期刊
JOURNAL OF NEUROLOGY
卷 262, 期 12, 页码 2764-2772出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00415-015-7916-z
关键词
Migraine; Cognitive behavioural therapy; Relaxation; Headache
资金
- National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme [PB-PG-0610-22373]
- National Institute for Health Research (NIHR) Dementia Biomedical Research Unit at the South London and Maudsley NHS Foundation Trust and King's College London
- Guy's and St Thomas's charity [G020710]
- National Institute for Health Research [PB-PG-0610-22373] Funding Source: researchfish
- National Institutes of Health Research (NIHR) [PB-PG-0610-22373] Funding Source: National Institutes of Health Research (NIHR)
Headache is being viewed more commonly in a biopsychosocial framework, which introduces the possible utilisation of psychological treatment options, such as cognitive behavioural therapy and relaxation. No such treatments have been trialled in the UK. We conducted a randomised controlled pilot trial, comparing a brief guided self-help CBT and relaxation treatment with standard medical care (SMC), in a UK NHS setting. Participants were recruited from specialist headache clinics across London. Participants were randomised to receive either treatment or standard medical care. Our objective was to provide design information necessary for a future definitive trial of the SHE treatment, including, recruitment/retention rates, acceptability of randomisation, treatment fidelity and estimations of mean and variances of outcome measures. From the initial 275 patients identified, 73 were randomised. There was no difference in drop-out rates between SMC and treatment groups. Of the 36 participants randomised to receive treatment, 72 % attended all sessions. Findings show that a future definitive trial of the SHE treatment is feasible, with small modifications of protocol, within a UK NHS context.
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