In particular, we examined:. The psychoeducational intervention effectiveness were evaluated comparing the data of frequency, disability and medication use gathered the month before the inception of treatment with those gathered the month after the intervention. The data were analyzed using a nonparametric test for paired data test of Wilcoxon rank sum , comparing those before intervention with those after. As improvement, we considered the change from prophylactic to symptomatic therapy or from symptomatic to no therapy Table 2.
Comparison of medication use, attacks frequency and disability before and after the treatment. Examining all the participants, the improvement pertained to Regarding headache frequency before the intervention, Headache frequency before and after the treatment. Before the intervention headache related disability was on average 2. Headache related disability before and after the treatment. Finally, the overall opinion expressed by the participants was very positive mean score 4. Despite the recommendation of daily exercising, patients performed relaxation exercises on average times a week Figure 3.
Scores are given on a 5-point Likert scale.
The proposed treatment was effective in reducing the headache frequency of These results are essentially consistent with those reported by Kindelan-Calvo et al. The improvement was unrelated to headache sub-types. Noteworthy, stress triggers attacks both in migraine and tension-type headache [ 29 ], even though their different pathophysiology. So, we can hypothesize that the influence of our intervention is on the amelioration of the negative influence of stress in triggering headache attacks.
In most situations, having less internal LOC ie, more external LOC negatively influences affective eg, increased dysphoric feelings , behavioral eg, less likely to use active coping , 55 — 57 and physiological eg, NE depletion and increased 5-HT sensitization 58 , 59 responses to an event. The role of GABA in anxiety disorders. Page 1 of 1 Start over Page 1 of 1. Sensory and affective predictors of overall pain and emotions associated with affective pain. A laboratory investigation of the influence of pain-related anxiety and fear. While other books on chronic headaches focus on migraines, Dr. Watkins L, Maier S.
The interruption of prophylaxis was decided by neurologists after the end of the intervention. We stress the importance of non-drug treatment for patients with chronic headache, in consideration of the risks of drug overuse, the worst impact on quality of life and psychopathological milieu of this kind of patients compared to episodic headache. Headache is a complex disabling condition, where biological factors interface with psychological ones. This is the reason why drug therapy may not be enough to ameliorate the burden of headache, and multidisciplinary interventions may allow dealing with the disorder from different points of view.
Patients evaluated very positively the intervention: Although almost all patients at the end of each meeting declared to feel an immediate benefit from relaxation, only few of them followed the recommendation of daily perform relaxation exercises at home. Since the explanation given was the difficulty with the autonomous management of relaxation, has been given to participants a recording of a relaxation session at the end of the treatment, in order to provide a support to their home practice.
Despite the obvious limitations of the study small sample size and lack of control group , the results are encouraging: Further directions should address the adoption of a randomized, double-blind design to test the efficacy of such intervention. For example, alexithymia a personality trait characterised by a reduced symbolic thought, restricted fantasy life, externally oriented cognitive thinking, difficulty in distinguishing feelings from bodily sensations and inadequacy in intuition and empathy , that has been recently associated with the occurrence of headache [ 30 ], could be a discriminant factor for proposing a patient for a cognitive-behavioral therapy.
Part II details the major forms of headaches—migraine, tension-type, cluster, secondary, and headaches in children. A clinical presentation introduces each type of headache, followed by the physiological and psychological underpinnings and their implications for assessing and treating patients. Part III serves as a clinical guide for practitioners. The book closes with an analysis of how well the treatments work, the mechanisms behind the efficacy, and guidelines for treatment matching.
A range of practical tools is incorporated. Clinical evaluation is reviewed in depth, including the interview, psychometrics, and psychophysiological assessment. Tables allow rapid look-up of the various disorders and their distinguishing characteristics; trigger point referral patterns; and the comparative merits of migraine medications.
Blank headache diaries, appropriate for various stages of treatment, serve as models. A relaxation exercise is provided, as are muscle tension and hand temperature norms. Key terms are defined in the extensive glossary to help psychologists and medical professionals share vocabulary. Medical, herbal, and behavioral therapies are discussed in terms of the underlying science. Chronic Headaches is intended for healthcare providers, pain specialists, psychologists, researchers, and clinicians who study headaches in a variety of disciplines.
It is comprehensive, scientifically rigorous, and skillfully written … biology and psychology are interwoven to provide a comprehensive and sophisticated history, overview, and analysis of the field. Written in a clear style, the book features topical and name indexes, a glossary, and an extensive reference list. Lower-level undergraduates and above in the health care field, especially practitioners. It succinctly discusses and analyses recent and historical research and integrates the findings […] Borkum covers all the major forms of chronic benign headache and concisely brings together the ever-expanding studies of psychology and medicine.
We provide complimentary e-inspection copies of primary textbooks to instructors considering our books for course adoption. Learn More about VitalSource Bookshelf. CPD consists of any educational activity which helps to maintain and develop knowledge, problem-solving, and technical skills with the aim to provide better health care through higher standards. It could be through conference attendance, group discussion or directed reading to name just a few examples. Tables allow rapid look-up of the various disorders and their distinguishing characteristics; trigger point referral patterns; and the comparative merits of migraine medications.
Blank headache diaries, appropriate for various stages of treatment, serve as models.
This is the first new book in many years to provide a comprehensive review of the latest theory, research, and treatment of chronic headaches from a. Editorial Reviews. Review. "[This] is the book I have been hoping would be written. Buy Chronic Headaches: Biology, Psychology, and Behavioral Treatment: Read 3 Kindle Store Reviews - www.farmersmarketmusic.com
A relaxation exercise is provided, as are muscle tension and hand temperature norms. Key terms are defined in the extensive glossary to help psychologists and medical professionals share vocabulary. Medical, herbal, and behavioral therapies are discussed in terms of the underlying science. Chronic Headaches is intended for healthcare providers, pain specialists, psychologists, researchers, and clinicians who study headaches in a variety of disciplines. Enter your mobile number or email address below and we'll send you a link to download the free Kindle App. Then you can start reading Kindle books on your smartphone, tablet, or computer - no Kindle device required.
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Written in a clear style, the book features topical and name indexes, a glossary, and an extensive reference list. Lower-level undergraduates and above in the health care field, especially practitioners. Part II details the major forms of headaches - migraine, tension-type, cluster, secondary, and headaches in children. Key sections of the International Headache Society diagnostic criteria serve as a "mini" diagnostic manual.
Readers will gain expertise in headaches and a clear sense of how to translate this knowledge into clinical practice. Read more Read less. Credit offered by NewDay Ltd, over 18s only, subject to status. See all free Kindle reading apps. Start reading Chronic Headaches on your Kindle in under a minute. Don't have a Kindle?