Smitherman / Penzien / Houle Headache

1. Auflage 2015
ISBN: 978-1-61334-328-9
Verlag: Hogrefe Publishing
Format: EPUB
Kopierschutz: 6 - ePub Watermark

E-Book, Englisch, 127 Seiten

Reihe: Advances in Psychotherapy - Evidence-Based Practice

The conceptualization, assessment, and evidence-based behavioral treatment of migraine and headache – how to ensure optimal outcomes with two of the most common medical conditions in the world.
This book describes the conceptualization, assessment, and evidence-based behavioral treatment of migraine and tension-type headache – two of the world’s most common medical conditions, and also frequent, highly disabling comorbidities among psychiatric patients.
Headache disorders at their core are neurobiological phenomena, but numerous behavioral factors play an integral role in their onset and maintenance – and many providers are unfamiliar with how to work effectively with these patients to ensure optimal outcomes.
This book, the first major work on behavioral treatment of headache in over 20 years, provides much-needed help: An overview of relevant psychological factors and the behavioral conceptualization of headache is followed by a step-by-step, manual-type guide to implementing behavioral interventions within clinical practice settings. Mental health practitioners and trainees and other healthcare professionals who want to improve their headache patients’ outcomes by supplementing routine medical treatment with empirically supported behavioral strategies will find this book invaluable.
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Autoren/Hrsg.

Smitherman, Todd A.

Smitherman, Todd

Penzien, Donald B.

Houle, Timothy T.

Rains, Jeanetta C.

Nicholson, Robert A

Fachgebiete

• Sozialwissenschaften Psychologie Psychotherapie / Klinische Psychologie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizinische Fachgebiete Psychiatrie, Sozialpsychiatrie, Suchttherapie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Allgemeinmedizin, Familienmedizin

Leseproben

[1]1 Description 1.1 Terminology Criteria for the diagnosis of headache disorders are outlined in the third edition of the International Classification of Headache Disorders (ICHD-3; Headache Classification Committee of the International Headache Society, 2013). Migraine without aura (ICHD-3 1.1; International Classification of Diseases, 10th ed. [ICD-10] G43.0) was known previously as common migraine. Migraine with aura (ICHD-3 1.2, ICD-10 G43.1) was known previously as classic or classical migraine. Tension-type headache (TTH; ICHD-3 2.1–2.4, ICD-10 G44.2) has in the past been termed muscle contraction headache, stress headache, and ordinary headache. These “primary” headache disorders represent the most common headache conditions that are not directly attributable to secondary abnormalities. Chronic headache occurs on 15 or more days per month The term episodic is applied to most migraine (episodic migraine [EM]) and TTH (episodic tension-type headache [ETTH]) diagnoses and formally refers to headache attacks that occur fewer than 15 days per month. In rare cases in which patients report experiencing attacks on 15 or more days per month, a diagnosis of either chronic migraine (CM; ICHD-3 1.3, ICD-10 G43.3) or chronic TTH (CTTH; ICHD-3 2.3, ICD-10 G44.2) is warranted, depending upon which headache type is predominant. The term chronic is somewhat of a misnomer – although a history of over 3 months is required for a diagnosis of CM or CTTH, chronic headache disorders are those in which attacks occur with high frequency (= 15 days/month). 1.2 Definition Migraine is severe, one-sided, throbbing head pain with nausea and/or sensitivity to light and sound Migraine aura is usually visual in nature Migraine is classified in the ICHD-3 as a neurological disorder characterized by recurrent headache attacks lasting hours or sometimes days (4–72 hr if untreated); its prototypical feature is severe head pain that is distributed unilaterally (on one side of the head), has a pulsating/throbbing quality, and interferes with usual activities. Migraine must also be accompanied by (1) nausea, (2) vomiting, or (3) sensitivity to both light (photophobia) and sound (phonophobia) (see Table 1). A significant minority of migraine patients experience aura symptoms, or temporary alterations in vision, sensation, or speech that typically precede but may occur simultaneously with the onset of[2] headache. Most commonly, migraine aura is experienced as a slowly evolving but temporary visual distortion (e.g., seeing lights, spots, zigzag lines) that lasts less than an hour and is followed quickly by onset of headache and other migraine symptoms. Migraine attacks in children are often of shorter duration than in adults (commonly < 4 hr), and the pain is often distributed bilaterally. Table 1
Diagnostic Criteria for Migraine Migraine without aura A. At least 5 attacks fulfilling all criteria B–D B. Headache attacks lasting 4–72 hours (untreated or unsuccessfully treated) C. Headache has at least two of the following characteristics:   1. Unilateral location   2. Pulsating quality   3. Moderate or severe pain intensity   4. Aggravation by or causing avoidance of routine physical activity (e.g., walking or climbing stairs) D. During headache at least one of the following:   1. Nausea and/or vomiting   2. Photophobia and phonophobia E. Not better accounted for by another ICHD-3 diagnosis Migraine with aura A. At least 2 attacks fulfilling all criteria B and C B. One or more of the following fully reversible aura symptoms:   1. visual   2. sensory   3. speech and/or language   4. motor   5. brainstem   6. retinal C. At least two of the following four characteristics:   1. At least one aura symptom spreads gradually over = 5 min, and/or two or more symptoms occur in succession   2. Each individual aura symptom lasts 5–60 min   3. At least one aura symptom is unilaterala   4. The aura is accompanied, or followed within 60 min, by headache D. Not better accounted for by another ICHD-3 diagnosis, and transient ischemic attack has been excluded Note. aAphasia is always regarded a unilateral symptom. Excerpted from the ICHD-3 beta diagnostic criteria for migraine without aura (Code 1.1) and migraine with aura (Code 1.2): Headache Classification Committee of the International Headache Society. (2013). The International...