Journal of Pediatric Psychiatry, Vol 24, 91-109, Copyright © 1999 by Society of Pediatric Psychology
EW Holden, MM Deichmann and JD Levy
OBJECTIVE: To review the empirical research examining behavioral treatments
for recurrent pediatric headache. METHODS: Thirty-one investigations
published after 1980 were reviewed using predetermined criteria to evaluate
the adequacy of research methodologies. A modification of criteria proposed
for evaluating the efficacy of psychological interventions for adults (Task
Force on Promotion and Dissemination of Psychological Procedures, 1995) was
used to evaluate the adequacy of evidence available for individual
intervention strategies. RESULTS: Sufficient evidence exists to conclude
that relaxation/self-hypnosis is a well-established and efficacious
treatment for recurrent headache. Furthermore, enough evidence exists to
conclude that thermal biofeedback alone is a probably efficacious
treatment. Other promising interventions have been tested that combine
relaxation and biofeedback or integrate other cognitive-behavioral
treatment approaches, but are limited by inadequate research methodologies.
CONCLUSIONS: We discuss the importance of developmentally based conceptual
models and the impact of diagnostic heterogeneity and offer specific
recommendations for future intervention research in the area of recurrent
pediatric headache.
ARTICLE
Empirically supported treatments in pediatric psychology: recurrent pediatric headache
University of Maryland School of Medicine, USA. wholden@macroint.com
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