Psychological Approaches for Migraine Management.
Psychological Approaches for Migraine Management.
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DOI：
10.1016/j.anclin.2023.02.002
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发表时间：
2023-06
影响因子：
--
通讯作者：
Jensen, Mark P
中科院分区：
文献类型：
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作者：
Sturgeon, John A;Ehde, Dawn M;Darnall, Beth D;Barad, Meredith J;Clauw, Daniel J;Jensen, Mark P
偏头痛是全世界最常见的疾病之一，会导致大量失业和心理社会功能障碍。偏头痛治疗的最佳做法包括包括药理学和非药理学干预的多学科方法。最重要的非药物干预是针对认知、行为和情感因素的心理治疗，以减少偏头痛相关的疼痛、痛苦和残疾。本文对目前治疗偏头痛的最佳心理干预方法进行了概述，包括放松疗法、生物反馈疗法和认知行为疗法。我们还回顾了第二组干预措施，这些干预措施的证据基础相对较小，但前景看好。最后，我们讨论了偏头痛心理干预的未来方向，包括基于远程健康的短期治疗，精准医学的考虑，以及有不良生活经历和创伤病史的患者的治疗。
Migraine headaches are among the most common medical conditions worldwide and contribute to substantial work loss and psychosocial dysfunction. Best practices in migraine management incorporate a multidisciplinary approach consisting of both pharmacological and non-pharmacological interventions. Among the most important non-pharmacological interventions are psychological treatments that address cognitive, behavioral, and affective factors to reduce migraine-related pain, distress, and disability. The current article provides a narrative overview of current best-practice psychological interventions for migraine, including relaxation therapy, biofeedback, and cognitive behavioral therapy. We also review a second set of interventions for which there is a promising but relatively smaller base of evidence. Finally, we discuss future directions in psychological interventions for migraine, including brief and telehealth-based treatment, considerations of precision medicine, and treatment of patients with histories of adverse life experiences and trauma.