Ernst Michelle M, O'Brien Hope L, Powers Scott W
Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Headache. 2015 Nov-Dec;55(10):1382-96. doi: 10.1111/head.12605. Epub 2015 Jul 21.
Although evidence supports the recommendation for cognitive-behavioral therapy (CBT) for pediatric migraine, few children actually receive this evidence-based intervention. In this article, we briefly review the most recent empirical evidence supporting CBT. We then identify both provider- and system-related barriers as well as patient-related barriers. Finally, we provide practical solutions to addressing these barriers in the service of facilitating children receiving optimal comprehensive management of their headaches.
尽管有证据支持对儿童偏头痛采用认知行为疗法(CBT)的建议,但实际上很少有儿童接受这种基于证据的干预措施。在本文中,我们简要回顾支持CBT的最新实证证据。然后,我们确定与提供者和系统相关的障碍以及与患者相关的障碍。最后,我们提供切实可行的解决方案,以消除这些障碍,从而促进儿童获得对其头痛的最佳综合管理。