| Literature DB >> 2071723 |
K A Holroyd1, J M Nash, J D Pingel, G E Cordingley, A Jerome.
Abstract
Forty-one recurrent tension headache sufferers were randomly assigned to either cognitive-behavioral therapy (administered in a primarily home-based treatment protocol) or to amitriptyline therapy (with dosage individualized at 25, 50, or 75 mg/day). Cognitive-behavioral therapy and amitriptyline each yielded clinically significant improvements in headache activity, both when improvement was assessed with patient daily recordings (56% and 27% reduction in headache index, respectively), and when improvement was assessed with neurologist ratings of clinical improvement (94% and 69% of patients rated at least moderately improved, respectively). In instances where differences in treatment effectiveness were observed (headache index, somatic complaints, perceptions of control of headache activity), cognitive-behavioral therapy yielded somewhat more positive outcomes than did amitriptyline. Neither treatment, however, eliminated headache problems.Entities:
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Year: 1991 PMID： 2071723 DOI： 10.1037//0022-006x.59.3.387
Source DB: PubMed Journal: J Consult Clin Psychol ISSN： 0022-006X