a Institute of Medical Psychology and Medical Sociology , University Medicine Rostock , Rostock , Germany.
b Barts and the London School of Medicine and Dentistry , Queen Mary University of London , London , United Kingdom.
Expert Rev Neurother. 2017 Nov;17(11):1059-1068. doi: 10.1080/14737175.2017.1377611. Epub 2017 Sep 19.
Besides pharmacological and interventional treatments a variety of non-medical therapeutic options exist for migraine, which has largely been derived from behavioral therapy. Areas covered: For our update we collected available studies via PubMed searches. This review highlights that already consulting of the patient is able to reduce the frequency of migraine attacks. Relaxation techniques, especially progressive muscle relaxation, and various types of biofeedback are effective, as is the implementation of cognitive behavioral therapy. However, recent reviews also point to some existing inconsistencies and methodological limitations. The advent of modern information technology based approaches (e.g. online therapy, smartphone applications) further advanced the arsenal of behavioral treatment regimes. The combination of behavioral treatment options and the combination with pharmacotherapy lead to additive effects. In modern multidisciplinary treatment approaches, behavioral therapy is an indispensable component. Expert commentary: Behavioral treatment in prophylaxis of migraine is as effective as pharmacological treatment with additional effects when pharmacological and behavioral treatment is applied in combination. Novel treatment approaches using online technology and electronic devices offer interesting options that will spread more in the future.
除了药物和介入治疗外，偏头痛还存在多种非医学治疗方法，主要源自行为疗法。涵盖领域：为了本次更新，我们通过 PubMed 搜索收集了现有研究。这篇综述强调，对患者进行咨询就能降低偏头痛发作频率。放松技术，尤其是渐进性肌肉松弛和各种类型的生物反馈，以及认知行为疗法都很有效。但是，最近的综述也指出了一些现有的不一致和方法学限制。基于现代信息技术的方法（例如在线治疗、智能手机应用）的出现进一步丰富了行为治疗方案。行为治疗选项的组合与药物治疗相结合会产生附加效果。在现代多学科治疗方法中，行为治疗是不可或缺的组成部分。专家评论：在偏头痛预防中，行为治疗与药物治疗一样有效，当药物和行为治疗联合应用时会产生附加效果。使用在线技术和电子设备的新型治疗方法提供了有趣的选择，未来会有更多应用。
