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Behavioral management of recurrent headache: three decades of experience and empiricism.
Penzien, Donald B; Rains, Jeanetta C; Andrasik, Frank.
Affiliation
  • Penzien DB; UMC Head Pain Center-Psychiatry, University of Mississippi Medical Center, 2500 North State Street, Jackson, Mississippi 39216-4505, USA. dpenzien@psychiatry.umsmed.edu
Appl Psychophysiol Biofeedback ; 27(2): 163-81, 2002 Jun.
Article in En | MEDLINE | ID: mdl-12206049
In the past three decades, behavioral interventions (chiefly relaxation, biofeedback, and stress-management) have become standard components of the armamentarium for management of migraine and tension-type headaches. Meta-analytic literature reviews of these behavioral interventions have consistently identified clinically significant reductions in recurrent headache. Across studies, behavioral interventions have yielded approximately 35-50% reduction in migraine and tension-type headache activity. Although we have only recently begun to directly compare standard drug and nondrug treatments for headache, the available evidence suggests that the level of headache improvement with behavioral interventions may rival those obtained with widely used pharmacologic therapies in representative patient samples. In recent years, some attempts have been made to increase the availability and cost effectiveness of behavioral interventions through alternative delivery formats and mass communications. Recent developments within diagnosis and classification are summarized, pointing out implications for behavioral researchers. Select future directions are discussed, which include impact of the triptans, cost and cost effectiveness, and integration of behavioral treatments into primary care settings, the place where the great majority of headache sufferers receive treatment.
Subject(s)
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Database: MEDLINE Therapeutic Methods and Therapies TCIM: Terapias_mente_y_cuerpo / Biofeedback / Relajacion Main subject: Psychotherapy, Group / Biofeedback, Psychology / Relaxation Therapy / Tension-Type Headache / Migraine Disorders Type of study: Diagnostic_studies / Prognostic_studies Language: En Journal: Appl Psychophysiol Biofeedback Year: 2002 Type: Article Affiliation country: United States
Search on Google
Database: MEDLINE Therapeutic Methods and Therapies TCIM: Terapias_mente_y_cuerpo / Biofeedback / Relajacion Main subject: Psychotherapy, Group / Biofeedback, Psychology / Relaxation Therapy / Tension-Type Headache / Migraine Disorders Type of study: Diagnostic_studies / Prognostic_studies Language: En Journal: Appl Psychophysiol Biofeedback Year: 2002 Type: Article Affiliation country: United States