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正念和药物预防对药物过度使用性慢性偏头痛的炎症生物标志物和临床指标具有相似的效果:停药12个月后的结果。

Mindfulness and pharmacological prophylaxis have comparable effect on biomarkers of inflammation and clinical indexes in chronic migraine with medication overuse: results at 12 months after withdrawal.

作者信息

Grazzi Licia, D'Amico Domenico, Raggi Alberto, Leonardi Matilde, Ciusani Emilio, Corsini Elena, D'Andrea Giovanni, Bolner Andrea, Salgado-García Francisco, Andrasik Frank, Sansone Emanuela

机构信息

Headache and Neuroalgology Unit, Neurological Institute "C. Besta" IRCCS Foundation, Via Celoria 11, 20133, Milan, Italy.

Neurology, Public Health and Disability Unit, Neurological Institute "C. Besta" IRCCS Foundation, Milan, Italy.

出版信息

Neurol Sci. 2017 May;38(Suppl 1):173-175. doi: 10.1007/s10072-017-2874-0.

DOI:10.1007/s10072-017-2874-0
PMID:28527073
Abstract

Chronic migraine (CM) is a disabling condition arising from a complex mixture of interconnected biological, psychological and social factors, and is often associated with medication overuse (MO). Mindfulness is emerging as a helpful treatment for pain, and one study showed that the longitudinal 12 months' course of CM-MO patients that attended mindfulness-based treatment alone was similar to that of patients receiving medical prophylaxis alone; in this study, we describe the course of biomarkers of inflammation. Our results provide initial evidence of sustained similar effects on reduced concentration of biomarkers of inflammation, although not sizeable enough to reach statistical significance. Whether more intensive treatment and/or larger samples would lead to greater changes is unknown, but these encouraging preliminary findings suggest further research is warranted.

摘要

慢性偏头痛(CM)是一种由相互关联的生物、心理和社会因素复杂混合引发的致残性疾病,且常与药物过度使用(MO)相关。正念正逐渐成为一种有效的疼痛治疗方法,一项研究表明,仅接受基于正念治疗的CM-MO患者的12个月纵向病程与仅接受药物预防的患者相似;在本研究中,我们描述了炎症生物标志物的变化过程。我们的结果提供了初步证据,表明对炎症生物标志物浓度降低有持续的相似影响,尽管幅度不足以达到统计学显著性。更强化的治疗和/或更大的样本量是否会导致更大的变化尚不清楚,但这些令人鼓舞的初步发现表明有必要进行进一步研究。

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Mindfulness and pharmacological prophylaxis have comparable effect on biomarkers of inflammation and clinical indexes in chronic migraine with medication overuse: results at 12 months after withdrawal.正念和药物预防对药物过度使用性慢性偏头痛的炎症生物标志物和临床指标具有相似的效果:停药12个月后的结果。
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本文引用的文献

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Mindfulness and pharmacological prophylaxis after withdrawal from medication overuse in patients with Chronic Migraine: an effectiveness trial with a one-year follow-up.慢性偏头痛患者药物过度使用戒断后的正念与药物预防:一项为期一年随访的有效性试验
J Headache Pain. 2017 Dec;18(1):15. doi: 10.1186/s10194-017-0728-z. Epub 2017 Feb 4.
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Psychological Considerations in the Assessment and Treatment of Pain in Neurorehabilitation and Psychological Factors Predictive of Therapeutic Response: Evidence and Recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation.神经康复中疼痛评估与治疗的心理学考量以及治疗反应的心理预测因素:来自意大利神经康复疼痛共识会议的证据与建议
Front Psychol. 2016 Apr 19;7:468. doi: 10.3389/fpsyg.2016.00468. eCollection 2016.
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一项关于正念疗法添加到慢性偏头痛和药物过度使用性头痛的常规治疗中的 III 期 RCT 的可行性和短期疗效的初步分析。
Int J Environ Res Public Health. 2022 Oct 29;19(21):14116. doi: 10.3390/ijerph192114116.
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Meditative and Mindfulness-Focused Interventions in Neurology: Principles, Science, and Patient Selection.神经科中的冥想和正念焦点干预:原则、科学和患者选择。
Semin Neurol. 2022 Apr;42(2):123-135. doi: 10.1055/s-0042-1742287. Epub 2022 Feb 9.
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