Andrasik F, Grazzi L, Usai S, Buse D C, Bussone G
Department of Psychology, University of West Florida, 11000 University Parkway, Pensacola, FL 32514, USA.
Neurol Sci. 2009 May;30 Suppl 1:S89-93. doi: 10.1007/s10072-009-0081-3.
Medication overuse headache (MOH) is now recognized as a biobehavioral disorder, a condition wherein emotion and pain are intermingled. This review discusses the steps to consider when treating this condition. The first step involves educating patients about MOH and the pathways to chronicity. The second step concerns working with patients to identify risk factors and behaviors that are present and contributing to the condition. The final step involves behavioral intervention. Examples for accomplishing each step are provided.
药物过度使用性头痛(MOH)现在被认为是一种生物行为障碍,即一种情绪与疼痛相互交织的病症。本综述讨论了治疗该病症时需考虑的步骤。第一步包括向患者介绍药物过度使用性头痛及其慢性化的途径。第二步是与患者合作,识别当前存在且促使病情发展的危险因素和行为。最后一步是行为干预。文中提供了完成每个步骤的示例。