Abstract：
OBJECTIVE: The US Headache Consortium developed evidence-based guidelines for the treatment of migraine and found grade A evidence in support of behavior therapy (BT). Understanding the mechanisms of BT may improve the management of migraine and reduce its burden.
METHODS: We performed a narrative review to define the current evidence of BT and determine its usefulness in migraine management.
RESULTS: The information was obtained from 116 publications, with 56 of them retrieved through direct searches in PubMed (2011-2020) and the remainder selected by the authors to complete the content. BT might reduce migraine impact by decreasing the sympathetic nervous system\'s response to stress and increasing pain tolerance. Acting in headache-related surroundings can be improved, together with headache duration and self-efficacy. Applications such as mobile health and electronic health applications can help to carry out healthier lifestyle patterns. Regarding medication overuse, BT seems to be a good choice, with similar results to pharmacological prophylaxis. Advantages of using BT are the lack of adverse effects and the unrestricted use in children, where BT is postulated to be even more effective than the standardized pharmacopeia.
CONCLUSIONS: BT is an interesting tool that can be used as an add-on therapy in migraine. Through BT, the autonomy and empowerment of migraine patients is enhanced. BT may not cure migraine, but it could help to reduce pain severity perception, disability, and migraine impact, adding an emotive and cognitive approach to the perceptive role of pharmacopeia. Thus, a better approach in migraine, implementing specific therapeutic management, can improve migraine control.
METHODS: We performed a narrative review to define the current evidence of BT and determine its usefulness in migraine management.
RESULTS: The information was obtained from 116 publications, with 56 of them retrieved through direct searches in PubMed (2011-2020) and the remainder selected by the authors to complete the content. BT might reduce migraine impact by decreasing the sympathetic nervous system\'s response to stress and increasing pain tolerance. Acting in headache-related surroundings can be improved, together with headache duration and self-efficacy. Applications such as mobile health and electronic health applications can help to carry out healthier lifestyle patterns. Regarding medication overuse, BT seems to be a good choice, with similar results to pharmacological prophylaxis. Advantages of using BT are the lack of adverse effects and the unrestricted use in children, where BT is postulated to be even more effective than the standardized pharmacopeia.
CONCLUSIONS: BT is an interesting tool that can be used as an add-on therapy in migraine. Through BT, the autonomy and empowerment of migraine patients is enhanced. BT may not cure migraine, but it could help to reduce pain severity perception, disability, and migraine impact, adding an emotive and cognitive approach to the perceptive role of pharmacopeia. Thus, a better approach in migraine, implementing specific therapeutic management, can improve migraine control.
摘要：
目的：美国头痛协会制定了基于证据的偏头痛治疗指南，并发现了支持行为疗法（BT）的A级证据。了解BT的机制可以改善偏头痛的管理并减轻其负担。
方法：我们进行了叙述性综述，以定义BT的当前证据并确定其在偏头痛管理中的有用性。
结果：信息来自116种出版物，其中56个是通过PubMed（2011-2020）的直接搜索检索到的，其余的是由作者选择来完成内容。BT可能通过减少交感神经系统对压力的反应和增加疼痛耐受性来减少偏头痛的影响。在与头痛相关的环境中行动可以得到改善，以及头痛持续时间和自我效能。移动健康和电子健康应用程序等应用程序可以帮助实施更健康的生活方式。关于药物过度使用，BT似乎是一个不错的选择，与药物预防相似的结果。使用BT的优点是没有不良影响，并且在儿童中不受限制地使用，其中BT被认为比标准化药典更有效。
结论：BT是一种有趣的工具，可用作偏头痛的附加疗法。通过BT,偏头痛患者的自主性和赋权得到增强。BT可能不能治愈偏头痛，但它可以帮助减轻疼痛的严重程度，残疾,和偏头痛的影响，在药典的感知作用中加入情感和认知方法。因此，一种更好的治疗偏头痛的方法，实施具体的治疗管理，可以改善偏头痛的控制。
方法：我们进行了叙述性综述，以定义BT的当前证据并确定其在偏头痛管理中的有用性。
结果：信息来自116种出版物，其中56个是通过PubMed（2011-2020）的直接搜索检索到的，其余的是由作者选择来完成内容。BT可能通过减少交感神经系统对压力的反应和增加疼痛耐受性来减少偏头痛的影响。在与头痛相关的环境中行动可以得到改善，以及头痛持续时间和自我效能。移动健康和电子健康应用程序等应用程序可以帮助实施更健康的生活方式。关于药物过度使用，BT似乎是一个不错的选择，与药物预防相似的结果。使用BT的优点是没有不良影响，并且在儿童中不受限制地使用，其中BT被认为比标准化药典更有效。
结论：BT是一种有趣的工具，可用作偏头痛的附加疗法。通过BT,偏头痛患者的自主性和赋权得到增强。BT可能不能治愈偏头痛，但它可以帮助减轻疼痛的严重程度，残疾,和偏头痛的影响，在药典的感知作用中加入情感和认知方法。因此，一种更好的治疗偏头痛的方法，实施具体的治疗管理，可以改善偏头痛的控制。
