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老年人头痛的自我调节治疗。

Self-regulatory treatment of headache in the elderly.

作者信息

Kabela E, Blanchard E B, Appelbaum K A, Nicholson N

机构信息

State University of New York, Albany.

出版信息

Biofeedback Self Regul. 1989 Sep;14(3):219-28. doi: 10.1007/BF01000095.

DOI:10.1007/BF01000095
PMID:2688751
Abstract

We examined the utility of various combinations of relaxation, cognitive coping, and feedback in an uncontrolled series of 16 older headache patients (aged 60 to 77) diagnosed as having tension, mixed, or migraine headache. At 1-month follow-up, statistically and clinically significant reductions were observed in both overall headache activity and medication intake; 10 patients (63%) were more than 50% improved in both headache reduction and medication reduction. Female headache suffers were more improved than males. These results are inconsistent with our past findings with geriatric headache sufferers but consistent with other, more recent favorable findings. The efficacy of nondrug treatment for geriatric headache clearly warrants further attention.

摘要

我们在一组未经对照的16名老年头痛患者(年龄60至77岁)中,考察了放松、认知应对和反馈的各种组合方式的效用。这些患者被诊断患有紧张性头痛、混合型头痛或偏头痛。在1个月的随访中,观察到总体头痛活动和药物摄入量在统计学和临床上均有显著降低;10名患者(63%)在头痛减轻和药物减少方面均有超过50%的改善。女性头痛患者比男性改善得更多。这些结果与我们过去对老年头痛患者的研究结果不一致,但与其他近期的有利研究结果一致。老年头痛的非药物治疗效果显然值得进一步关注。

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1
Self-regulatory treatment of headache in the elderly.老年人头痛的自我调节治疗。
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2
Biofeedback and relaxation treatments for headache in the elderly: a caution and a challenge.
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A comparison of EMG biofeedback and a credible pseudotherapy in treating tension headache.肌电图生物反馈与可信伪疗法治疗紧张性头痛的比较。
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引用本文的文献

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Drugs Aging. 2014 Nov;31(11):797-804. doi: 10.1007/s40266-014-0220-2.
2
Psychological issues in the evaluation and treatment of tension-type headache.紧张型头痛的评估和治疗中的心理问题。
Curr Pain Headache Rep. 2012 Dec;16(6):545-53. doi: 10.1007/s11916-012-0301-z.
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The effectiveness of cognitive and behavioural treatment of chronic pain in the elderly: a quantitative review.老年人慢性疼痛的认知与行为治疗效果:一项定量综述。

本文引用的文献

1
An evaluation of progressive muscle relaxation on stress related symptoms in a geriatric population.老年人群中渐进性肌肉松弛对压力相关症状的评估。
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2
The value of biofeedback in the treatment of chronic headache: a four-year retrospective study.生物反馈疗法在慢性头痛治疗中的价值:一项为期四年的回顾性研究。
Headache. 1984 Jan;24(1):5-18.
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Epidemiology of headache in elderly--correlations with life conditions and socio-professional environment.老年人头痛的流行病学——与生活状况及社会职业环境的相关性
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Psychological issues in the evaluation and treatment of tension-type headache.紧张型头痛评估与治疗中的心理问题
Curr Pain Headache Rep. 2008 Dec;12(6):425-32. doi: 10.1007/s11916-008-0072-8.
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Practical considerations for the treatment of elderly patients with migraine.老年偏头痛患者治疗的实际考量
Drugs Aging. 2006;23(6):461-89. doi: 10.2165/00002512-200623060-00003.
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Psychophysiologic Therapy for Chronic Headache in Primary Care.基层医疗中慢性头痛的心理生理治疗
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Electromyographic biofeedback training for tension headache in the elderly: a prospective study.老年紧张性头痛的肌电图生物反馈训练:一项前瞻性研究。
Biofeedback Self Regul. 1991 Dec;16(4):379-90. doi: 10.1007/BF00999991.
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Biofeedback-assisted relaxation training for the aging chronic pain patient.针对老年慢性疼痛患者的生物反馈辅助放松训练。
Biofeedback Self Regul. 1991 Dec;16(4):361-77. doi: 10.1007/BF00999990.
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Biofeedback and relaxation treatments for headache in the elderly: a caution and a challenge.
Biofeedback Self Regul. 1985 Mar;10(1):69-73. doi: 10.1007/BF00998679.
5
Headache in the elderly: an evaluation of risk factors.老年人头痛:危险因素评估
Headache. 1987 May;27(5):272-6. doi: 10.1111/j.1526-4610.1987.hed2705272.x.
6
Relaxation therapy for tension headache in the elderly: a prospective study.老年紧张性头痛的放松疗法:一项前瞻性研究。
Psychol Aging. 1988 Mar;3(1):96-8. doi: 10.1037//0882-7974.3.1.96.
7
Relative potency scale for analgesic drugs: use of psychophysical procedures with clinical judgments.镇痛药的相对效价量表:结合临床判断运用心理物理学方法
Headache. 1976 May;16(2):70-1. doi: 10.1111/j.1526-4610.1976.hed1602070.x.