BIO-PSYCHOLOGICAL ASPECTS OF HEADACHE IN CHILDREN

该提案概述了一项协调的研究和培训方案， 主要是心身疾病，特别是头痛 小儿 提出了三项主要调查。 考察1 包含6项独立研究。 研究1和2涉及对照 生物反馈、放松和无治疗（自我监测）的比较 单独）用于治疗2种类型的头痛、偏头痛和肌肉 收缩。 研究3分析了提供第二个疗程的效用， 对研究1和2中未能充分应答的个体进行治疗 （治疗交叉）。 在一次广泛的 治疗前评估（头痛史，心理测试， 心理生理反应和头痛监测）进行分析 以确定治疗反应的可能预测因素。 研究4包括 对所有接受治疗的受试者进行前瞻性2年随访，还分析了 加强治疗是否能增强治疗效果的维持。 研究5试图通过研究来阐明头痛的心理生理学， 参与者在头痛和不头痛时。 研究6涉及 头痛的前因分析。 调查2将比较 在治疗前从儿童头痛患者获得的信息 对从以下样本中获得的信息的评价：（a）匹配 无头痛同龄对照，（B）成人头痛患者，和（c）成人 无头痛控制。 调查3将探讨 提供最成功的治疗，从调查1在一个更 成本效益的方式，通过减少治疗师接触，并比较这一点， 从主要基于家庭的格式转变为基于办公室的格式。 互补 培训方案侧重于3个领域：（a）按用途分析复杂数据 在线和离线微型计算机，（B）行为的神经学基础，以及 (c)应激生理学和生物化学。 培训赞助商 包括Dr. K. D。巴伦，（奥尔巴尼医疗中心），E.B.布兰查德 （SUNYA），B.E. Chi（SUNYA）J.A. Ramaley（SUNYA）和B.B. Svare（SUNYA）.

This proposal outlines a coordinated program of research and training in the are of psychosomatic disorders, with the specific focus being headache in children. Three main investigations are proposed. Investigation 1 contains 6 separate studies. Studies 1 and 2 involve controlled comparisons of biofeedback, relaxation, and no-treatment (self-monitoring alone) for remediating 2 types of headache, migraine and muscle contraction. Study 3 analyses the utility of providing a second course of treatment to individuals who fail to respond adequately in Studies 1 and 2 (treatment cross-over). Information collected during an extensive pre-treatment assessment (headache history, psychological tests, psychophysiological responding, and headache monitoring) will be analyzed to identify possible predictors of treatment response. Study 4 consists of a prospective 2-year follow-up of all treated subjects, which also analyzes whether booster treatments can enhance maintenance of threatment gains. Study 5 seeks to illuminate the psychophysiology of headache by studying participants when having and when not having headache. Study 6 involves analysis of antecedents of headache. Investigation 2 will compare the information obtained from the child headache sufferers during pre-treatment evaluation to information obtained from samples of (a) matched headache-free peer controls, (b) adult headache sufferers, and (c) adult headache-free controls. Investigation 3 will explore the feasibility of delivering the most successful treatment from Investigation 1 in a more cost-efficient manner, by reducing therapist contacts and comparing this largely home-based format to an office-based format. The complementary training program focuses on 3 areas: (a) analysis of complex data by use of on- and off-line microcomputers, (b) neurological bases of behavior, and (c) physiology and biochemistry of stress. Sponsors for the training program include Drs. K.D. Barron, (Albany Medical Center), E.B. Blanchard (SUNYA), B.E. Chi (SUNYA) J.A. Ramaley (SUNYA), and B.B. Svare (SUNYA).