伴有抑郁和偏头痛共病患者的一日行为治疗：一项初步研究。
One-day behavioral treatment for patients with comorbid depression and migraine: a pilot study.
机构信息
University of Iowa College of Medicine, Department of Psychiatry, Iowa City, IA 52242, USA.
出版信息
Behav Res Ther. 2012 Sep;50(9):537-43. doi: 10.1016/j.brat.2012.05.007. Epub 2012 May 27.
Abstract
BACKGROUND
Migraine is a common and disabling disorder that is highly comorbid with depression. The comorbidity of depression and migraine is a major health concern as it results in poorer prognosis and quality of life. Yet, effective treatments have rarely been investigated.
METHOD
45 patients with comorbid migraine and depression were assigned to a 1-day Acceptance and Commitment Training plus Migraine Education workshop (ACT-ED; N = 31) or to Wait List/Treatment as Usual (WL/TAU; N = 14). Assessment of depressive symptoms, general functioning, and migraine related disability were completed at baseline and 2-, 6-, and 12 weeks after the workshop.
RESULTS
At the 3-month follow up, participants in the ACT-ED condition exhibited significantly greater improvements in depressive symptoms, general functioning, and migraine-related disability than patients in the WL/TAU group.
CONCLUSION
A 1-day ACT-ED workshop is a promising approach to the treatment for depression and disability in migraineurs that merits further investigation.
摘要
背景
偏头痛是一种常见且使人丧失能力的疾病，与抑郁症高度共病。抑郁症和偏头痛的共病是一个主要的健康问题，因为它会导致预后和生活质量更差。然而，很少有有效的治疗方法被调查。
方法
将 45 名患有偏头痛和抑郁症共病的患者分配到为期一天的接受和承诺训练加偏头痛教育研讨会（ACT-ED；N=31）或等待名单/常规治疗（WL/TAU；N=14）。在研讨会之前、之后的 2 周、6 周和 12 周评估抑郁症状、一般功能和偏头痛相关残疾。
结果
在 3 个月的随访中，与 WL/TAU 组相比，ACT-ED 组的患者在抑郁症状、一般功能和偏头痛相关残疾方面的改善更为显著。
结论
为期一天的 ACT-ED 研讨会是治疗偏头痛患者抑郁和残疾的一种很有前途的方法，值得进一步研究。
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