Integrated care for migraine and chronic tension-type headaches: A prospective observational study

被引：4

作者：

Cramer, Holger ^{[1
,2
]}

Hehlke, Marie ^{[1
]}

Vasmer, Jonas ^{[1
]}

Rampp, Thomas ^{[1
]}

Anheyer, Dennis ^{[1
]}

Saha, Felix J. ^{[1
]}

Paul, Anna ^{[1
]}

Lauche, Romy ^{[2
,3
]}

Dobos, Gustav ^{[1
]}

机构：

[1] Univ Duisburg Essen, Fac Med, Dept Internal & Integrat Med, Kliniken Essen Mitte, Essen, Germany

[2] Univ Technol Sydney, Fac Hlth, ARCCIM, Sydney, NSW, Australia

[3] Univ Duisburg Essen, Fac Med, Dept Internal & Integrat Med, Chair Integrat Med,Sozialstiftung Bamberg, Duisburg, Germany

来源：

COMPLEMENTARY THERAPIES IN CLINICAL PRACTICE | 2019年 / 36卷

关键词：

Headache; Integrated care; Migraine; GLOBAL BURDEN; SYSTEMATIC ANALYSIS; NATIONAL INCIDENCE; STRESS REDUCTION; DISABILITY; PREVALENCE; PAIN; MEDITATION; INJURIES; EFFICACY;

D O I：

10.1016/j.ctcp.2019.04.001

中图分类号：

R [医药、卫生];

学科分类号：

10 ;

摘要：

Background and purpose: This prospective observational study aimed to investigate the effects of an interdisciplinary multimodal integrated care program in patients with chronic migraine and/or tension-type headache. Materials and methods: Patients (n=158) underwent inpatient, outpatient and/or semi-stationary treatment including conventional as well as complementary headache treatment. Headache frequency was defined as the primary outcome; secondary outcomes included pain (VAS, PPS), medication use, quality of life (SF-36), function (HDI, PSFS), depression and anxiety (HADS), and pain self-efficacy (PSEQ). Results: Headache frequency decreased from 17.0 +/- 8.8 days/month at treatment start to 11.4 +/- 9.2 at treatment end and to 10.6 +/- 9.3 at 6-month follow-up (p < 0.001). All other outcome measures also improved across the course of the study (all p < 0.001). Conclusions: An integrated care approach based on integrative medicine improved headache symptoms and functioning in patients with chronic migraine and/or tension-type headache. Interdisciplinary multimodal treatment approaches seem to adequately address the specific treatment needs of headache patients.

引用

页码：1 / 6

页数：6

共 47 条

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