Abstract
Headache disorders are common in children and adolescents. Most of the studies on non-pharmacological treatments have however been carried out on adults. In this review we provide information on recent studies examining non-pharmacological approaches for managing headache in children and adolescents. Our search of SCOPUS for primary studies conducted between January 2010 and July 2018 uncovered 11 controlled studies, mostly addressing behavioral approaches, in which a total of 613 patients with a diagnosis of primary headache, and average age 10.2-15.7 years (30-89% females) were recruited. Non-pharmacological treatments were shown to produce sizeable effects on the classical primary endpoint, i.e., headache frequency, with reductions from baseline ranging between 34 and 78%. Among commonly reported secondary endpoints, particularly disability, quality of life, depression and anxiety, marked improvements were noted as well. Taken as a whole, our findings suggest that non-pharmacological treatments constitute a valid option for the prevention of primary headaches in young age. Future research with higher-quality studies is needed. Particular attention needs to be given to studies that randomize patients to condition, blind researchers in charge of evaluating treatment outcomes, routinely include headache frequency as the primary endpoint, include adequate-length follow-up, address changes in biomarkers of disease and other possible mediators of outcome, and that employ predictive models to enhance the level of evidence for these approaches.
| Original language | English |
|---|---|
| Article number | 01009 |
| Journal | Frontiers in Neurology |
| Volume | 9 |
| Issue number | NOV |
| DOIs | |
| Publication status | Published - Nov 27 2018 |
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Keywords
- Biofeedback
- Cognitive-behavioral therapy
- Depression
- Disability
- Migraine
- Mindfulness
- Tension-type headache
- Transcranial magnetic stimulation
ASJC Scopus subject areas
- Neurology
- Clinical Neurology
Cite this
Non -pharmacological approaches for headaches in young age : An updated review. / Andrasik, Frank; Grazzi, Licia; Sansone, Emanuela; D'Amico, Domenico; Raggi, Alberto; Grignani, Eleonora.
In: Frontiers in Neurology, Vol. 9, No. NOV, 01009, 27.11.2018.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Non -pharmacological approaches for headaches in young age
T2 - An updated review
AU - Andrasik, Frank
AU - Grazzi, Licia
AU - Sansone, Emanuela
AU - D'Amico, Domenico
AU - Raggi, Alberto
AU - Grignani, Eleonora
PY - 2018/11/27
Y1 - 2018/11/27
N2 - Headache disorders are common in children and adolescents. Most of the studies on non-pharmacological treatments have however been carried out on adults. In this review we provide information on recent studies examining non-pharmacological approaches for managing headache in children and adolescents. Our search of SCOPUS for primary studies conducted between January 2010 and July 2018 uncovered 11 controlled studies, mostly addressing behavioral approaches, in which a total of 613 patients with a diagnosis of primary headache, and average age 10.2-15.7 years (30-89% females) were recruited. Non-pharmacological treatments were shown to produce sizeable effects on the classical primary endpoint, i.e., headache frequency, with reductions from baseline ranging between 34 and 78%. Among commonly reported secondary endpoints, particularly disability, quality of life, depression and anxiety, marked improvements were noted as well. Taken as a whole, our findings suggest that non-pharmacological treatments constitute a valid option for the prevention of primary headaches in young age. Future research with higher-quality studies is needed. Particular attention needs to be given to studies that randomize patients to condition, blind researchers in charge of evaluating treatment outcomes, routinely include headache frequency as the primary endpoint, include adequate-length follow-up, address changes in biomarkers of disease and other possible mediators of outcome, and that employ predictive models to enhance the level of evidence for these approaches.
AB - Headache disorders are common in children and adolescents. Most of the studies on non-pharmacological treatments have however been carried out on adults. In this review we provide information on recent studies examining non-pharmacological approaches for managing headache in children and adolescents. Our search of SCOPUS for primary studies conducted between January 2010 and July 2018 uncovered 11 controlled studies, mostly addressing behavioral approaches, in which a total of 613 patients with a diagnosis of primary headache, and average age 10.2-15.7 years (30-89% females) were recruited. Non-pharmacological treatments were shown to produce sizeable effects on the classical primary endpoint, i.e., headache frequency, with reductions from baseline ranging between 34 and 78%. Among commonly reported secondary endpoints, particularly disability, quality of life, depression and anxiety, marked improvements were noted as well. Taken as a whole, our findings suggest that non-pharmacological treatments constitute a valid option for the prevention of primary headaches in young age. Future research with higher-quality studies is needed. Particular attention needs to be given to studies that randomize patients to condition, blind researchers in charge of evaluating treatment outcomes, routinely include headache frequency as the primary endpoint, include adequate-length follow-up, address changes in biomarkers of disease and other possible mediators of outcome, and that employ predictive models to enhance the level of evidence for these approaches.
KW - Biofeedback
KW - Cognitive-behavioral therapy
KW - Depression
KW - Disability
KW - Migraine
KW - Mindfulness
KW - Tension-type headache
KW - Transcranial magnetic stimulation
UR - http://www.scopus.com/inward/record.url?scp=85057818782&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85057818782&partnerID=8YFLogxK
U2 - 10.3389/fneur.2018.01009
DO - 10.3389/fneur.2018.01009
M3 - Review article
AN - SCOPUS:85057818782
VL - 9
JO - Frontiers in Neurology
JF - Frontiers in Neurology
SN - 1664-2295
IS - NOV
M1 - 01009
ER -