Efficacy of psychological treatment for headache disorder: a systematic review and meta-analysis

Abstract

BackgroundHeadache disorder is not only a common complaint but also a global burden. Pharmacotherapeutic and non-pharmacotherapeutic approaches have been developed for its treatment and prophylaxis. The present study included a systematic review of psychological treatments for primary headache disorder accessible in Korea.MethodsWe included English and Korean articles from EMBASE, MEDLINE, Cochrane library database, SCOPUS, ScienceDirect, Web of Science, CINAHL, PsycArticles and Korean database, KoreaMed and KMBASE which studied primary headache and medication-overuse headache. The primary efficacy measure was the number of headache days per month, while secondary efficacy measures were the number of headache attacks per week, headache index, treatment response rate, and migraine disability assessment. The meta-analysis was performed using R 3.5.1. to obtain pooled mean difference and pooled relative risk with 95% confidence interval (CI) for continuous data and dichotomous data, respectively.ResultsFrom 12,773 identified articles, 27 randomized clinical trials were identified. Primary outcome showed significant superiority of psychological treatments (pooled mean difference = − 0.70, 95% CI [− 1.22, − 0.18]). For the secondary outcomes, the number of headache attacks (pooled mean difference = − 1.15, 95% CI [− 1.63, − 0.67]), the headache index (pooled mean difference = − 0.92, 95% CI [− 1.40 to − 0.44]) and the treatment response rate (pooled relative risk = 3.13, 95% CI [2.24, 4.37]) demonstrated significant improvements in the psychological treatment group over the control group.ConclusionPsychological treatments for primary headache disorder reduced headache frequency and the headache index. Future research using standardized outcome measures and strategies for reducing bias is needed.Electronic supplementary materialThe online version of this article (10.1186/s10194-019-0965-4) contains supplementary material, which is available to authorized users.

Tension Type Headache Comorbid with Moderate Depression : A Case Report

“…prevalence rate of 4.0%, and there is also a high frequency of possible headaches due to drug use with an estimated prevalence rate of 1 year 1-2% . 4 A pharmacotherapy approach to the prophylaxis of headache disorders has been studied, and various drugs are currently being used. Antidepressant and anticonvulsant drugs, such as selective serotonin reuptake inhibitors, tricyclic antidepressants, and topiramate have shown efficacy for migraine prophylaxis and are frequently used.…”

“…Evidence-based guidelines for migraine headaches developed by the United States Headache Consortium recommend relaxation training, BFT, and CBT as treatment options for migraine prevention. 4,5 Furthermore, other modalities, such as mindfulness-based treatment (MBT) have evolved and are used to treat chronic pain disorders repeatedly. A comprehensive and up-todate review of empirical research including studies from Korea using new modalities will be very helpful and can be the basis for recommendations regarding psychological treatment for primary headaches as a stand-alone treatment option or additional treatment with other treatment modalities in Korea.…”

Wirksamkeit von Biofeedback bei primärem Kopfschmerz – Eine randomisierte, kontrollierte Studie

“…Obwohl der Nutzen von BF bei primärem KS durch Meta-Analysen randomisierter Studien belegt ist [11][12][13][14] und Empfehlungen dafür vorliegen [8,15], ist BF noch kaum für Patienten in der ambulanten Versorgung zugänglich [9,16]. Zudem werden die Kosten von den Krankenkassen meist nicht übernommen [17].…”

“…Bei Graef et al [18] zeigensicheinhoherEffektfürdieSelbstwirksamkeitsowieeine negative Korrelation zwischen Selbstwirksamkeit und Beeinträchtigung durch den KS. Ähnliche Ergebnisse durch andere Entspannungsverfahren [12,14] sprechen dafür, dass sich durch eine ver-besserteSelbstwirksamkeiteinpositiverEffektaufdenKSergibt. Dennoch sahen Nestoriuc et al [12] BF für KST aufgrund der höchs-tenEffektstärkealsspezifischan.…”

Psychologische Behandlungsverfahren bei Kopfschmerz

“…Während mehrere Reviews bzw. Übersichtsarbeiten zur Wirksamkeit verhaltenstherapeutischer Verfahren bei Migräne auf gute Behandlungs-effekte hinweisen [1, [6][7][8], kommen Sharpe et al [9] in einem Cochrane-Review zu dem Schluss, dass die Wirksamkeit psychologischer Verfahren zur Migräneprophylaxe nicht ausreichend belegt und die Qualität bisheriger Wirksamkeitsstudien noch ausbaufähig sei. Insbesondere für Follow-up-Erhebungen finden sich in den Cochrane-Reviews bei Erwachsenen [9] und Kindern [10] keine überzeugenden Effekte.…”