偏头痛的行为疗法:扩大治疗武器库
Ane Mínguez-Olaondo1,2,3, Patricia Alves Días1,2,3, Estibaliz López de Munáin2,4
1Neurology Department, Hospital Universitario Donostia-Osakidetza , Neuroscience Area, Biogipuzkoa Health Institute, Donostia, Spain.
European journal of neurology
|July 22, 2024
概括
行为治疗 (BT) 为偏头痛管理提供了一种安全有效的附加治疗方法. 它赋予患者权力,减少疼痛感知,改善生活质量,没有不良影响.
科学领域:
- 神经学 神经学
- 行为医学是一种行为医学.
- 疼痛管理 疼痛管理
背景情况:
- 美国头痛联盟的指导方针支持A级证据的偏头痛行为治疗 (BT).
- 了解BT机制是改善偏头痛管理和减少患者负担的关键.
研究的目的:
- 进行叙述性审查,确定当前在偏头痛中BT的证据.
- 确定BT在偏头痛管理中的临床有用性.
主要方法:
- 对116篇出版物进行了叙事审查.
- 文献搜索包括PubMed (2011-2020) 和作者选择的文章.
主要成果:
- BT可以通过调节交感神经系统和增强疼痛耐受性来减少偏头痛的影响.
- BT通过数字健康应用程序改善与头痛相关的因素,包括持续时间,自我有效性和生活方式.
- BT显示了与药物过量使用的药理学预防相似的疗效,没有副作用,适合儿童使用.
结论:
- BT是一种有价值的偏头痛补充疗法,增强了患者的自主性和赋权.
- 通过整合认知和情感方法,BT可以减少疼痛感知,残疾和整体偏头痛影响.
- 实施BT可以显著改善偏头痛控制和患者的治疗结果.
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