Daniel Vekhter1, Matthew S Robbins2, Mia Minen3, Dawn C Buse4. 1. Department of Neurology, Hackensack Meridian School of Medicine at Seton Hall University, Hackensack, NJ, USA. 2. Department of Neurology, Weill Cornell Medicine, New York, NY, USA. 3. NYU Langone Department of Neurology, New York, NY, USA. MinenMD@gmail.com. 4. Department of Neurology, Albert Einstein College of Medicine, New York, NY, USA.
Abstract
PURPOSE OF REVIEW: This narrative review examines the use of behavioral interventions for acute treatment of headache and pain in the emergency department (ED)/urgent care (UC) and inpatient settings. RECENT FINDINGS: Behavioral interventions demonstrate reductions of pain and associated disability in headache, migraine, and other conditions in the outpatient setting. Behavioral treatments may be a useful addition for patients presenting with acute pain to hospitals and emergency departments. We review challenges and limitations and offer suggestions for implementation of behavioral interventions in the acute setting. Some evidence exists for relaxation-based treatments, mindfulness-based treatments, hypnosis/self-hypnosis, and immersive virtual reality for acute pain, migraine, and headache. There are few high-quality studies on behavioral treatments in the inpatient and emergency department settings. Further research is warranted to determine the efficacy and cost-effectiveness of these interventions. Given the general safety and cost-effectiveness of behavioral interventions, healthcare professionals may want to include these therapies in treatment plans.
PURPOSE OF REVIEW: This narrative review examines the use of behavioral interventions for acute treatment of headache and pain in the emergency department (ED)/urgent care (UC) and inpatient settings. RECENT FINDINGS: Behavioral interventions demonstrate reductions of pain and associated disability in headache, migraine, and other conditions in the outpatient setting. Behavioral treatments may be a useful addition for patients presenting with acute pain to hospitals and emergency departments. We review challenges and limitations and offer suggestions for implementation of behavioral interventions in the acute setting. Some evidence exists for relaxation-based treatments, mindfulness-based treatments, hypnosis/self-hypnosis, and immersive virtual reality for acute pain, migraine, and headache. There are few high-quality studies on behavioral treatments in the inpatient and emergency department settings. Further research is warranted to determine the efficacy and cost-effectiveness of these interventions. Given the general safety and cost-effectiveness of behavioral interventions, healthcare professionals may want to include these therapies in treatment plans.
Authors: Elizabeth K Seng; Alexandra B Singer; Christopher Metts; Amy S Grinberg; Zarine S Patel; Maya Marzouk; Lauren Rosenberg; Melissa Day; Mia T Minen; Richard B Lipton; Dawn C Buse Journal: Headache Date: 2019-09-26 Impact factor: 5.887
Authors: Eric L Garland; Anne K Baker; Paula Larsen; Michael R Riquino; Sarah E Priddy; Elizabeth Thomas; Adam W Hanley; Patricia Galbraith; Nathan Wanner; Yoshio Nakamura Journal: J Gen Intern Med Date: 2017-07-12 Impact factor: 5.128
Authors: Rebecca A Abbott; Alice E Martin; Tamsin V Newlove-Delgado; Alison Bethel; Joanna Thompson-Coon; Rebecca Whear; Stuart Logan Journal: Cochrane Database Syst Rev Date: 2017-01-10
Authors: Irene Ciancarelli; Giovanni Morone; Maria Giuliana Tozzi Ciancarelli; Stefano Paolucci; Paolo Tonin; Antonio Cerasa; Marco Iosa Journal: Healthcare (Basel) Date: 2022-05-19
Authors: Donna Langenbahn; Yuka Matsuzawa; Yuen Shan Christine Lee; Felicia Fraser; Donald B Penzien; Naomi M Simon; Richard B Lipton; Mia T Minen Journal: J Gen Intern Med Date: 2021-02-01 Impact factor: 5.128
Authors: Licia Grazzi; Claudia Toppo; Domenico D'Amico; Matilde Leonardi; Paolo Martelletti; Alberto Raggi; Erika Guastafierro Journal: Int J Environ Res Public Health Date: 2021-02-05 Impact factor: 3.390