The effectiveness of cognitive-behavioural therapy for post-traumatic headaches

Gurr, Birgit; Coetzer, Bernardus

doi:10.1080/02699050400005176

Cited by 44 publications

(40 citation statements)

References 24 publications

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“…Limitations included lack of power calculations to determine sample size and follow-up data not being analysed statistically 28. Three studies examined the use of CBT with the specific PCS symptoms of headache29 and insomnia,30 31 and all concluded an improvement in the symptom investigated. Limitations include inadequate29 or no control group31 and high drop-out rates 29.…”

Section: Resultsmentioning

confidence: 99%

Psychological approaches to treatment of postconcussion syndrome: a systematic review

Sayegh

Sandford

Carson

2010

Journal of Neurology, Neurosurgery & Psychiatry

182

109

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Background and aim Postconcussion syndrome (PCS) is a term used to describe the complex, and controversial, constellation of physical, cognitive and emotional symptoms associated with mild brain injury. At the current time, there is a lack of clear, evidence-based treatment strategies. In this systematic review, the authors aimed to evaluate the potential efficacy of cognitive behavioural therapy (CBT) and other psychological treatments in postconcussion symptoms. Methods Four electronic databases were searched up to November 2008 for studies of psychological approaches to treatment or prevention of postconcussion syndrome or symptoms. Results The search identified 7763 citations, and 42 studies were included. This paper reports the results of 17 randomised controlled trials for psychological interventions which fell into four categories: CBT for PCS or specific PCS symptoms; information, reassurance and education; rehabilitation with a psychotherapeutic element and mindfulness/relaxation. Due to heterogeneity of methodology and outcome measures, a meta-analysis was not possible. The largest limitation to our findings was the lack of high-quality studies.

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Section: Resultsmentioning

confidence: 99%

Psychological approaches to treatment of postconcussion syndrome: a systematic review

Sayegh

Sandford

Carson

2010

Journal of Neurology, Neurosurgery & Psychiatry

182

109

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“…Trials incorporating CBT for individuals with TBI have tended to focus on specific symptoms such as depression,19 insomnia20 or headache 21. Typically using single-case or case series designs, results do point to possible improvements in these domains using CBT.…”

Section: Introductionmentioning

confidence: 99%

Randomised, waiting list controlled trial of cognitive–behavioural therapy for persistent postconcussional symptoms after predominantly mild–moderate traumatic brain injury

Potter¹,

Brown

Fleminger

2016

J Neurol Neurosurg Psychiatry

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BackgroundPersistent post-concussional symptoms (PCS) can be a source of distress and disability following traumatic brain (TBI). Such symptoms have been viewed as difficult to treat but may be amenable to psychological approaches such as cognitive behaviour therapy (CBT). ObjectivesTo evaluate the effectiveness of a 12-session individualised, formulation-based CBT program. MethodTwo-centre randomised waiting list controlled trial with 46 adults with persistent PCS after predominantly mild-to-moderate TBI (52% with PTA ≤ 24 hours), but including some with severe TBIs (20% with PTA > 7 days). ResultsImprovements associated with CBT were found on the primary outcome measures relating to quality of life (using the Quality of Life Assessment Schedule and the Brain Injury Community Rehabilitation Outcome scale). Treatment effects after covarying for treatment duration were also found for postconcussional symptoms and several secondary outcomes including measures of anxiety and fatigue (but not depression or PTSD). Improvements were more apparent for those completing CBT sessions over a shorter period of time, but were unrelated to medicolegal status, injury severity or length of time since injury. ConclusionsThis study suggests that CBT can improve quality of life for adults with persistent PCS, and potentially reduce symptoms for some, in the context of outpatient brain injury rehabilitation services.Trial registration ISRCTN49540320

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“…68,69 These techniques seem to be especially helpful for patients with PTHAs who have significant muscle tightness, anxiety, or insomnia. The efficacy of these treatment modalities for migraine headache is well established.…”

Section: Case 4-3mentioning

confidence: 99%

Posttraumatic Headache

Erickson¹,

Neely²,

Theeler³

2010

CONTINUUM: Lifelong Learning in Neurology

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Headache is a common symptom after traumatic head injury and is a frequent feature of the postconcussive syndrome. A variety of headache subtypes can be precipitated by head trauma, although posttraumatic headaches most often resemble migraine or tension-type headache. A lack of clinical trials limits evidence-based treatment recommendations for both acute and chronic posttraumatic headaches. However, numerous pharmacologic and nonpharmacologic interventions can be used to successfully manage posttraumatic headaches. This article reviews the classification, epidemiology, prognosis, and pathophysiology of headaches after head trauma and provides a practical clinical approach for evaluating and treating patients with posttraumatic headaches.

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The effectiveness of cognitive-behavioural therapy for post-traumatic headaches

Cited by 44 publications

References 24 publications

Psychological approaches to treatment of postconcussion syndrome: a systematic review

Psychological approaches to treatment of postconcussion syndrome: a systematic review

Randomised, waiting list controlled trial of cognitive–behavioural therapy for persistent postconcussional symptoms after predominantly mild–moderate traumatic brain injury

Posttraumatic Headache

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