EMG biofeedback training, gradually increases the degree of relaxation necessary to produce the desired feedback signal by increasing feedback gain as the subject gets better at relaxing. Implementation of the shaping procedure is described as an illustration of system function. Current system development is guided by principles from adaptive testing and teaching systems to make more of the feedback training process adaptive in function.     

A comparison of stress-reduction behavioral counseling and contingent nocturnal EMG feedback for the treatment of bruxism

This study compared the efficacy of two treatment modalities (stress-reduction behavioral counseling and contingent nocturnal EMG biofeedback) on night-time bruxism. The 16 subjects (Ss) were assigned sequentially to one of four treatment groups: (1) stress-reduction behavioral counseling: (2) nocturnal biofeedback; (3) stress-reduction behavioral counseling and nocturnal biofeedback; and (4) waiting-list control group. A portable EMG unit was used to record the nightly total of electrical activity (?20 μV) from the masseter muscle 10 days before and after treatment. The three treatment procedures were found to be significantly superior to no-treatment control group. The outcome of the two treatments which made use of stress-reduction behavioral counseling, although better than the treatment which solely used nocturnal biofeedback, was not significantly better. This study demonstrates that stress-reduction skills learned while awake can have a generalized effect on stress-induced muscle activity during sleep. Implications for further research are discussed.