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Psychological Interventions for Headache in Children and Adolescents

Published online by Cambridge University Press:  02 December 2014

Christine B. Sieberg ,
Anna Huguet ,
Carl L. von Baeyer  and
Shashi S. Seshia
Christine B. Sieberg
Affiliation:
Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, and Department of Psychiatry, Harvard Medical School, Boston, MA, USA
Anna Huguet
Affiliation:
IWK Health Centre, Halifax, Nova Scotia
Carl L. von Baeyer*
Affiliation:
Department of Psychology and Pediatrics, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
Shashi S. Seshia
Affiliation:
Division of Pediatric Neurology, Department of Pediatrics, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
*
Department of Psychology, University of Saskatchewan, 9 Campus Drive, Saskatoon, Saskatchewan, S7N 5A5, Canada. Email: carl.vonbaeyer@usask.ca.
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Abstract

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Headache in children and adolescents represents a number of complex and multifaceted pain syndromes that can benefit from psychological intervention. There is good evidence for the efficacy of cognitive behavioral therapy, relaxation training, and biofeedback. The choice of intervention is influenced by patients' age, sex, family and cultural background, as well as by the nature of stressors and comorbid psychiatric symptoms. Management must always be family-centered. Psychological treatments are essential elements in the multidisciplinary, biopsychosocial management of primary headache disorders, particularly for those with frequent or chronic headache, a high level of headache-related disability, medication overuse, or comorbid psychiatric symptoms. Future studies of efficacy and effectiveness of psychological treatment should use the International Headache Society's definition and classification of headache disorders, and stratify results by headache type, associated conditions, and treatment modality.

Type
Review Article
Information
Canadian Journal of Neurological Sciences , Volume 39 , Issue 1 , January 2012 , pp. 26 - 34
Copyright
Copyright © The Canadian Journal of Neurological 2012

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