Cognitive-Behavioral Therapy: How Medical Providers Can Increase Patient and Family Openness and Access to Evidence-Based Multimodal Therapy for Pediatric Migraine.

Autor: Ernst MM; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.; Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA., O'Brien HL; Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.; Headache Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.; Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA., Powers SW; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.; Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.; Headache Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Jazyk: angličtina
Zdroj: Headache [Headache] 2015 Nov-Dec; Vol. 55 (10), pp. 1382-96. Date of Electronic Publication: 2015 Jul 21.
DOI: 10.1111/head.12605
Abstrakt: Although evidence supports the recommendation for cognitive-behavioral therapy (CBT) for pediatric migraine, few children actually receive this evidence-based intervention. In this article, we briefly review the most recent empirical evidence supporting CBT. We then identify both provider- and system-related barriers as well as patient-related barriers. Finally, we provide practical solutions to addressing these barriers in the service of facilitating children receiving optimal comprehensive management of their headaches.
(© 2015 American Headache Society.)
Databáze: MEDLINE
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