Behavioral and psychologic aspects of the pathophysiology and management of tension-type headache.

被引：18
作者：
Holroyd K.A. [1 ]
机构：
[1] Department of Psychology, Ohio University, 200 Porter Hall, Athens, 45701-2979, OH
来源：
Current Pain and Headache Reports | 2002年 / 6卷 / 5期
关键词：
Comorbid Psychiatric Disorder; Tension Headache; Biofeedback Training; Exteroceptive Suppression; Pericranial Muscle Tenderness;
D O I：
10.1007/s11916-002-0083-9
中图分类号：
学科分类号：
摘要：
Behavioral and psychologic factors in tension-type headache are reviewed with reference to pathophysiology, comorbid psychiatric disorders, headache triggers, and behavioral treatment, including the efficacy of behavioral treatments, brief minimal contact administration of behavioral treatment, therapeutic mechanisms underlying the effectiveness of behavioral treatments, and the integration of drug and behavioral treatments. Anxiety or depression may contribute to central sensitization that underlies frequent tension-type headaches. Excessive analgesic use, comorbid psychiatric disorders, or persistent unaddressed headache triggers may limit the effectiveness of headache treatment. Available drug and behavioral treatments are effective for episodic tension-type headache, but are only moderately effective for chronic tension-type headaches. The combination of behavioral and preventive drug therapies may improve outcomes for patients with chronic tension-type headache.
引用
收藏
页码：401 / 407
页数：6
相关论文
共 101 条
[1]  
Holroyd K(2000)Psychosocial correlates and impact of chronic tension-type headaches Headache 40 3-16
[2]  
Stensland M(2000)Central sensitization in tension-type headachepossible pathophysiologic mechanisms Cephalalgia 20 486-508
[3]  
Lipchik G(1993)Exteroceptive suppression of temporalis muscle activity in patients with chronic headache and in normal volunteers: Methodology, clinical, and pathophysiologic relevance Headache 33 3-17
[4]  
Bendtsen L(1996)Central and peripheral mechanisms in chronic tension-type headache Pain 64 467-475
[5]  
Schoenen J(1997)Pericranial muscle tenderness and exteroceptive suppression of temporalis muscle activity: a blind study of chronic tension-type headache Headache 37 368-376
[6]  
Lipchik GL(2000)Exteroceptive suppression periods and pericranial muscle tenderness in chronic tension-type headache: effects of psychopathology, chronicity, and disability Cephalalgia 20 638-646
[7]  
Holroyd KA(1995)Exteroceptive suppression of temporal muscle activity is normal in chronic tension-type headache and not related to actual headache state Cephalalgia 16 251-256
[8]  
France CR(1987)Pericranial tenderness in tension headache: a blind, controlled study Cephalgia 7 249-255
[9]  
Lipchik GL(1993)Muscle tenderness and pressure pain thresholds in headache: a population study Pain 52 193-199
[10]  
Holroyd KH(1996)Qualitatively altered nociception in chronic myofascial pain Pain 65 259-264
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