Grazzi Licia, Montisano Danilo Antonio, Raggi Alberto, Rizzoli Paul
SC Neuroalgologia-Centro Cefalee, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, Italy.
SC Neurologia Salute Pubblica e Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, Italy.
Brain Sci. 2023 Apr 21;13(4):699. doi: 10.3390/brainsci13040699.
Migraine disorders are common in populations of children and adolescents. There are different pharmacological treatments for migraine in young patients, but none have specific indications, and doubts about their efficacy exist. The feasibility and effectiveness of behavioral approaches have already been documented in clinical experiences, and they are generally associated with fewer or no unpleasant effects. Among them, mindfulness practice offers a suitable alternative to other adolescent treatments. We present the results of a pilot study, the Be-Home Kids program, performed during the COVID-19 emergency. It was delivered by web and included education on drug use, lifestyle issues, and six sessions of mindfulness-based behavioral practice. We assessed headache frequency, medication intake, and other psychological variables and followed twenty-one adolescents with chronic or high-frequency episodic migraine without aura for 12 months. Results indicated an overall clinical improvement, particularly a 64% reduction in headache frequency over 12 months. In conclusion, our results indicate that a combined treatment which includes patients' education and six sessions of mindfulness-based practice delivered over the web, can be of great support in reducing headache frequency, medication intake, and the associated psychological burden disability in adolescent migraine patients.
偏头痛障碍在儿童和青少年群体中很常见。对于年轻患者的偏头痛有不同的药物治疗方法，但都没有特定的适应症，并且对其疗效存在疑问。行为疗法的可行性和有效性已在临床经验中得到证实，而且它们通常产生的不良影响较少或没有不良影响。其中，正念练习为其他青少年治疗方法提供了合适的替代方案。我们展示了一项在新冠疫情期间进行的试点研究——居家儿童项目的结果。该项目通过网络开展，内容包括药物使用教育、生活方式问题以及六节基于正念的行为练习课程。我们评估了头痛频率、药物摄入量和其他心理变量，并对21名无先兆的慢性或高频发作性偏头痛青少年进行了12个月的跟踪。结果表明总体临床状况有所改善，尤其是在12个月内头痛频率降低了64%。总之，我们的结果表明，一种包括患者教育和通过网络进行六节正念练习课程的联合治疗方法，在降低青少年偏头痛患者的头痛频率、药物摄入量以及相关心理负担残疾方面可能会有很大帮助。
