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Golovacheva V.A.

Kafedra nervnykh bolezneĭ

Parfenov V.A.

Pervyĭ Moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova, Moskva

Tabeeva G.R.

Moskovskaia meditsinskaia akademiia im. I.M. Sechenova

Osipova V.V.

Research Department of Neurology, Scientific Research Center, I.M. Sechenov First Moscow State Medical University, Moscow, Russia;
Moscow Research Clinical Centre for Neuropsychiatry, Moscow Health Department, Moscow, Russia

Smulevich A.B.

Sechenov First Moscow State Medical University of Ministry of health of the Russia, Moscow, Russia

Andryushchenko A.V.

Moscow Scientific and Practical Center of Dermatovenereology and Cosmetology, Moscow, Russia, 119071

Golovacheva A.A.

Sechenov First Moscow State Medical University, Moscow, Russia

The optimization of management of chronic daily headache patients

Authors:

Golovacheva V.A., Parfenov V.A., Tabeeva G.R., Osipova V.V., Smulevich A.B., Andryushchenko A.V., Golovacheva A.A.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2017;117(2): 4‑9

DOI: 10.17116/jnevro2017117214-9

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Table of contents

THE OPTIMIZATION OF MANAGEMENT OF CHRONIC DAILY HEADACHE PATIENTS
THE OPTIMIZATION OF MANAGEMENT OF CHRONIC DAILY HEADACHE PATIENTS

To cite this article:

Golovacheva VA, Parfenov VA, Tabeeva GR, Osipova VV, Smulevich AB, Andryushchenko AV, Golovacheva AA. The optimization of management of chronic daily headache patients. S.S. Korsakov Journal of Neurology and Psychiatry. 2017;117(2):4‑9. (In Russ.)
https://doi.org/10.17116/jnevro2017117214-9

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова (S.S. Korsakov Journal of Neurology and Psychiatry)
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Abstract:

Objective. To optimize the management of chronic daily headache (CDH) using cognitive-behavioral therapy (CBT). Material and methods. The study included 90 patients (76 women and 14 men), aged from 23 to 78 years (mean age 46.71±11.99) with primary forms of CDH. The patients were followed-up by the neurologist during 12 months, psychological characteristics were studied together with the psychiatrist. Patients received combined treatment, including optimized pharmacotherapy, educational program, relaxation training, CBT and exercise therapy. Results. The diagnosis of CDH has not been previously established in 86.7% of the patients. All patients received unnecessary additional diagnostic examinations, ineffective treatment (86.7%) that resulted in the formation of wrong conceptions about their state (90%). Three months after combined treatment, a significant positive effect has been achieved in 62.2% of the patients and after 12 months in 72.2%. Conclusion. The combined treatment program that included CBT can relatively rapidly help patients with CDH and exerts a stable positive effect during 12 months of the follow-up.

Keywords:

chronic daily headache
chronic migraine
chronic headache of tension
treatment
multidisciplinary approach
behavioral therapy
cognitive-behavioral therapy

Authors:

Golovacheva V.A.

Kafedra nervnykh bolezneĭ

Parfenov V.A.

Pervyĭ Moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova, Moskva

Tabeeva G.R.

Moskovskaia meditsinskaia akademiia im. I.M. Sechenova

Osipova V.V.

Research Department of Neurology, Scientific Research Center, I.M. Sechenov First Moscow State Medical University, Moscow, Russia;
Moscow Research Clinical Centre for Neuropsychiatry, Moscow Health Department, Moscow, Russia

Smulevich A.B.

Sechenov First Moscow State Medical University of Ministry of health of the Russia, Moscow, Russia

Andryushchenko A.V.

Moscow Scientific and Practical Center of Dermatovenereology and Cosmetology, Moscow, Russia, 119071

Golovacheva A.A.

Sechenov First Moscow State Medical University, Moscow, Russia

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