Teens suffer from migraines

Teens suffer from migraines.
A defined standard of therapy helps reduce the number of migraines and migraine-related disabilities in children and teens, according to a unusual study. The findings lay down strong evidence for the use of "cognitive behavioral therapy" - which includes training in coping with disquiet - in managing long-standing migraines in children and teens, said examination leader Scott Powers, of Cincinnati Children's Hospital Medical Center, and colleagues donde puedo comprar crema revitol en nv laredo. The psychotherapy should be routinely offered as a first-line treatment, along with medications.

More than 2 percent of adults and about 1,75 percent of children have inveterate migraines, according to the study, which was published in the Dec 25, 2013 distribution of the Journal of the American Medical Association. But there are no treatments approved by the US Food and Drug Administration to overcome these debilitating headaches in progeny people, the researchers said. The survey included 135 youngsters, age-old 10 to 17, who had migraines 15 or more days a month.

They were assigned to take either 10 cognitive behavioral psychoanalysis sessions or 10 pain in the arse education sessions. Patients in both groups were treated with the cure amitriptyline. At the start of the study, patients averaged migraines on 21 of 28 days, and had a painstaking rank of migraine-related disability. Immediately after treatment, those in the cognitive-therapy group had 11,5 fewer days with migraines, compared with 6,8 fewer days for those in the headache-education group.

Twelve months after treatment, 86 percent of those who received cognitive analysis had a 50 percent or more reduction in days with migraines, compared with 69 percent of those in the headache-education group. In addition, 88 percent of patients in the cognitive-therapy assortment had unassuming or no migraine-related disability, compared with 76 percent of those in the other group. Cognitive group therapy should not be offered only as an add-on healing if medications aren't working well, the researchers said.

It also should be covered by well-being insurance. However, use of cognitive treatment as a first-line curing for long-lived migraines in children and teens faces a reckon of barriers, according to an accompanying essay by Mark Connelly, of Children's Mercy Hospitals and Clinics in Kansas City. Having behavioral vigorousness consultants in primary-care offices is one imaginable way to overcome these barriers natural-breast-success com. Telephone-based or Internet-based programs might also be effective.