Singer Alexandra B, Buse Dawn C, Seng Elizabeth K
Ferkauf Graduate School of Psychology and Albert Einstein College of Medicine, Yeshiva University, 1165 Morris Park Ave, Bronx, NY, 10461, USA,
Curr Neurol Neurosci Rep. 2015 Apr;15(4):14. doi: 10.1007/s11910-015-0533-5.
Migraine is a disabling and prevalent disorder. Migraine is most effectively treated with a stepped care approach, where patients initially receive a broad level of care (primary care) and proceed to receive increasingly specialized care throughout the course of treatment. Behavioral treatments for migraine modify behaviors of people with migraine with the intention to prevent migraine episodes and secondary consequence of migraine. Behavioral treatments can be incorporated into each level of the stepped care approach for migraine treatment. In this article, we provide a rationale for including behavioral treatment strategies in the treatment of migraine. We then describe and review the evidence for behavioral treatment strategies for migraine, including patient education, relaxation strategies, biofeedback, and cognitive behavioral treatment strategies. Finally, we describe how behavioral treatments can be integrated into a stepped care approach for migraine care.
偏头痛是一种致残且普遍的疾病。偏头痛最有效的治疗方法是采用分级护理方法，即患者最初接受广泛的护理（初级护理），并在整个治疗过程中接受越来越专业化的护理。偏头痛的行为治疗旨在改变偏头痛患者的行为，以预防偏头痛发作及其继发后果。行为治疗可纳入偏头痛治疗分级护理方法的各个层面。在本文中，我们阐述了在偏头痛治疗中纳入行为治疗策略的基本原理。然后，我们描述并综述了偏头痛行为治疗策略的证据，包括患者教育、放松策略、生物反馈和认知行为治疗策略。最后，我们描述了行为治疗如何融入偏头痛护理的分级护理方法。
