Department of Human Neuroscience, Section of Child and Adolescent Neuropsychiatry, "Sapienza" University, Rome, Italy.
Department of Dynamic and Clinical Psychology, "Sapienza" University, Rome, Italy.
Expert Rev Neurother. 2019 Dec;19(12):1219-1228. doi: 10.1080/14737175.2019.1654859. Epub 2019 Aug 17.
: A wide proportion of children and adolescents with headache tends not to respond to various pharmacological treatments in use. The failure to respond to symptomatic treatment and prophylaxis is often due to the presence of a comorbid psychopathology undiagnosed or not properly treated. For these reasons and for the negative impact of headache on the quality of life of the patients and on the costs for the public health system, the adoption of an integrated multi-disciplinary perspective in the diagnosis and treatment of headache is needed.: Several researchers have shown that behavioral treatment is effective as pharmacological treatment, not only for headache management but also to maintain a lifetime response to the headache treatment. In particular, Cognitive Behavioral Therapy (CBT) and Mindfulness have proven to be very resolutive both in the management of pain and in the management of stressful situations that can trigger the headache in children and adolescents with headache.: Although studies on behavioral treatments on children and adolescents with primary headaches are still few but a combined approach seems to be very useful in improving the quality of life of these subjects, especially in those who have internalizing disorders in comorbidities.
: 相当大比例的儿童和青少年头痛患者对各种现有的药物治疗反应不佳。对症状性治疗和预防措施的反应不佳通常是由于存在未被诊断或未得到适当治疗的合并精神病理学。出于这些原因，以及头痛对患者生活质量和公共卫生系统成本的负面影响，需要在头痛的诊断和治疗中采用综合多学科的观点。
: 一些研究人员已经表明，行为治疗与药物治疗一样有效，不仅可以治疗头痛，还可以维持对头痛治疗的终生反应。特别是认知行为疗法（CBT）和正念已被证明在管理疼痛和管理可能引发儿童和青少年头痛的压力情况方面非常有效。
: 尽管针对原发性头痛儿童和青少年的行为治疗研究仍然较少，但联合方法似乎非常有助于提高这些患者的生活质量，特别是在合并症中有内化障碍的患者中。
