Sartory G, Müller B, Metsch J, Pothmann R
University of Wuppertal, Germany.
Behav Res Ther. 1998 Dec;36(12):1155-70. doi: 10.1016/s0005-7967(98)00081-3.
A comparison was carried out of the efficacy of psychological and drug treatments for children with migraine. Forty-three children aged between 8 and 16 years (mean age: 11.3 years) who suffered from migraine received either progressive relaxation or cephalic vasomotor feedback, both with stress management training, or metoprolol, a beta-blocker. Psychological treatment was administered in ten sessions lasting six weeks and the drug treatment lasted ten weeks. Relaxation and stress management training reduced the headache index (frequency x intensity of headache episodes), more effectively than metoprolol with cephalic vasomotor feedback and stress management training in between. An overall improvement over time was found with regard to frequency and intensity of headache episodes and analgesics intake. When comparing pre- to post-treatment data, children treated with relaxation training improved significantly in headache frequency and intensity, whereas those treated with cephalic vasomotor feedback improved significantly in headache frequency and duration as well as mood. The clinical improvement was stable at an 8-months follow-up.
对偏头痛儿童的心理治疗和药物治疗效果进行了比较。43名年龄在8至16岁（平均年龄：11.3岁）的偏头痛儿童接受了渐进性放松训练或头部血管舒缩反馈训练，两者均伴有压力管理训练，或者接受了β受体阻滞剂美托洛尔治疗。心理治疗为期十节，持续六周，药物治疗持续十周。放松和压力管理训练降低了头痛指数（头痛发作频率×强度），比美托洛尔联合头部血管舒缩反馈和压力管理训练更有效。在头痛发作频率和强度以及镇痛药摄入量方面，随着时间推移总体有所改善。比较治疗前后的数据时，接受放松训练的儿童在头痛频率和强度方面有显著改善，而接受头部血管舒缩反馈训练的儿童在头痛频率和持续时间以及情绪方面有显著改善。在8个月的随访中，临床改善情况稳定。
