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慢性头痛的非药物治疗:疗效预测

Nonpharmacologic treatment of chronic headache: prediction of outcome.

作者信息

Blanchard E B, Andrasik F, Arena J G, Neff D F, Jurish S E, Teders S J, Barron K D, Rodichok L D

出版信息

Neurology. 1983 Dec;33(12):1596-603. doi: 10.1212/wnl.33.12.1596.

DOI:10.1212/wnl.33.12.1596
PMID:6358947
Abstract

We studied the ability of headache history, a 4-week headache diary, standard psychological tests, and laboratory measures of psychophysiologic responses to stress to predict the outcome of relaxation therapy and biofeedback for three types of chronic headache. Using canonical discriminant function analyses, each potential predictor set was tested separately, and all four were tested together. Information from the headache history alone correctly classified 89 to 95% of patients as improved or unimproved. No other single predictor set was consistently better than headache history. When all four predictor sets were combined, prediction improved; 93 to 100% of patients were correctly classified.

摘要

我们研究了头痛病史、为期4周的头痛日记、标准心理测试以及压力的心理生理反应的实验室测量指标预测三种慢性头痛的放松疗法和生物反馈疗法结果的能力。使用典型判别函数分析,分别对每个潜在预测指标集进行测试,并对所有四个指标集进行综合测试。仅根据头痛病史就能正确地将89%至95%的患者分类为病情改善或未改善。没有其他单一预测指标集始终优于头痛病史。当将所有四个预测指标集结合起来时,预测效果有所改善;93%至100%的患者被正确分类。

相似文献

1
Nonpharmacologic treatment of chronic headache: prediction of outcome.慢性头痛的非药物治疗:疗效预测
Neurology. 1983 Dec;33(12):1596-603. doi: 10.1212/wnl.33.12.1596.
2
Prediction of early termination from the self-regulatory treatment of chronic headache.慢性头痛自我调节治疗早期终止的预测
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Three studies of the psychologic changes in chronic headache patients associated with biofeedback and relaxation therapies.
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Long-term efficacy of combined relaxation: biofeedback treatments for chronic headache.
Pain. 1992 Oct;51(1):49-56. doi: 10.1016/0304-3959(92)90008-Y.
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[Biofeedback and relaxation therapy for patients with migraine and tension headaches].[偏头痛和紧张性头痛患者的生物反馈与放松疗法]
Psychiatr Neurol Med Psychol (Leipz). 1984 Nov;36(11):649-54.
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Nonpharmacological treatment of menstrual headache: relaxation-biofeedback behavior therapy and person-centered insight therapy.
Headache. 1986 Feb;26(2):86-92. doi: 10.1111/j.1526-4610.1986.hed2602086.x.
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[Relaxation with muscular biofeedback in tension headaches: multifactorial analysis of a group of 31 patients].[紧张性头痛患者采用肌肉生物反馈放松治疗:31例患者的多因素分析]
Rev Med Liege. 1990 Dec;45(12):630-7.
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Biofeedback and relaxation training: the effect on headache and associated symptoms.生物反馈与放松训练:对头痛及相关症状的影响
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Tension headaches: psychophysiological investigation and treatment.
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Comprehensive biofeedback versus self-monitored relaxation in the treatment of tension headache.综合生物反馈疗法与自我监测放松疗法治疗紧张性头痛的比较
Headache. 1980 May;20(3):137-42. doi: 10.1111/j.1526-4610.1980.hed2003137.x.

引用本文的文献

1
Tension-type headache and psychiatric comorbidity.紧张型头痛与精神疾病共病
Curr Pain Headache Rep. 2006 Dec;10(6):439-47. doi: 10.1007/s11916-006-0075-2.
2
Guidelines for the nonpharmacologic management of migraine in clinical practice. Canadian Headache Society.临床实践中偏头痛的非药物治疗指南。加拿大头痛协会。
CMAJ. 1998 Jul 14;159(1):47-54.
3
Interpersonal stress and style as predictors of biofeedback/relaxation training outcome: preliminary findings.人际压力与风格作为生物反馈/放松训练结果的预测因素:初步研究结果。
Biofeedback Self Regul. 1985 Sep;10(3):223-39. doi: 10.1007/BF00999344.