Non-pharmacological treatment of headaches--why?

E Van Hook
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Abstract

Headache and mood disorders co-occur at significant rates. Two psychological techniques of proven effectiveness in treating headache are biofeedback and relaxation training. For treating the mood disorders that accompany chronic headache, cognitive-behavioral and pharmacological therapies are highly effective both individually and combined. The present article discusses the importance of treating anxiety-spectrum disorders as well as pain when treating headache, and of manipulating factors known to influence the probability of a patient's developing chronic pain and disability.

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头痛的非药物治疗——为什么?
头痛和情绪障碍的发生率很高。治疗头痛的两种行之有效的心理技巧是生物反馈和放松训练。对于治疗伴随慢性头痛的情绪障碍,认知行为疗法和药物疗法无论是单独治疗还是联合治疗都非常有效。本文讨论了治疗头痛时治疗焦虑谱系障碍和疼痛的重要性,以及控制已知影响患者发展为慢性疼痛和残疾的可能性的因素。
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