Behavioral treatment of headaches: extending the reach
Behavioral treatment of headaches: extending the reach
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DOI：
10.1007/s10072-012-1073-2
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发表时间：
2012-05-01
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.
行为治疗（主要是生物反馈，放松和认知行为）已被用于头痛管理几十年。虽然有效，但它们并没有像期望的那样广泛实施，主要是由于它们的时间密集性，特殊的治疗师资格和患者成本。本文的重点是如何使这些治疗更负担得起，更容易获得的患者。已经探索了各种替代交付模式。本文回顾了迄今为止三种治疗成人复发性头痛的方法的进展，即谨慎的有限办公室接触、互联网传递和大众媒体方法。这些方法的临床结果，优点和缺点进行了简要的审查。
Behavioral treatments (predominantly biofeedback, relaxation, and cognitive-behavioral) have been utilized in headache management for many decades. Although effective, they have not been as widely implemented as desired, chiefly due to their time-intensive nature, special therapist qualifications, and patient costs. This paper focuses on ways to make these treatments more affordable and more readily accessible to patients. Various alternative delivery models have been explored. This paper reviews progress to date on three such approaches for treating recurrent headaches in adults-prudent limited office contact, Internet delivery, and mass media approaches. Clinical outcomes, advantages, and disadvantages of these approaches are reviewed in brief.