The first studies on psychological treatment of pediatric headache appeared about 10 years ago; most of them were published in Anglo-American journals. This review focuses on relaxation training and biofeedback (EMG and hand temperature feedback) as the psychological interventions most often used in pediatric migraine and tension headaches. The results of randomized group studies, which were mostly well-controlled, on the efficacy of relaxation therapy (n=12) now allow a rather optimistic prognosis on the feasibility of this intervention. Most studies demonstrate clinically relevant reductions of headache frequency after training. Biofeedback studies are methodologically less well controlled and although positive effects have been observed, e.g., in single case studies, the relative usefulness of biofeedback has yet to be determined. Deficits in research on the psychological treatment of headache in children and adolescents are described, new research issues are discussed and recommendations for more systematic research are given.

译文

关于小儿头痛的心理治疗的第一项研究出现在大约10年前; 其中大多数发表在英美期刊上。本文的重点是放松训练和生物反馈 (EMG和手部温度反馈),这是最常用于小儿偏头痛和紧张性头痛的心理干预措施。关于放松疗法的疗效 (n = 12) 的随机分组研究的结果 (大多数控制良好) 现在可以对这种干预的可行性做出相当乐观的预后。大多数研究表明,训练后头痛频率的临床相关降低。生物反馈研究在方法上控制得不太好,尽管已经观察到积极的影响,例如,在单个案例研究中,生物反馈的相对有用性尚未确定。描述了儿童和青少年头痛心理治疗研究的不足,讨论了新的研究问题,并提出了更系统研究的建议。

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