Rosen Noah L
North Shore LIJ Medical Center, Manhasset, NY 11030, USA.
Curr Pain Headache Rep. 2008 Dec;12(6):425-32. doi: 10.1007/s11916-008-0072-8.
Tension-type headache (TTH) is a common disease that is usually minimally impairing. However, more chronic TTH can be associated with significant disability and psychological comorbidity. Psychological assessment can help elucidate the biopsychosocial issues that complicate TTH and reveal the patient's coping styles. Psychological therapies, such as relaxation training, cognitive behavioral therapy, and biofeedback, may be helpful in reducing the frequency of TTHs and decrease the associated disability. Special populations, including pediatric patients, pregnant patients, and geriatric patients, may especially benefit from psychological interventions. Further work needs to be done in researching the effects of psychological treatments and making them available to a wider population.
紧张型头痛（TTH）是一种常见疾病，通常造成的损害极小。然而，更慢性的紧张型头痛可能与严重的残疾和心理共病有关。心理评估有助于阐明使紧张型头痛复杂化的生物心理社会问题，并揭示患者的应对方式。心理治疗，如放松训练、认知行为疗法和生物反馈，可能有助于减少紧张型头痛的发作频率并降低相关的残疾程度。特殊人群，包括儿科患者、孕妇和老年患者，可能尤其能从心理干预中受益。在研究心理治疗的效果并使其能为更广泛人群所用方面，还需要进一步开展工作。
