Holroyd Kenneth A
Psychology Department, Ohio University, Athens 45701, USA.
J Consult Clin Psychol. 2002 Jun;70(3):656-77. doi: 10.1037//0022-006x.70.3.656.
This article updates earlier reviews of recurrent headache disorders published in 1982 and 1992, selectively reviewing research published since 1990. Current issues in assessment (headache diagnosis, psychophysiology, comorbid psychopathology, quality-of-life assessment, and new assessment technologies) and psychological treatment (efficacy, therapeutic mechanisms, treatment delivery, and integration with drug therapy) are addressed. The author emphasizes the need to adapt psychological treatments to the severity of the headache disorder and to developments in drug therapy. Opportunities for the integration of biological, medical, and psychological science are highlighted.
本文更新了1982年和1992年发表的关于复发性头痛疾病的早期综述,有选择地回顾了自1990年以来发表的研究。文中讨论了评估方面的当前问题(头痛诊断、心理生理学、共病精神病理学、生活质量评估以及新的评估技术)和心理治疗方面的问题(疗效、治疗机制、治疗实施以及与药物治疗的整合)。作者强调需要根据头痛疾病的严重程度以及药物治疗的进展来调整心理治疗方法。文中突出了整合生物学、医学和心理学的机会。