Department of Neurology, Child and Adolescent Headache Program, University of California, San Francisco, San Francisco, California.
Semin Neurol. 2020 Jun;40(3):277-285. doi: 10.1055/s-0040-1708868. Epub 2020 Apr 15.
Children and teenagers with migraine are often advised to live a life of perfect balance-to sleep regularly and well, to eat breakfast each day, to drink plenty of water, and to exercise religiously. The logic is that doing so will decrease their migraine frequency. The corollary that follows is that failing to follow such advice will result in the patient continuing to experience migraine at its current frequency. This opens the door to potentially blaming the patients for their migraine and contributing to migraine stigma. This article reviews the current state of the evidence for each of these behavioral interventions for migraine prevention, and provides the clinician with practical advice for counseling patients.
患有偏头痛的儿童和青少年通常被建议过一种完美平衡的生活——规律且充足地睡眠、每天吃早餐、多喝水、有规律地锻炼。其理论依据是这样做可以降低偏头痛的发作频率。随之而来的推论是，如果不遵循这些建议，患者将继续以当前的频率经历偏头痛。这为将偏头痛归咎于患者并导致偏头痛污名化提供了可能。本文回顾了预防偏头痛的每种行为干预措施的现有证据，并为临床医生为患者提供咨询提供了实用建议。
