What does the evidence show? Efficacy of behavioural treatments for recurrent headaches in adults
What does the evidence show? Efficacy of behavioural treatments for recurrent headaches in adults
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DOI：
10.1007/s10072-007-0754-8
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发表时间：
2007-05-01
影响因子：
3.3
通讯作者：
Andrasik, F.
中科院分区：
文献类型：
--
作者：
Andrasik, F.
行为疗法(主要是生物反馈、放松和认知行为疗法)用于头痛治疗已有近40年的历史。本文研究了它们的临床疗效，借鉴了两个主要的证据来源：荟萃分析和循证综述。行为疗法已经证明了有效性，并得到了各种审查组织的支持，比如美国头痛联盟。行为治疗的结果似乎也会在较长期的后续时间间隔内持续下去。对行为治疗和药物治疗进行比较的荟萃分析显示，结果水平相似。文章最后简要讨论了研究人员正在探索的方法，以使头痛患者更容易获得和负担得起行为治疗。
Behavioural treatments (predominantly biofeedback, relaxation and cognitive-behavioural) have been utilised in headache management for nearly 4 decades. This paper examines their clinical efficacy, drawing upon 2 primary sources of evidence: meta-analytic and evidenced-based reviews. Behavioural treatments have demonstrated efficacy and have been endorsed by various reviewing groups, such as the US Headache Consortium. Outcomes from behavioural treatments appear to endure over longer-term follow-up intervals as well. Meta-analyses comparing behavioural and pharmacological treatments have revealed similar levels of outcome. The article closes with a brief discussion of methods investigators are exploring to make behavioural treatments more available and affordable to headache patients.