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Biofeedback and Relaxation Training Therapy

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on 8 December 2013

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Transcript of Biofeedback and Relaxation Training Therapy

The Facts
on Cancer.
Diagnosis of breast cancer is devastating psychological experience for women (Jafari, Zamani, 2013).
When the pain caused by cancer is not relieved, you may feed; tired, depressed, angry, worried, lonely, and stressed (American Cancer Society, 2013).
When Cancer pain is relieved, you are more able to; Enjoy being active, sleep better, enjoy family and friends, eat better, enjoy sexual intimacy, and prevent depression. (American Cancer Society, 2013).
The Program
Biofeedback correlates with the Sympathetic Nervous System. Reduces digestive secretions, heart rate, blood pressure.
The Need
Cancer is a demanding disease, that seems to suffocate our health, wants, and needs.
Traditional Treatment Methods
Chemotherapy and Radiation are killing good and bad cells to get rid of the cancer. It does very little for your overall well-being, both emotionally and physically.
We need to focus on a mind-body connection.
San Diego Cancer Research Institute an oncology center in Encinitas, California offers integrative therapies such as art therapy, and mind-body techniques like meditation, yoga and acupuncture and is currently certifying employers for biofeedback training.
Biofeedback and Relaxation Training Therapy.

Biofeedback Facts
Biofeedback allows you to create awareness to your physiological distresses and learn to implement different methods to decrease pressure, heart rate, body temperature and over all stress and anxiety (Cohen, 2010).
Biofeedback frequently enhances the effectiveness of other treatments when used in conjunction with other therapies (Association for applied psychophysiology, 2011).
Biofeedback provides training in self-care, shifting the responsibility for health to the patient (Association for applied psychophysiology, 2011).
Relaxation Therapy Facts
Relaxation training reduces the side effects caused by chemotherapy; nausea and anxiety. (Burish, Jenkins, 1992).
Relaxation methods brings your nervous system back into balance (Helpguide, 2013).
There are many types of relaxation techniques to use along side with biofeedback; breathing mediation, progressive muscle relaxation, body scan meditation, meditation, visualization, and yoga (Helpguide, 2013).
Integrative Care.It's Important
Cancer is a common disease among society. Many people suffer with stress, anxiety, hopelessness and a loss of well-being with their diagnosis.
What are the cost and consequences for an individual with cancer?
Weakened immune system.
Implementing a program that integrates Biofeedback training and Relaxation therapy into standardized cancer treatment (Chemotherapy and Radiation).
We want to improve a cancer diagnosis quality of life and decrease cortisol levels and anxious thoughts and feelings.
Lauren McDannel
HD 490. Russ Neuhart

Cancer weakens ones body both physically and mentally. You believe you cannot live the life you were meant to live with a disease making you weak.
Takes a toll on your emotions, your time, your relationships and your health insurance.
They may feel as if they lost control over their body and their life. But with biofeedback therapy, we can give them chance to consciously control their physiological changes and improve their life!
Cancer is the 2nd leading cause of death. But we can beat it! Or at least take some control over it.
We can do this by changing a persons psychological and physiological distresses, thoughts and bodily functions on que.
Standard cancer care (chemotherapy) weakens the body as it fights of cancer cells. This will weaken someone both mentally and physically.
Conscious and voluntary control over processes such as Blood Pressure, Skin temperature, Heart rate have influence over pain level.
Change psychological mindset and physiological distresses.
lower anxiety and stress levels.
more control over emotions
improve over all quality of life.
But we can conquer these negative attributes and take control!
Diagnosis of Cancer
With any kind of cancer diagnosis, the most important and prominent treatment is either radiation or chemotherapy.
Side effects include nausea, dizziness, weakness, depression, and anxiety.
It is important to consult with your physician to discuss your best options for pain relief and to increase positive self-worth
Oncology centers are a great way to get the basic training you need to change your physiological distresses and take part in a variety of relaxation and meditation exercises.
Grief Cycle
Diagnosis with cancer makes you question your life span.
A person may go through all of just a few of these grief phases.
Grief Resolution promotes acceptance, that eases emotional pain, and increase acceptance (Prigerson, Maciejewski, 2008).

Meditation and breathing during chemotherapy.
Through oncology centers, we will provide relaxation mediation thoughts through story visualizations and breathing exercises and the use of biofeedback to monitor their heart rate and other bodily functions.

after training sessions they will be able to sense with physiological states are rising and take control over it. They will be able to use this technique throughout their everyday life.

will be useful during chemotherapy treatment. Meditation during chemotherapy reduces nausea feelings (Burish, Jenkins, 1992).
Acceptance and Commitment & Cognitive Therapy
Through Acceptance and Commitment allows you to focus on the present moment. You are able to live in the now, and look forward to the future events (Angiola, Bowen, 2013).
Mindfulness-based cognitive therapy is associated with increased cognitive reappraisal ability (Troy, Shallcross, Tchiki, Mauss, 2013). Accept thoughts and feelings without judgement.
Improving Quality of life
End result of training=Increased quality of life.
Oncology centers use this biofeedback, relaxation and acceptance and commitment as a way to promote cognitive wellness.
Biofeedback and Relaxation
Program Model
Referred from their physicians to oncology centers that have adopted integrative techniques such as biofeedback.

Clienteles: Cancer patients
Interact with the clientele, by getting them familiar with breathing techniques. Mindful meditation techniques. and becoming aware of psychological changes in their body.
The program will assess a per-post test that measures their anxiety levels during the duration of their treatment. The Extension Stress Scale measures cognitive, emotional, physical and behavioral stress and anxiety levels.
Scale/Diagram that will measure patients pain level
Example of Stress-Anxiety Scale
Goals of Biofeedback Program Proposal
Goal #1: Reduce feelings of anxiety and depression
Goal #2: Increase quality of life and overall well-being
Goal #3: Positive acceptance of being dealt with the card of cancer.
Goal #4: Ability to consciously change psychological and psysiological states.
Kübler-Ross Grief Cycle
Find the stage correlated to the grief and the immediate thoughts of death when diagnosed with cancer.
Change model- different way to deal with a personal reaction and emotional shock in each stage.
Spin negative thoughts into positive ones in order to cope.
Biofeedback training and breathing exercises will allow you to lower cortisone levels that come with thoughts of death and bereavement.
Bandura's Social Cognitive Theory
Persons personal behavior based on cognitive and environmental factors.
People can have influence over their outcomes.
Cancer may be caused by environmental carcinogens, and there is nothing you can change about it.
you can change your cognitive outlook and attitude on the situation though.
Improve happiness and fulfillment and the feeling of success within yourself.
Identify what the patient perceives and how they are interpreting their diagnosis.
Biofeedback therapy will allow the patients to become aware of their behavior and physiological responses.
They will then be able to recognize these changes in their body and prepare to discharge the unsuited behavior and cognition.
Finally, the patients cognition will be positively influenced using their surroundings and by learning to control their physiological responses voluntarily.
help with depression, anxiety and chronic pain, muscular tension, temperature, heart rate and blood pressure.
regulate their body with their own special relaxing thought and deep breathing that they have practiced in their training sessions.
Quantitative research has show that mindfulness-based stress reduction programmers can reduce mood disturbance, improve quality of life, and decrease symptoms in cancer patients (Mackenzie, Carlson, 2013).
Acceptance and Commitment Theory.
Create a meaningful life, while successfully handling life's daily stress and pain.
Cancer got you down? This mindfulness-based therapy will work hand in hand with biofeedback treatment to decrease stress and depression and increase quality of life for cancer diagnosis.
ACT Therapy will allow you to let go of unhelpful thoughts.
ACT therapy allow you to successfully engage in the here-and-now experience.
Increase psychological flexibility.
Aimed to repair, change and fix unwelcoming symptoms and problems by creating enriching actions, thoughts and emotions in it's place.
Cancer patients will be able to use a combination of biofeedback therapy and acceptance and commitment therapy to train their mind and change brain structures of neuronal function.
Mindfulness skills can be used a biological marker to indicate their mind-body connection.
Meditation and deep breathing relaxation techniques will allow the discharge of negative thoughts towards their illness.

And come to terms with each stage of grief.
Lets Talk Evidence
98% of cancer patients reported increased psychological flexibility through an Acceptance and Commitment therapy by accepting unpleasant thoughts and feelings, which lead to improvements in distress, mood and quality of life (Feros, Lane, Blackledge, 2013).
Psychosocial interventions using Banduras Social Cognitive theory allowed patients to identify concerns and cope by turning into a positive problem solving imagery and positive self-intake (Kroenke, Swindle, 2000).
18 month study on breast cancer patients and their psychological changes, showed that with relaxation-guided imagery and biofeedback training, reductions in anxiety and increased health in immune system was portrayed though psychological inventory scales (Gruber, Herse, Hall, 1993).
Dr. Bighams research at CSUSM on chronic pain and biofeedback and relaxation therapy showed that heart-rate and body temperature and muscle tension reduced when being read visually guided story that incorporated muscle exercises and deep breathing. (hooked up to electrodes for accurate measurements).
This program will not only provide a health outlook on life for the cancer patient, but allow their family and loved ones to feel at ease, knowing they are living their life in a positive life.
They will be able to enjoy family and friend time without the shadow of depression, stress and anxiety glooming over them.
Here's a Bonus
The objectives are to provide an increased quality of life and emotional-well being for a cancer patient, to avoid unnecessary pain, and reduce stress and anxiety through a mind-body connection.
Using Biofeedback training and relaxation methods (such as yoga, deep breathing, and visualization) in order to change the cognitive, psychological and physiological status of cancer patients.
The theories that surround the basis of this proposal are Kubler-Ross grief cycle-in order to properly grief and accept this disease.
Banduras Social Cognitive Theory in order to take control of the environmental and personal factors and cognitively spin them in a positive light.
Acceptance and Commitment Theory- To accept what is out of your control-cancer and commit to action that improves and enriches your life.
Cancer does not have to bring you down, you can concure it with a postive attitude and an enriched life! Cancer does not control your body, you do!!
ACT mindfully (2010). Acceptance and commitment therapy training. Retrieved from http://www.actmindfully.com.au/acceptance_&_commitment_therapy
American cancer society (2013). Cancer Facts and Statistics. Retrieved from http://www.cancer.org/research/cancerfactsstatistics/index
American cancer society (2013). Facts about cancer pain treatment. Retrieved from http://www.cancer.org/treatment/treatmentsandsideeffects/physicalsideeffects/pain/paindiary/pain-control-facts-about-cancer-pain-treament
Angiola, J., & Bowen, A. (2012). Quality of life in advanced cancer: an acceptance and commitment therapy view. Sage Journals, 10(22), Retrieved from http://tcp.sagepub.com/content/early/2012/10/22/0011000012461955
Association for applied psychophysiology and biofeedback (2013). Facts about biofeedback. Retrieved from http://www.cbfclinic.com/aboutbiofeedback/factsaboutbiofeedback.html
Burish, T., & Jenkins, R. (1992). Effectiveness of biofeedback and relaxation training in reducing the side effects of cancer chemotherapy. Health Psychol, 11(1), 17-23. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/1559530
Cohen, M. (2010). A model of group cogntive behaviroal intervention combined with biofeedback in oncology settings. Soc Work Health Care, 49(2), 149-64. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/20175020
Feros, D., Lane, L., & Ciarrochi, J. (2013). Acceptance and commitment therapy for improving the lives of cancer patients: a preliminary study.psychooncology, 22(2), 459-464. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/23382134
Gruber, B., Hersh , S., & Hall, N. (1993). Immunological responses of breast cancer patients to behavioral interventions. Biofeedback Self Regul, 18(1), 1-22. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/8448236
Halm, M.A (2009, March). Relaxation: A self-care healing modality reduces harmful effects of anxiety [electronic version] American Journal of Critical Care 18(2), 169-172.
Halm, M. (2009). Relaxation: A self-care healing modality reduces harmful effects of anxiety. American Journal of Critical Care : An Official Publication, American Association of Critical-Care Nurses, 18(2), 169-172.
HelpGuide (2007). Understanding stress: Signs, symptoms, causes, and eff ects [on-line]. Retrieved March 1, 2013. From htt p://www.helpguide.org/mental/stress_signs.htm.
McGrady, A. , Kern-Buell, C. , Bush, E. , Devonshire, R. , Claggett, A. , et al. (2003). Biofeedback-assisted relaxation therapy in neurocardiogenic syncope: A pilot study. Applied Psychophysiology and Biofeedback, 28(3), 183-192.
Mackenzie, M. J., Carlson, L. E., Munoz, M., Centre, A., & Speca, M. (2007, February). A Qualitative Study of Self- Perceived Effects of MIndfulness-Based Stress Reduction (MBSR) in a Psychosocial Setting [Electronic version]. Journal of the INternational Society for the Investigation of Stress, 23(1), 59-69.
Prigerson, H., & Maciejewski, P. (2008). Grief and acceptance as opposite sides of the same coin: setting a research agenda to study peacful acceptance of loss. BJPsych, 193(6), 435-437. Retrieved from http://bjp.rcpsych.org/content/193/6/435.full
Troy, A., Shallcross, A., & Tchiki, D. (2013). History of mindfulness-based cognitive therapy is associated with increased cognitive reappraisal ability.Springermedia, 03, Retrieved from http://mijn.bsl.nl/mijn-bsl/tijdschriften/12671---mindfulness-2013-03/history-of-mindfulness-based-cognitive-therapy-is-associated-with-increased-cognitive-reappraisal-ability/4617520.html

Increasing the quality of life one cancer patient at a time.
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