Martin Paul R, Forsyth Michael R, Reece John
Monash University, Clayton, Victoria, Australia.
Behav Ther. 2007 Dec;38(4):350-63. doi: 10.1016/j.beth.2006.10.004. Epub 2007 Sep 27.
Sixty-four headache sufferers were allocated randomly to cognitive-behavioral therapy (CBT), temporal pulse amplitude (TPA) biofeedback training, or waiting-list control. Fifty-one participants (14M/37F) completed the study, 30 with migraine and 21 with tension-type headache. Treatment consisted of 8, 1-hour sessions. CBT was highly effective, with an average reduction in headaches from pre- to posttreatment of 68%, compared with 56% for biofeedback, and 20% for the control condition. Headaches continued to decrease to 12 month follow-up for CBT. Improvement with CBT was associated with baseline coping skills, social support, and physiological measures at rest and in response to stress, particularly TPA. Changes on some of these measures were correlated with changes in headaches. No significant predictors of response to biofeedback emerged.
64名头痛患者被随机分配至认知行为疗法（CBT）组、颞部脉搏振幅（TPA）生物反馈训练组或等待名单对照组。51名参与者（14名男性/37名女性）完成了研究，其中30人患有偏头痛，21人患有紧张型头痛。治疗包括8次每次1小时的疗程。CBT非常有效，治疗前后头痛平均减少68%，相比之下，生物反馈组为56%，对照组为20%。CBT组头痛在12个月随访时持续减少。CBT治疗的改善与基线应对技能、社会支持以及静息和应激状态下的生理指标有关，尤其是TPA。这些指标中的一些变化与头痛变化相关。未发现生物反馈治疗反应的显著预测因素。
