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Neuropediatrics 2013; 44(01): 020-024
DOI: 10.1055/s-0032-1333434
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Headache in Children: Update on Biobehavioral Treatments

Peter Kropp
1   Institute of Medical Psychology and Medical Sociology, University Medicine, University of Rostock, Rostock, Germany
,
Bianca Meyer
1   Institute of Medical Psychology and Medical Sociology, University Medicine, University of Rostock, Rostock, Germany
,
Mirjam Landgraf
2   Department of Paediatric Neurology and Developmental Medicine, Hauner Children's Hospital, University of Munich, Munich, Germany
,
Ruth Ruscheweyh
3   Department of Neurology, University of Munich, Munich, Germany
,
Friedrich Ebinger
4   Department of Paediatrics, St Vincenz Hospital Paderborn, Paderborn, Germany
5   Zentrum für Kinder- und Jugendmedizin, Universitätsklinikum Heidelberg, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany
,
Andreas Straube
3   Department of Neurology, University of Munich, Munich, Germany
› Author Affiliations
Further Information

Publication History

01 October 2012

13 November 2012

Publication Date:
09 January 2013 (online)

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Abstract

Biobehavioral pain treatment consists of relaxation techniques, biofeedback treatment, operant pain treatment, pain coping, cognitive-behavioral treatment, and multimodal treatment. Especially in the treatment of pediatric headache, biobehavioral procedures have been found to be highly efficient and are widely accepted. They present similar effects as pharmaceutical treatments. In general, when standardized treatment programs are applied, the sessions are highly effective.

Keywords

pediatric headache - migraine - behavioral treatment - biofeedback - cognitive therapy
 

  • References

  • 1 Flor H, Birbaumer N. Verhaltensmedizinische Grundlagen. In: Zenz M, Jurna I, , eds. Lehrbuch der Schmerztherapie. 2nd edition. Stuttgart: Wissenschaftliche Verlagsgesellschaft; 2001: 197-208
    Google Scholar
  • 2 Gatchel RJ, Peng YB, Peters ML, Fuchs PN, Turk DC. The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull 2007; 133 (4) 581-624
    CrossrefPubMedGoogle Scholar
  • 3 Tölle TR, Berthele A. Das Schmerzgedächtnis. In: Zenz M, Jurna I, , eds. Lehrbuch der Schmerztherapie. 2nd edition. Stuttgart: Wissenschaftliche Verlagsgesellschaft; 2001: 89-108
    Google Scholar
  • 4 Denecke H, Kröner-Herwig B. Kopfschmerztherapie mit Kindern und Jugendlichen. Ein Trainingsprogramm. Göttingen: Hogrefe; 2000
    Google Scholar
  • 5 Basler HD, Franz C, Kröner-Herwig B, Rehfisch HP , eds. Psychologische Schmerztherapie. Berlin: Springer; 2004
    CrossrefGoogle Scholar
  • 6 Damen L, Bruijn J, Koes BW, Berger MY, Passchier J, Verhagen AP. Prophylactic treatment of migraine in children. Part 1. A systematic review of non-pharmacological trials. Cephalalgia 2006; 26 (4) 373-383
    CrossrefPubMedGoogle Scholar
  • 7 Straube A, May A, Kropp P , et al. Therapie primärer chronischer Kopfschmerzen: Chronische Migräne, chronischer Kopfschmerz vom Spannungstyp und andere chronische tägliche Kopfschmerzen [in German]. Schmerz 2008; 22 (5) 531-534, 536–540, 542–543
    CrossrefPubMedGoogle Scholar
  • 8 Bischoff C, Traue HC. Kopfschmerzen. Göttingen: Hogrefe; 2004
    Google Scholar
  • 9 Piazza F, Chiappedi M, Maffioletti E, Galli F, Balottin U. Medication overuse headache in school-aged children: more common than expected?. Headache 2012; 52 (10) 1506-1510
    CrossrefPubMedGoogle Scholar
  • 10 Long AC, Krishnamurthy V, Palermo TM. Sleep disturbances in school-age children with chronic pain. J Pediatr Psychol 2008; 33 (3) 258-268
    PubMedGoogle Scholar
  • 11 Termine C, Ozge A, Antonaci F, Natriashvili S, Guidetti V, Wöber-Bingöl C. Overview of diagnosis and management of paediatric headache. Part II. Therapeutic management. J Headache Pain 2011; 12 (1) 25-34
    CrossrefPubMedGoogle Scholar
  • 12 Varkey E, Cider A, Carlsson J, Linde M. Exercise as migraine prophylaxis: a randomized study using relaxation and topiramate as controls. Cephalalgia 2011; 31 (14) 1428-1438
    CrossrefPubMedGoogle Scholar
  • 13 Nestoriuc Y, Martin A. Efficacy of biofeedback for migraine: a meta-analysis. Pain 2007; 128 (1-2) 111-127
    CrossrefPubMedGoogle Scholar
  • 14 Silberstein SD, Rosenberg J. Multispecialty consensus on diagnosis and treatment of headache. Neurology 2000; 54: 1553
    CrossrefPubMedGoogle Scholar
  • 15 Kröner-Herwig B. Psychological treatments for pediatric headache. Exp Rev Neurother 2011; 11 (3) 403-410
    CrossrefPubMedGoogle Scholar
  • 16 Janssen K, Neutgens J. Autogenic training and progressive relaxation in the treatment of three kinds of headache. Behav Res Ther 1986; 24 (2) 199-208
    CrossrefPubMedGoogle Scholar
  • 17 Kropp P, Gerber WD. Slow cortical potentials in migraine. Predictive value and possible novel therapeutic strategies to prevent an attack. Funct Neurol 2005; 20 (4) 193-197
    PubMedGoogle Scholar
  • 18 Stankewitz A, May A. Cortical dysbalance in the brain in migraineurs—hyper excitability as the result of sensitisation? [in German]. Schmerz 2008; 22 (Suppl. 01) 17-21
    CrossrefPubMedGoogle Scholar
  • 19 Jacobs GD, Lubar JF. Spectral analysis of the central nervous system effects of the relaxation response elicited by autogenic training. Behav Med 1989; 15 (3) 125-132
    CrossrefPubMedGoogle Scholar
  • 20 Stokes DA, Lappin MS. Neurofeedback and biofeedback with 37 migraineurs: a clinical outcome study. Behav Brain Funct 2010; 6 (9) 9
    CrossrefPubMedGoogle Scholar
  • 21 Tracey I, Ploghaus A, Gati JS , et al. Imaging attentional modulation of pain in the periaqueductal gray in humans. J Neurosci 2002; 22 (7) 2748-2752
    Google Scholar
  • 22 Andrasik F. The essence of biofeedback, relaxation and hypnosis. In: Dworkin RH, Breitbard WS, , eds. Psychosocial Aspects of Pain: A Handbook for Healthcare Providers. Progress in Pain Research and Management. Volume 27. Seattle: IASP Press; 2004: 285-305
    Google Scholar
  • 23 Bernstein DA, Borkovec TD. Entspannungs-Training. Handbuch der Progressiven Muskelentspannung. München: Pfeiffer; 1975
    Google Scholar
  • 24 Seemann H, Franck G, Ochs M, Verres R, Schweitzer J. Chronifizierungsprävention primärer Kopfschmerzen bei Kindern und Jugendlichen—Evalutaion einer lösungsorientierten Gruppentherapie in der ambulanten Versorgung. Kindheit und Entwicklung 2002; 11 (3) 185-197
    CrossrefPubMedGoogle Scholar
  • 25 Kropp P, Ebinger F, Evers S. Wenn Kindern der Kopf wehtut—Rat und Hilfe bei Kopfschmerzen und Migräne. Stuttgart: Urania; 2008
    Google Scholar
  • 26 Olness K, Kohen DP. Lehrbuch der Kinderhypnose und –hypnotherapie. Heidelberg: Carl-Auer-Systeme Verlag; 2001
    Google Scholar
  • 27 Martin A, Rief W. Wie wirksam ist Biofeedback? Eine therapeutische Methode. Bern: Huber; 2009
    Google Scholar
  • 28 Kropp P, Niederberger U. Theoretische Konzepte und Wirkmechanismen. In: Martin A, Rief W, , eds. Wie wirksam ist Biofeedback? Eine therapeutische Methode. Bern: Huber; 2009
    Google Scholar
  • 29 Hermann C, Blanchard EB, Flor H. Biofeedback treatment for pediatric migraine: prediction of treatment outcome. J Consult Clin Psychol 1997; 65 (4) 611-616
    PubMedGoogle Scholar
  • 30 Trautmann E, Lackschewitz H, Kröner-Herwig B. Psychological treatment of recurrent headache in children and adolescents—a meta-analysis. Cephalalgia 2006; 26 (12) 1411-1426
    CrossrefPubMedGoogle Scholar
  • 31 Blume HK, Brockman LN, Breuner CC. Biofeedback therapy for pediatric headache: factors associated with response. Headache 2012; 52 (9) 1377-1386
    CrossrefPubMedGoogle Scholar
  • 32 Hermann C, Blanchard EB. Biofeedback in the treatment of headache and other childhood pain. Appl Psychophysiol Biofeedback 2002; 27 (2) 143-162
    CrossrefPubMedGoogle Scholar
  • 33 Penzien DB, Andrasik F, Freidenberg BM , et al. Guidelines for trials of behavioral treatments for recurrent headache, first edition: American Headache Society Behavioral Clinical Trials Workgroup. Headache 2005; 45 (Suppl. 02) 110-132
    CrossrefPubMedGoogle Scholar
  • 34 Palermo TM, Eccleston C, Lewandowski AS, Williams AC, Morley S. Randomized controlled trials of psychological therapies for management of chronic pain in children and adolescents: an updated meta-analytic review. Pain 2010; 148 (3) 387-397
    CrossrefPubMedGoogle Scholar
  • 35 Fordyce WE. Behavioral factors in pain. Neurosurg Clin North Am 1991; 2 (4) 749-759
    PubMedGoogle Scholar
  • 36 Fordyce WE. Pain and suffering: what is the unit?. Qual Life Res 1994; 3 (1) (Suppl. 01) S51-S56
    CrossrefPubMedGoogle Scholar
  • 37 Martin PR. Behavioral management of migraine headache triggers: learning to cope with triggers. Curr Pain Headache Rep 2010; 14 (3) 221-227
    CrossrefPubMedGoogle Scholar
  • 38 Darabaneanu S, Overath CH, Rubin D , et al. Aerobic exercise as a therapy option for migraine: a pilot study. Int J Sports Med 2011; 32 (6) 455-460
    Article in Thieme ConnectPubMedGoogle Scholar
  • 39 Turk DC, Rudy TE. Neglected topics in the treatment of chronic pain patients—relapse, noncompliance, and adherence enhancement. Pain 1991; 44 (1) 5-28
    CrossrefPubMedGoogle Scholar
  • 40 Turk DC. The role of psychological factors in chronic pain. Acta Anaesthesiol Scand 1999; 43 (9) 885-888
    CrossrefPubMedGoogle Scholar
  • 41 McCaffrey R, Zerwekh J, Keller K. Pain management: cognitive restructuring as a model for teaching nursing students. Nurse Educ 2005; 30 (5) 226-230
    CrossrefPubMedGoogle Scholar
  • 42 Holroyd KA, Andrasik F. A cognitive-behavioral approach to recurrent tension and migraine headache. In: Kendall PC, , ed. Advances in Cognitive-Behavioral Research and Therapy. Volume 1. New York: Academic Press; 1982: 275-320
    CrossrefGoogle Scholar
  • 43 Fernandez E, Boyle GJ. Affective and evaluative descriptors of pain in the McGill pain questionnaire: reduction and reorganization. J Pain 2002; 3 (1) 70-77
    PubMedGoogle Scholar
  • 44 Kröner-Herwig B, Morris L, Heinrich M, Gassmann J, Vath N. Agreement of parents and children on characteristics of pediatric headache, other pains, somatic symptoms, and depressive symptoms in an epidemiologic study. Clin J Pain 2009; 25 (1) 58-64
    CrossrefPubMedGoogle Scholar
  • 45 Vannatta K, Getzoff EA, Powers SW, Noll RB, Gerhardt CA, Hershey AD. Multiple perspectives on the psychological functioning of children with and without migraine. Headache 2008; 48 (7) 994-1004
    CrossrefPubMedGoogle Scholar
  • 46 Gerber WD, Petermann F, Gerber-von Müller G , et al. MIPAS-Family-evaluation of a new multi-modal behavioral training program for pediatric headaches: clinical effects and the impact on quality of life. J Headache Pain 2010; 11 (3) 215-225
    CrossrefPubMedGoogle Scholar
  • 47 Smith TR, Nicholson RA, Banks JW. Migraine education improves quality of life in a primary care setting. Headache 2010; 50 (4) 600-612
    CrossrefPubMedGoogle Scholar
  • 48 Sieberg CB, Huguet A, von Baeyer CL, Seshia S. Psychological interventions for headache in children and adolescents. Can J Neurol Sci 2012; 39 (1) 26-34
    PubMedGoogle Scholar
  • 49 Gerber WD, Miltner W, Birbaumer N, Haag G. Konkordanztherapie. München: Röttger; 1989
    Google Scholar
  • 50 Basler HD. Chronische Kopf- und Rückenschmerzen. Psychologisches Trainingsprogramm. Trainerhandbuch und Therapiematerialien. Göttingen, Germany: Vandenhoeck & Ruprecht; 2001
    Google Scholar
  • 51 Hermann C, Kim M, Blanchard EB. Behavioral and prophylactic pharmacological intervention studies of pediatric migraine: an exploratory meta-analysis. Pain 1995; 60 (3) 239-255
    CrossrefPubMedGoogle Scholar
  • 52 Eccleston C, Morley S, Williams A, Yorke L, Mastroyannopoulou K. Systematic review of randomised controlled trials of psychological therapy for chronic pain in children and adolescents, with a subset meta-analysis of pain relief. Pain 2002; 99 (1-2) 157-165
    CrossrefPubMedGoogle Scholar
  • 53 Grazzi L, Andrasik F, D'Amico D , et al. Behavioral and pharmacologic treatment of transformed migraine with analgesic overuse: outcome at 3 years. Headache 2002; 42 (6) 483-490
    CrossrefPubMedGoogle Scholar
  • 54 Kroener-Herwig B, Denecke H. Cognitive-behavioral therapy of pediatric headache: are there differences in efficacy between a therapist-administered group training and a self-help format?. J Psychosom Res 2002; 53 (6) 1107-1114
    CrossrefPubMedGoogle Scholar
  • 55 Andrasik F. Behavioral management of migraine. Biomed Pharmacother 1996; 50 (2) 52-57
    CrossrefPubMedGoogle Scholar