Episodic Migraine in the Pediatric Population: Behavioral Therapies and other Non-Pharmacological Treatment Options.

IF 3.5 2区医学 Q2 CLINICAL NEUROLOGY Current Pain and Headache Reports Pub Date : 2025-03-03 DOI:10.1007/s11916-025-01366-3

Parisa Gazerani

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Abstract

Purpose of review: The purpose of this review is to present current evidence on the multifaceted approach required for managing pediatric migraine. This includes identifying migraine triggers, managing acute pain episodes, and implementing preventive strategies. The review focuses on non-pharmacological interventions, such as behavioral and lifestyle modifications. By exploring these aspects, the review seeks to provide a comprehensive understanding of effective migraine management in children and adolescents.

Recent findings: Non-pharmacological treatments like cognitive-behavioral therapy (CBT), relaxation techniques, and biofeedback are effective alternatives to medication. Nutraceuticals and dietary considerations, including ketogenic diet, alongside education and regular follow-ups, optimize outcomes. Integrating tools for tracking migraine patterns and training for clinicians, parents, and patients enhances treatment effectiveness. Engaging adolescents and their families through education and active participation is essential for improving their quality of life. This review presents available evidence of non-pharmacological strategies for managing episodic migraine in pediatrics. CBT and lifestyle modification are documented for their effect. Future research is required to create evidence-based, comprehensive treatment plans including these and other non-pharmacological strategies tailored to individual needs.

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儿童人群中的发作性偏头痛：行为疗法和其他非药物治疗方案。

综述的目的：本综述的目的是提供目前关于治疗儿童偏头痛所需的多方面方法的证据。这包括确定偏头痛的诱因，管理急性疼痛发作，并实施预防策略。该综述侧重于非药物干预，如行为和生活方式的改变。通过对这些方面的探讨，本综述旨在对儿童和青少年偏头痛的有效治疗提供一个全面的了解。最近的发现：非药物治疗，如认知行为疗法（CBT）、放松技术和生物反馈是药物治疗的有效替代品。营养药品和饮食方面的考虑，包括生酮饮食，以及教育和定期随访，可以优化结果。将追踪偏头痛模式的工具与临床医生、家长和患者的培训相结合，可以提高治疗效果。通过教育和积极参与使青少年及其家庭参与进来，对提高他们的生活质量至关重要。这篇综述提出了治疗儿科学发作性偏头痛的非药物策略的现有证据。CBT和生活方式改变的效果有文献记载。未来的研究需要建立基于证据的综合治疗计划，包括这些和其他针对个人需求的非药物策略。

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来源期刊

Current Pain and Headache Reports CLINICAL NEUROLOGY-

CiteScore

6.10

自引率

2.70%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.