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认知行为疗法:医疗服务提供者如何提高患者及其家庭对儿童偏头痛基于证据的多模式疗法的接受度并增加其可及性。

Cognitive-Behavioral Therapy: How Medical Providers Can Increase Patient and Family Openness and Access to Evidence-Based Multimodal Therapy for Pediatric Migraine.

作者信息

Ernst Michelle M, O'Brien Hope L, Powers Scott W

机构信息

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.

出版信息

Headache. 2015 Nov-Dec;55(10):1382-96. doi: 10.1111/head.12605. Epub 2015 Jul 21.

Abstract

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.

摘要

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。

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