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Behavioral interventions for tension-type headache: Overview of current therapies and recommendation for a self-management model for chronic headache

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Abstract

Behavioral treatments (relaxation, biofeedback, cognitivebehavioral therapy) have been empirically validated for migraine and tension-type headaches, with recent metaanalyses yielding 37% to 50% reductions in tension-type headache, comparing favorably with 33% reduction from medication prophylaxis (amitriptyline). Research has moved toward increasing availability and cost effectiveness through alternative delivery formats and combining and comparing them with standard medications. Further modifications would make standard behavioral treatments available and conducive to primary care settings where most patients receive treatment. Beyond the current behavioral and drug treatments, we propose a fundamental shift in conceptualization and treatment for headache.

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Authors and Affiliations

  1. Head Pain Center, Department of Psychiatry and Human Behavior, University of Mississippi Medical Center, 2500 North State Street, 39216-4505, Jackson, MS, USA

    Donald B. Penzien PhD

Authors
  1. Donald B. Penzien PhD
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  2. Jeanetta C. Rains PhD
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  3. Gay L. Lipchik PhD
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  4. Thomas L. Creer PhD
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Penzien, D.B., Rains, J.C., Lipchik, G.L. et al. Behavioral interventions for tension-type headache: Overview of current therapies and recommendation for a self-management model for chronic headache. Current Science Inc 8, 489–499 (2004). https://doi.org/10.1007/s11916-004-0072-2

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