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Behavioral management of migraine headache triggers: learning to cope with triggers.

机译:偏头痛头痛诱因的行为管理:学会应对诱因。

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摘要

The literature on migraine triggers is reviewed, including the most common triggers, interactions between triggers, the research evidence related to the capacity of self-reported triggers to precipitate headaches, and the neurobiologic pathways by which triggers induce migraine attacks. An argument is developed against the standard advice to avoid migraine triggers as the best way of preventing attacks, based on conceptual and practical criticisms, and consideration of cognate literatures on chronic pain, stress, and anxiety. A small number of studies suggest that exposure to headache triggers has the same effect as exposure to anxiety-eliciting stimuli, with short exposure associated with increased pain response and prolonged exposure associated with decreased pain response. On the basis of this literature, "learning to cope with triggers" is advocated, where controlled exposure and approach/confront strategies are used to manage migraine triggers, except in cases where such an approach would probably be inappropriate.
机译:本文对偏头痛触发因素的文献进行了综述,包括最常见的触发因素,触发因素之间的相互作用,与自我报告的触发因素引起头痛的能力有关的研究证据以及触发偏头痛发作的神经生物学途径。基于概念和实践的批评,以及关于慢性疼痛,压力和焦虑的同类文献的考虑,反对标准建议的观点被认为是避免偏头痛触发作为预防发作的最佳方法。少数研究表明,暴露于头痛的诱因与暴露于引起焦虑的刺激具有相同的作用,短暂暴露与疼痛反应增加有关,而长期暴露与疼痛反应减少有关。根据该文献,提倡“学习应对诱因”,在这种情况下,应采用控制暴露和进近/对抗策略来控制偏头痛的诱因,除非这种方法可能不合适。

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