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[新冠疫情期间头痛的心理治疗]

[Psychological treatment of headache in times of COVID-19].

作者信息

Dresler T, Guth A-L, Lüpke J, Kropp P

机构信息

Klinik für Psychiatrie und Psychotherapie, Universität Tübingen, Calwerstr. 14, 72076, Tübingen, Deutschland.

Graduiertenschule & Forschungsnetzwerk LEAD, Universität Tübingen, Tübingen, Deutschland.

出版信息

Schmerz. 2020 Dec;34(6):503-510. doi: 10.1007/s00482-020-00507-4. Epub 2020 Oct 8.

DOI:10.1007/s00482-020-00507-4
PMID:33030591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7543037/
Abstract

BACKGROUND

The coronavirus disease 2019 (COVID-19) pandemic has substantially changed life worldwide in 2020. This also influences the psychological treatment options of patients with headache.

AIM

The present article intends to illustrate the different psychological forms of treatment for headache patients and their implementation during the COVID-19 pandemic.

MATERIAL AND METHODS

Literature review and case reports.

RESULTS

Even during the COVID-19 pandemic, psychological treatment enables the increased stress level in headache patients to be counteracted by using cognitive behavioral therapy and relaxation techniques. The changed living conditions are often unfavorable but sometimes also favorable in the course of disease. It can be shown that even during the pandemic, such favorable changes can be used to support patients to cope with their headache.

CONCLUSION

The digital implementation of psychological approaches makes a major contribution to maintaining psychological treatment of headache patients, so that the individually changed needs can be addressed. With respect to content, stress regulation techniques and increased acceptance gain in importance. Regarding biofeedback there are limitations, which may be overcome by improved technical devices.

摘要

背景

2020年,2019冠状病毒病(COVID-19)大流行极大地改变了全球生活。这也影响了头痛患者的心理治疗选择。

目的

本文旨在阐述头痛患者心理治疗的不同形式及其在COVID-19大流行期间的实施情况。

材料与方法

文献综述和病例报告。

结果

即使在COVID-19大流行期间,心理治疗也能够通过认知行为疗法和放松技巧来抵消头痛患者不断增加的压力水平。生活条件的改变往往不利,但在疾病过程中有时也有利。可以证明,即使在大流行期间,这种有利变化也可用于支持患者应对头痛。

结论

心理治疗方法的数字化实施对维持头痛患者的心理治疗做出了重大贡献,从而能够满足个体变化的需求。在内容方面,压力调节技术和更高的接纳度变得更加重要。关于生物反馈存在局限性,可能需要通过改进技术设备来克服。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f75/7543037/dcc25e88d0a8/482_2020_507_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f75/7543037/dcc25e88d0a8/482_2020_507_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f75/7543037/dcc25e88d0a8/482_2020_507_Fig1_HTML.jpg

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Curr Biol. 2020 Jul 20;30(14):R795-R797. doi: 10.1016/j.cub.2020.06.021. Epub 2020 Jun 10.
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Impact of quarantine due to COVID infection on migraine: a survey in Genova, Italy.因 COVID 感染而隔离对偏头痛的影响:意大利热那亚的一项调查。
Neurol Sci. 2020 Aug;41(8):2025-2027. doi: 10.1007/s10072-020-04543-x. Epub 2020 Jul 1.
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Not all world leaders use Twitter in response to the COVID-19 pandemic: impact of the way of Angela Merkel on psychological distress, behaviour and risk perception.并非所有世界领导人都在推特上回应 COVID-19 大流行:安格拉·默克尔的应对方式对心理困扰、行为和风险认知的影响。
J Public Health (Oxf). 2020 Aug 18;42(3):644-646. doi: 10.1093/pubmed/fdaa060.
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Alterations in Brain Function After Cognitive Behavioral Therapy for Migraine in Children and Adolescents.儿童和青少年偏头痛认知行为治疗后的大脑功能改变。
Headache. 2020 Jun;60(6):1165-1182. doi: 10.1111/head.13814. Epub 2020 Apr 23.
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[COVID-19 Crisis: Early Observations on a Pandemic's Psychiatric Problems].[新冠疫情危机:对大流行病精神问题的早期观察]
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