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[The optimization of management of chronic daily headache patients]
V A Golovacheva1, V A Parfenov1, G R Tabeeva1
1Sechenov First Moscow State Medical University, Moscow, Russia.
Aim:
To optimize the management of chronic daily headache (CDH) using cognitive-behavioral therapy (CBT).
Material And Methods:
The study included 90 patients (76 women and 14 men), aged from 23 to 78 years (mean age 46.71±11.99) with primary forms of CDH. The patients were followed-up by the neurologist during 12 months, psychological characteristics were studied together with the psychiatrist. Patients received combined treatment, including optimized pharmacotherapy, educational program, relaxation training, CBT and exercise therapy.
Results:
The diagnosis of CDH has not been previously established in 86.7% of the patients. All patients received unnecessary additional diagnostic examinations, ineffective treatment (86.7%) that resulted in the formation of wrong conceptions about their state (90%). Three months after combined treatment, a significant positive effect has been achieved in 62.2% of the patients and after 12 months in 72.2%.
Conclusion:
The combined treatment program that included CBT can relatively rapidly help patients with CDH and exerts a stable positive effect during 12 months of the follow-up.