慢性头痛的行为治疗方法。

Behavioral treatment approaches to chronic headache.

作者信息

Andrasik F

机构信息

Institute for Human and Machine Cognition, University of West Florida, 40 South Alcaniz Street, Pensacola, FL 32501, USA.

出版信息

Neurol Sci. 2003 May;24 Suppl 2:S80-5. doi: 10.1007/s100720300048.

DOI:10.1007/s100720300048

PMID:12811599

Abstract

Over 3 decades of research have shown the utility of a number of behavioral treatments, chiefly relaxation, biofeedback, and cognitive behavior therapy, for uncomplicated forms of migraine and tension-type headache. However, the literature base is much less extensive for chronic, complicated, and refractory forms of headache. This paper reviews extant work on the usefulness of behavioral treatment for headache accompanied by medication overuse; chronic, daily, high intensity headache; refractory headaches; cluster headache; chronic tension-type headache; posttraumatic headache; and headache accompanied by psychiatric comorbidity. It concludes with a discussion of the role of environmental and familial factors in influencing chronic headaches. Suggestions for future research are pointed out along the way.

摘要

超过三十年的研究表明，一些行为疗法，主要是放松疗法、生物反馈疗法和认知行为疗法，对于无并发症形式的偏头痛和紧张型头痛是有用的。然而，对于慢性、复杂和难治性头痛形式的文献基础要少得多。本文综述了关于行为疗法对伴有药物过度使用的头痛、慢性每日高强度头痛、难治性头痛、丛集性头痛、慢性紧张型头痛、创伤后头痛以及伴有精神疾病共病的头痛的有效性的现有研究。最后讨论了环境和家庭因素在影响慢性头痛中的作用。在此过程中还指出了未来研究的建议。