Posttraumatic headache: an exploratory treatment study.
Posttraumatic headache: an exploratory treatment study.
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创伤后头痛：一项探索性治疗研究。
DOI：
10.1023/a:1027326808356
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发表时间：
2003
影响因子：
3
通讯作者：
Silverman,DanielJ
中科院分区：
文献类型：
--
作者：
Tatrow,Kristin;Blanchard,EdwardB;Silverman,DanielJ
14例创伤后头痛（PTHA）患者接受了针对头痛症状沿着相关创伤后应激症状的综合治疗方案。根据头痛的特征，治疗包括以下部分或全部：热生物反馈，针对前额和/或颈部肌肉的肌电图生物反馈，渐进性肌肉放松，教育和认知行为治疗。治疗组的平均改善率为21%，而等待名单组的平均改善率为-14%，表明头痛恶化;然而，组间差异无统计学意义。在无头痛天数方面，组间差异显著。组内结果是适度的，治疗结束时平均改善29%。头痛指数显著降低。治疗后发现，精神病理学（最显著的是焦虑）略有下降。这项研究证实了在这一研究不足的头痛患者人群中看到的治疗困难，但为缓解症状提供了希望。
Fourteen patients with posttraumatic headache (PTHA) were treated with a comprehensive treatment package targeting headache symptoms along with associated posttraumatic stress symptoms. Treatment consisted of some or all of the following depending on headache features: thermal biofeedback, electromyography biofeedback targeting the forehead and/or neck muscles, progressive muscle relaxation, education and cognitive–behavioral therapy. Mean improvement for the treatment group was 21%, whereas mean improvement for the wait-list group was −14% indicating a worsening of headache; however, the difference between groups was not statistically significant. There was a significant between groups difference on headache-free days. Within group results were modest with 29% mean improvement by the end of treatment. The reduction in headache index was significant. Minor reductions in psychopathology, most notably anxiety, were found after treatment. This study confirmed the treatment difficulties seen in this understudied population of headache sufferers, but offered hope for symptom relief.