Smitherman Todd A, Penzien Donald B, Rains Jeanetta C
Head Pain Center, Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS 39216, USA.
Curr Pain Headache Rep. 2007 Dec;11(6):471-7. doi: 10.1007/s11916-007-0236-y.
Interest in nonpharmacologic interventions for chronic tension-type headache has increased in recent years, with many professional organizations recommending behavioral treatments such as relaxation training, biofeedback, and cognitive-behavioral therapy alongside pharmacologic treatments. Although the efficacy of behavioral interventions is well-documented, several potential barriers in dissemination and implementation exist that have precluded more widespread adoption of behavioral treatments. This article briefly reviews the core components and efficacy of behavioral treatments for tension-type headache and outlines challenges to their broader clinical use as they occur at the levels of empirical research, treatment availability and delivery, and common clinical problems. Strategies for addressing these challenges are suggested, and directions for needed research are noted.
近年来，人们对慢性紧张型头痛的非药物干预措施的兴趣有所增加，许多专业组织建议在药物治疗的同时采用行为疗法，如放松训练、生物反馈和认知行为疗法。尽管行为干预的疗效已有充分记录，但在传播和实施方面存在一些潜在障碍，这些障碍阻碍了行为疗法的更广泛应用。本文简要回顾了紧张型头痛行为疗法的核心组成部分和疗效，并概述了在实证研究、治疗可及性和提供以及常见临床问题等层面上其更广泛临床应用所面临的挑战。文中提出了应对这些挑战的策略，并指出了所需研究的方向。
