Department of Neurology, Stanford School of Medicine, Palo Alto, CA, USA.
Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Curr Pain Headache Rep. 2023 Feb;27(2):19-25. doi: 10.1007/s11916-023-01100-x. Epub 2023 Jan 26.
The purpose of this review is to discuss the current evidence for Cognitive Behavioral Therapy for Insomnia (CBT-I) for patients with migraine and comorbid insomnia. In this article, we provide a narrative review of the literature on CBT-I and migraine, highlighting recent advances in research into this topic. Finally, we propose a way for clinicians to integrate CBT-I into clinical practice.
Multiple studies support CBT-I as a validated modality for the treatment of insomnia in migraine. CBT-I is used to treat insomnia and should be offered as first line therapy. Clinicians should screen for insomnia in all patients with headache, especially in those with migraine, to best manage this condition through the implementation of specific insomnia treatment.
本文旨在讨论认知行为疗法治疗伴有失眠的偏头痛患者的现有证据。在本文中,我们对认知行为疗法治疗失眠和偏头痛的文献进行了叙述性综述,强调了该主题研究的最新进展。最后,我们提出了一种将认知行为疗法纳入临床实践的方法。
多项研究支持认知行为疗法作为治疗偏头痛伴发失眠的有效方法。认知行为疗法用于治疗失眠,应作为一线治疗方法。临床医生应在所有头痛患者中筛查失眠,特别是在偏头痛患者中,通过实施特定的失眠治疗来最佳管理这种情况。