Psychologische Behandlungsverfahren bei Kopfschmerz

ZUSAMMENFASSUNG

In diesem Beitrag wird beschrieben, welche psychologischen Behandlungsverfahren in der Therapie von Kopfschmerzerkrankungen eingesetzt werden können. Technologische Entwicklungen in den letzten Jahrzehnten habe neue Möglichkeiten eröffnet, deren Potenzial es allerdings noch genauer auszuloten gilt. Die Idee moderner Kopfschmerztherapie ist nicht der isolierte Einsatz einzelner Verfahren, sondern eine möglichst gute, individuell auf den Patienten zugeschnittene Kombination verschiedener psychologischer Behandlungsverfahren mit anderen medikamentösen und nicht medikamentösen Verfahren. Um für jeden Kopfschmerzpatienten eine maßgeschneiderte Therapie zu ermöglichen, sollte ein interdisziplinäres Vorgehen das Ziel sein.

ABSTRACT

In this article psychological treatment options are described that can be in applied in today’s therapy of headache disorders. Technological developments of the last three decades have resulted in new possibilities; still, their potential needs to be investigated in more detail. The idea of modern headache therapy goes beyond the isolated use of individual procedures and includes the best possible combination of different psychological treatment options individually tailored to the patient, with other pharmacological and non-pharmacological treatments. Hence, an interdisciplinary therapy approach should be the goal in order to enable an individually tailored therapy for each headache patient.

Schlüsselwörter

Psychotherapie - Verhaltenstherapie - Kopfschmerzen

Key words

Psychotherapy - behavioral therapy - headache

• Literatur

• 1 Kropp P, Meyer B, Dresler T. et al [Relaxation techniques and behavioural therapy for the treatment of migraine : Guidelines from the German Migraine and Headache Society]. Schmerz 2017; 31 (05) 433-47
• 2 Diener H-C, Gaul C, Kropp P. et al Therapie der Migräneattacke und Prophylaxe der Migräne, S1-Leitlinie, 2018 [Therapy of migraine attacks and migraine prophylaxis]. In: DGN (Hrsg.) Leitlinien für Diagnostik und Therapie in der Neurologie 2018
• 3 Straube A, Brössner G, Diener H-C. et al Therapie des episodischen und chronischen Kopfschmerzes vom Spannungstyp und anderer chronischer täglicher Kopfschmerzen, S1-Leitlinie, 2015 [Treatment of episodic and chronic tension-type headache and other chronic daily headaches]. In: DGN (Hrsg.) Leitlinien für Diagnostik und Therapie in der Neurologie 2015
• 4 May A, Brössner G, Diener H-C. et al Clusterkopfschmerz und trigeminoautonome Kopfschmerzen, S1-Leitlinie, 2015 [Cluster headache and trigeminal autonomic headache]. In: DGN (Hrsg.) Leitlinien für Diagnostik und Therapie in der Neurologie 2015
• 5 Diener H-C, Gaul C, Kropp P. et al Kopfschmerz bei Übergebrauch von Schmerz- oder Migränemitteln (Medication Overuse Headache = MOH), S1-Leitlinie, 2018 [Headache due to overuse of analgesics and anti-migraine agents]. In: DGN (Hrsg.) Leitlinien für Diagnostik und Therapie in der Neurologie 2018
• 6 Penzien DB, Irby MB, Smitherman TA. et al Well-Established and Empirically Supported Behavioral Treatments for Migraine. Curr Pain Headache Rep 2015; 19 (07) 34
• 7 Sullivan A, Cousins S, Ridsdale L. Psychological interventions for migraine: a systematic review. J Neurol 2016; 263 (12) 2369-77
• 8 Lee HJ, Lee JH, Cho EY. et al Efficacy of psychological treatment for headache disorder: a systematic review and meta-analysis. J Headache Pain 2019; 20 (01) 17
• 9 Sharpe L, Dudeney J, Williams ACC. et al Psychological therapies for the prevention of migraine in adults. Cochrane Database Syst Rev 2019; 7: CD012295
• 10 Fisher E, Law E, Dudeney J. et al Psychological therapies for the management of chronic and recurrent pain in children and adolescents. Cochrane Database Syst Rev 2018; 9: CD003968
• 11 Nestoriuc Y, Rief W, Martin A. Meta-analysis of biofeedback for tension-type headache: efficacy, specificity, and treatment moderators. J Consult Clin Psychol 2008; 76 (03) 379-96
• 12 Evers S. Die Medizingeschichte der Migräne. migräne magazin 2011: 52
• 13 Koehler PJ, Boes CJ. A history of non-drug treatment in headache, particularly migraine. Brain 2010; 133 Pt 8 2489-500
• 14 Rapoport A, Edmeads J. Migraine: the evolution of our knowledge. Arch Neurol 2000; 57 (08) 1221-3
• 15 Villalon CM, Centurion D, Valdivia LF. et al An introduction to migraine: from ancient treatment to functional pharmacology and antimigraine therapy. Proc West Pharmacol Soc 2002; 45: 199-210
• 16 Stumm G. Geschichte, Paradigmen und Methoden der Psychotherapie. In Slunecko T. Hrsg Psychotherapie. Eine Einführung. Wien: facultas.wuv Universitätsverlag 2017: 33-90
• 17 Margraf J. Grundlagen – Hintergründe und Entwicklung. In Margraf J, Schneider S. Hrsg Lehrbuch der Verhaltenstherapie, Band 1 (4 Aufl). Berlin: Springer; 2018: 13-35
• 18 Gatchel RJ, Peng YB, Peters ML. et al The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull 2007; 133 (04) 581-624
• 19 Kropp P, Dresler T, Niederberger U. Psychosomatik der Kopfschmerzen. Psychotherapeut 2014; 59 (01) 57-71
• 20 Kropp P, Niederberger U.. Schmerz. In Brähler E, Strauß B. Hrsg Grundlagen der Medizinischen Psychologie – Medizinische Psychologie. Göttingen: Hogrefe; 2012
• 21 Meyer B, Keller A, Wohlbier HG. et al Progressive muscle relaxation reduces migraine frequency and normalizes amplitudes of contingent negative variation (CNV). J Headache Pain 2016; 17: 37
• 22 Andrasik F. What does the evidence show? Efficacy of behavioural treatments for recurrent headaches in adults. Neurol Sci 2007; 28 (Suppl. 02) S70-7
• 23 Fritsche G, Kroner-Herwig B, Kropp P. et al [Psychological therapy of migraine: systematic review]. Schmerz 2013; 27 (03) 263-74
• 24 Klan T, Liesering-Latta E, Gaul C. et al An Integrative Cognitive Behavioral Therapy Program for Adults With Migraine: A Feasibility Study. Headache 2019; 59 (05) 741-55
• 25 Andrasik F. The essence of biofeedback, relaxation and hypnosis – Psychosocial Aspects of Pain: A Handbook for Healthcare providers. Progress in Pain Research and Management. Seattle: IASP Press; 2004
• 26 Tracey I, Ploghaus A, Gati JS. et al Imaging attentional modulation of pain in the periaqueductal gray in humans. J Neurosci 2002; 22 (07) 2748-52
• 27 Borkovec TD, Costello E. Efficacy of applied relaxation and cognitive-behavioral therapy in the treatment of generalized anxiety disorder. J Consult Clin Psychol 1993; 61 (04) 611-9
• 28 Krampen G. Einführungskurse zum Autogenen Training: Ein Lehr- und Übungsbuch für die psychosoziale Praxis. Göttingen: Hogrefe; 1998
• 29 Woelm E. Anleitung zum Autogenen Training. In: Hypnos – Institut für Hypnosys-temische Lösungen. 2011: 11
• 30 Stetter F, Kupper S. Autogenic training: a meta-analysis of clinical outcome studies. Appl Psychophysiol Biofeedback 2002; 27 (01) 45-98
• 31 Seo E, Hong E, Choi J. et al Effectiveness of autogenic training on headache: A systematic review. Complement Ther Med 2018; 39: 62-7
• 32 Kang E-H, Ahn J-Y, Koo M-S. et al Biofeedback-assisted autogenic training for chronic tension-type headache in a Korean population. Journal of Korean Neuropsychiatric Association 2008; 47 (03) 247-53
• 33 Kang EH, Park JE, Chung CS. et al Effect of biofeedback-assisted autogenic training on headache activity and mood states in Korean female migraine patients. J Korean Med Sci 2009; 24 (05) 936-40
• 34 Pickering G, Creac’h C, Radat F. et al Autogenic training in patients treated for chronic headache: A randomised clinical trial. Journal of Pain Management 2012; 5 (02) 195-205
• 35 Bernstein DA, Borkovec TD. Progressive relaxation training: A manual for the helping professions. Champaign, IL, US: Research Press; 1973
• 36 Diezemann A. Entspannungsverfahren bei chronischem Schmerz [Relaxation techniques for chronic pain]. Schmerz 2011; 25 (04) 445-53
• 37 Maercker A, Krampen G. Entspannungsverfahren. In Margraf J, Schneider S. Hrsg Lehrbuch der Verhaltenstherapie, Band 1 (4 Aufl). Berlin: Springer; 2018: 395-401
• 38 Stück M, Rigotti T, Mohr G. Untersuchungen der Wirksamkeit eines Belastungsbewältigungstrainings für den Lehrberuf. Psychologie in Erziehung und Unterricht. 2004; 51: 236-45
• 39 Grawe K, Donati R, Bernauer F. Psychotherapie im Wandel. Von der Konfession zur Profession. Göttingen Hogrefe 1994
• 40 Benson H. The relaxtion response. New York: Avon; 1975
• 41 Meyer B, Niederberger U, Sorgenfrei V. et al Kopfschmerz unter (Selbst-)kontrolle [Headache and self-regulation]. MMW Fortschr Med 2017; 159 (02) 62-5
• 42 Kropp P, Gerber WD, Keinath-Specht A. et al Behavioral treatment in migraine. Cognitive-behavioral therapy and blood-volume-pulse biofeedback: a cross-over study with a two-year follow-up. Funct Neurol 1997; 12 (01) 17-24
• 43 Kropp P, Niederberger U.. Theoretische Konzepte und Wirkmechanismen. In Martin A, Rief W. Hrsg Wie wirksam ist Biofeedback?. Bern: Huber; 2008: 43-9
• 44 Wilken B. Methoden der kognitiven Umstrukturierung: Ein Leitfaden für die psychotherapeutische Praxis. Stuttgart: Kohlhammer Verlag; 2018
• 45 Basler HD. Psychologische Therapie bei Kopf-und Rückenschmerzen: Das Marburger Schmerzbewältigungsprogramm zur Gruppen-und Einzeltherapie. Köln: Quintessenz Verlag; 1998
• 46 Denecke H, Kröner-Herwig B. Kopfschmerz-Therapie mit Kindern und Jugendlichen: Ein Trainingsprogramm. Göttingen: Hogrefe; 2000
• 47 Richter M, Gruhl E, Lautenschlager E. et al [DreKiP – an outpatient treatment program for children and adolescents with headache]. Schmerz 2018; 32 (01) 17-29
• 48 Pellegrino ABW, Davis-Martin RE. et al Perceived triggers of primary headache disorders: A meta-analysis. Cephalalgia 2018; 38 (06) 1188-98
• 49 Martin PR. Behavioral management of migraine headache triggers: learning to cope with triggers. Curr Pain Headache Rep 2010; 14 (03) 221-7
• 50 Martin PR, MacLeod C. Behavioral management of headache triggers: Avoidance of triggers is an inadequate strategy. Clin Psychol Rev 2009; 29 (06) 483-95
• 51 Martin PR. How do trigger factors acquire the capacity to precipitate headaches?. Behav Res Ther 2001; 39 (05) 545-54
• 52 Martin PR, Lae L, Reece J. Stress as a trigger for headaches: relationship between exposure and sensitivity. Anxiety Stress Coping 2007; 20 (04) 393-407
• 53 Martin PR, Reece J, Forsyth M. Noise as a trigger for headaches: relationship between exposure and sensitivity. Headache 2006; 46 (06) 962-72
• 54 Martin PR, Reece J, Callan M. et al Behavioral management of the triggers of recurrent headache: a randomized controlled trial. Behav Res Ther 2014; 61: 1-11
• 55 Martin PR, Timmings HY. Effect of Headache Websites on Locus of Control and Self-efficacy of Readers. Aust Psychol 2017; 52 (01) 72-80
• 56 Klan T, Liesering-Latta E. Kognitiv-verhaltenstherapeutisches Migränemanagement (MIMA). Ein Behandlungsmanual zur Krankheitsbewältigung und Attackenprophylaxe bei Migräne Göttingen: Hogrefe; 2019
• 57 Hildebrandt J, Pfingsten M, Franz C. et al [Multidisciplinary treatment program for chronic low back pain, part 1. Overview]. Schmerz 1996; 10 (04) 190-203
• 58 Arnold B, Brinkschmidt T, Casser HR. et al [Multimodal pain therapy: principles and indications]. Schmerz 2009; 23 (02) 112-20
• 59 Scascighini L, Toma V, Dober-Spielmann S. et al Multidisciplinary treatment for chronic pain: a systematic review of interventions and outcomes. Rheumatology (Oxford) 2008; 47 (05) 670-8
• 60 Gaul C, Liesering-Latta E, Schafer B. et al Integrated multidisciplinary care of headache disorders: A narrative review. Cephalalgia 2016; 36 (12) 1181-91
• 61 Fritsche G, Gaul C. Multimodale Schmerztherapie bei chronischen Kopfschmerzen: Interdisziplinäre Behandlungskonzepte. Stuttgart: Georg Thieme Verlag; 2013
• 62 Gaul C, Visscher CM, Bhola R. et al Team players against headache: multidisciplinary treatment of primary headaches and medication overuse headache. J Headache Pain 2011; 12 (05) 511-9
• 63 Kindelan-Calvo P, Gil-Martinez A, Paris-Alemany A. et al Effectiveness of therapeutic patient education for adults with migraine. A systematic review and meta-analysis of randomized controlled trials. Pain Med 2014; 15 (09) 1619-36
• 64 Wallasch TM, Kropp P. Multidisciplinary integrated headache care: a prospective 12-month follow-up observational study. J Headache Pain 2012; 13 (07) 521-9
• 65 Caroli A, Klan T, Gaul C. et al Die Erfassung von Triggerempfindlichkeit und -vermeidung bei primären Kopfschmerzen: Entwicklung und psychometrische Erprobung einer deutschen Version des Headache Triggers Sensitivity and Avoidance Questionnaire (HTSAQ-G). Verhaltenstherapie 2019 Epub ahead
• 66 Graef JE, Rief W, French DJ, Nilges P, Nestoriuc Y. German Language Adaptation of the Headache Management Self-Efficacy Scale (HMSE-G) and Development of a New Short Form (HMSE-G-SF). Headache 2015; 55 (07) 958-72
• 67 Klan T, Bräscher A, Vales A. et al Measuring strain, disability and coping in Cluster Headache – construction and psychometric testing of a self-assessment questionnaire. in Vorbereitung.
• 68 Houle TT, Turner DP, Golding AN. et al Forecasting Individual Headache Attacks Using Perceived Stress: Development of a Multivariable Prediction Model for Persons With Episodic Migraine. Headache 2017; 57 (07) 1041-50
• 69 Meißner A. Wie Apps und Algorithmen zunehmend die Medizin bestimmen. NeuroTransmitter 2018; 29: 16-21
• 70 Dresler T, Klan T, Kraya T. et al Aktuelle Entwicklungen in der psychologischen Kopfschmerztherapie. NeuroTransmitter 2018; 29: 58-66
• 71 Stubberud A, Linde M. Digital Technology and Mobile Health in Behavioral Migraine Therapy: a Narrative Review. Curr Pain Headache Rep 2018; 22 (10) 66
• 72 Neeb L, Dresler T. Sollten Patienten Kopfschmerz-Apps verwenden?. Schmerzmedizin 2019; 35 (04) 10-1
• 73 Muller KI, Alstadhaug KB, Bekkelund SI. Acceptability, Feasibility, and Cost of Telemedicine for Nonacute Headaches: A Randomized Study Comparing Video and Traditional Consultations. J Med Internet Res 2016; 18 (05) e140
• 74 Zhu Q, Liu C, Holroyd KA. eds From a traditional behavioral management program to an m-health app: Lessons learned in developing m-health apps for existing health care programs., 2012 4th International Workshop on Software Engineering in Health Care (SEHC). 2012: 4-5 June 2012
• 75 Luxton DD, McCann RA, Bush NE. et al mHealth for mental health: Integrating smartphone technology in behavioral healthcare. US: American Psychological Association; 2011: 505-12
• 76 Andrasik F. Behavioral treatment of headaches: extending the reach. Neurol Sci 2012; 33 (Suppl. 01) S127-30
• 77 Drescher J, Wogenstein F, Gaul C. et al Distribution of migraine attacks over the days of the week: Preliminary results from a web-based questionnaire. Acta Neurol Scand 2019; 139 (04) 340-5
• 78 Kropp P, Meyer B, Meyer W. et al An update on behavioral treatments in migraine – current knowledge and future options. Expert Rev Neurother 2017; 17 (11) 1059-68
• 79 Mobile Medical Applications [Internet]. 2018 Available from: https://www.fda.gov/medical-devices/digital-health/mobile-medical-applications
• 80 Stone AA, Shiffman S, Schwartz JE. et al Patient compliance with paper and electronic diaries. Control Clin Trials 2003; 24 (02) 182-99
• 81 Seng EK, Prieto P, Boucher G. et al Anxiety, Incentives, and Adherence to Self-Monitoring on a Mobile Health Platform: A Naturalistic Longitudinal Cohort Study in People With Headache. Headache 2018; 58 (10) 1541-55
• 82 Burton C, Weller D, Sharpe M. Are electronic diaries useful for symptoms research? A systematic review. J Psychosom Res 2007; 62 (05) 553-61
• 83 Affleck G, Zautra A, Tennen H. et al Multilevel daily process designs for consulting and clinical psychology: a preface for the perplexed. J Consult Clin Psychol 1999; 67 (05) 746-54
• 84 Sorbi MJ, Mak SB, Houtveen JH. et al Mobile Web-based monitoring and coaching: feasibility in chronic migraine. J Med Internet Res 2007; 9 (05) e38
• 85 Lewandowski AS, Palermo TM. et al Comparing diary and retrospective reports of pain and activity restriction in children and adolescents with chronic pain conditions. Clin J Pain 2009; 25 (04) 299-306
• 86 Headache Classification Committee of the International Headache S. The International Classification of Headache Disorders, 3 rd edition (beta version). Cephalalgia 2013; 33 (09) 629-808
• 87 Dahlem MA, Roesch A, Neeb L. et al [What do migraine apps offer?]. MMW Fortschr Med 2018; 160 (02) 51-4
• 88 Minen MT, Adhikari S, Seng EK. et al Smartphone-based migraine behavioral therapy: a single-arm study with assessment of mental health predictors. NPJ Digit Med 2019; 2: 46
• 89 Minen MT, Torous J, Raynowska J. et al Electronic behavioral interventions for headache: a systematic review. J Headache Pain 2016; 17: 51
• 90 Stevens WJM, van der Sande R, Beijer LJ. et al eHealth Apps Replacing or Complementing Health Care Contacts: Scoping Review on Adverse Effects. J Med Internet Res 2019; 21 (03) e10736
• 91 Hundert AS, Huguet A, McGrath PJ. et al Commercially available mobile phone headache diary apps: a systematic review. JMIR Mhealth Uhealth 2014; 2 (03) e36
• 92 Mosadeghi-Nik M, Askari MS, Fatehi F. Mobile health (mHealth) for headache disorders: A review of the evidence base. J Telemed Telecare 2016; 22 (08) 472-7
• 93 Druce KL, McBeth J, van der Veer SN. et al Recruitment and Ongoing Engagement in a UK Smartphone Study Examining the Association Between Weather and Pain: Cohort Study. JMIR Mhealth Uhealth 2017; 5 (11) e168
• 94 Ebner H, Schreier G. Medication Adherence and Monitoring. In: Stegemann S, editor. Developing Drug Products in an Aging Society From Concept to Prescribing. Berlin: Springer; 2016: 659-74
• 95 Muller KI, Alstadhaug KB, Bekkelund SI. A randomized trial of telemedicine efficacy and safety for nonacute headaches. Neurology 2017; 89 (02) 153-62
• 96 Sorbi MJ, Balk Y, Kleiboer AM. et al Follow-up over 20 months confirms gains of online behavioural training in frequent episodic migraine. Cephalalgia 2017; 37 (03) 236-50
• 97 Fisher E, Law E, Dudeney J. et al Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents. Cochrane Database Syst Rev 2019; 4: CD011118
• 98 Scherer M, Zitterbart S, Mildenstein K. et al [What questions do headache patients pose in the internet? Content analysis of an internet expert forum]. Gesundheitswesen 2010; 72 (05) e28-32
• 99 Pagán J, Zapater M, Ayala JL. Power transmission and workload balancing policies in eHealth mobile cloud computing scenarios. Future Generation Computer Systems 2018; 78: 587-601
• 100 Shiri S, Feintuch U, Weiss N. et al A virtual reality system combined with biofeedback for treating pediatric chronic headache – a pilot study. Pain Med 2013; 14 (05) 621-7
• 101 Riva G. Virtual environments in clinical psychology. Psychotherapy Theory Research Practice Training 2013; 40 1-2 68-76
• 102 Lange B, Williams M, Fulton I. Virtual reality distraction during pediatric medical procedures. Pediatr Pain Lett 2006; 8 (01) 6-10
• 103 Kosinski M, Bayliss MS, Bjorner JB. et al A six-item short-form survey for measuring headache impact: The HIT-6™. Quality of Life Research 2003; 12: 963-74
• 104 Gandek B, Alacoque J, Uzun V. et al Translating the Short-Form Headache Impact Test (HIT-6) in 27 countries: Methodological and conceptual issues. Quality of Life Research 2003; 12: 975-9
• 105 Bauer B, Evers S, Gralow I. et al Psychosoziale Beeinträchtigung durch chronische Kopfschmerzen. Nervenarzt 1999; 70: 522-9
• 106 Agosti R, Chrubasik JE, Kohlmann T. Der MIDAS-Fragebogen. Ars Medici 2008; 16: 700-1