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Терапия при хронической мигрени: междисциплинарный подход. Клиническое наблюдение - Журнал Терапевтический архив №12 Vario 2021
Терапия при хронической мигрени: междисциплинарный подход. Клиническое наблюдение
Головачева В.А., Головачева А.А., Парфенов В.А. Терапия при хронической мигрени: междисциплинарный подход. Клиническое наблюдение. Терапевтический архив. 2021;93(12):1528–1532.
DOI: 10.26442/00403660.2021.12.201247
DOI: 10.26442/00403660.2021.12.201247
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Аннотация
Представлено клиническое наблюдение за пациенткой с хронической мигренью и коморбидными расстройствами – хронической инсомнией и паническим расстройством. Показано влияние тревоги, инсомнии, избыточного приема обезболивающих препаратов на хронизацию мигрени. Для лечения была составлена междисциплинарная программа, включавшая образовательные беседы, дезинтоксикационную терапию, когнитивно-поведенческую терапию и фармакотерапию. С помощью когнитивно-поведенческой терапии удалось изменить ошибочные представления пациентки о своем состоянии, обучить ее эффективным навыкам преодоления боли, инсомнии и тревоги. На фоне проводимого лечения уже через 3 мес наблюдались трансформация мигрени из хронической в эпизодическую, улучшение сна, эмоционального состояния и функциональной активности в течение дня. Наблюдение пациентки в течение 12 мес показало стойкий положительный эффект лечения в отношении головной боли, сна и эмоционального состояния.
Ключевые слова: хроническая мигрень, инсомния, когнитивно-поведенческая терапия, лечение
Keywords: chronic migraine, insomnia, cognitive-behavioral therapy, treatment
Ключевые слова: хроническая мигрень, инсомния, когнитивно-поведенческая терапия, лечение
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Keywords: chronic migraine, insomnia, cognitive-behavioral therapy, treatment
Полный текст
Список литературы
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[Filatova EG, Osipova VV, Tabeeva GR, et al. Diagnosis and treatment of migraine: Russian experts' recommendations. Neurology, neuropsychiatry, psychosomatics. 2020;12(4):4-14 (in Russian)].
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31. Spielman AJ, Nunes J, Glovinsky PB. Insomnia. Neurol Clin. 1996;14(3):513-43. DOI:10.1016/s0733-8619(05)70272-3
2. Bigal ME, Serrano D, Reed M, Lipton RB. Chronic migraine in the population: burden, diagnosis, and satisfaction with treatment. Neurology. 2008;71(8):559-66. DOI:10.1212/01.wnl.0000323925.29520.e7
3. Buse DC, Reed ML, Fanning KM, et al. Comorbid and co-occurring conditions in migraine and associated risk of increasing headache pain intensity and headache frequency: results of the migraine in America symptoms and treatment (MAST) study. J Headache Pain. 2020;21(1):23. DOI:10.1186/s10194-020-1084-y
4. Kim J, Cho SJ, Kim WJ, et al. Impact of migraine on the clinical presentation of insomnia: a population-based study. J Headache Pain. 2018;19(1):86. DOI:10.1186/s10194-018-0916-5
5. Tiseo C, Vacca A, Felbush A, et al.; European Headache Federation School of Advanced Studies (EHF-SAS). Migraine and sleep disorders: a systematic review. J Headache Pain. 2020;21(1):126.
DOI:10.1186/s10194-020-01192-5
6. Green MW, Muskin PR. The neuropsychiatry of headache. UK: Cambridge University Press, 2013.
7. Agostoni EC, Barbanti P, Calabresi P, et al.; Italian chronic migraine group. Current and emerging evidence-based treatment options in chronic migraine: a narrative review. J Headache Pain. 2019;20(1):92. DOI:10.1186/s10194-019-1038-4
8. Poluektov MG, Buzunov RV, Averbukh VM, et al. Project of clinical recommendations on diagnosis and treatment of chronic insomnia in adults. Consilium Medicum. Neurology and Rheumatology (Suppl.). 2016;2:41-51 (in Russian).
9. Riemann D, Baglioni C, Bassetti C, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res. 2017;26(6):675-700. DOI:10.1111/jsr.12594
10. Bandelow B, Michaelis S, Wedekind D. Treatment of anxiety disorders. Dialogues Clin Neurosci. 2017;19(2):93-107.
DOI:10.31887/DCNS.2017.19.2/bbandelow
11. Beck AT. A 60-Year Evolution of Cognitive Theory and Therapy. Perspect Psychol Sci. 2019;14(1):16-20. DOI:10.1177/1745691618804187
12. Parfenov VA, Yakhno NN, Davydov OS, et al. Chronic nonspecific (musculoskeletal) low back pain. Guidelines of the Russian Society for the Study of Pain (RSSP). Neurology, neuropsychiatry, psychosomatics. 2019;11(2S):7-16 (in Russian). DOI:10.14412/2074-2711-2019-2S-7-16
13. Knapp TW. A “cognitive-behavioral stress management training (CBST)” for the treatment of migraine: a controlled, behavior therapy case study. Z Klin Psychol Psychoter. 1981;29(3):238-46.
14. Knapp TW. Treating migraine by training in temporal artery vasoconstriction and/or cognitive behavioral coping: a one-year follow-up. J Psychosom Res. 1982;26(5):551-7. DOI: 10.1016/0022-3999(82)90096-4
15. Martin PR, Nathan PR, Milech D, van Keppel M. Cognitive therapy vs. self-management training in the treatment of chronic headaches. Br J Clin Psychol. 1989;28(4):347-61. DOI: 10.1111/j.2044-8260.1989.tb00839.x
16. Onur OS, Ertem DH, Karsidag C, et al. An open/pilot trial of cognitive behavioral therapy in Turkish patients with refractory chronic migraine. Cogn Neurodyn. 2019;13(2):183-9. DOI:10.1007/s11571-019-09519-y
17. Calhoun AH, Ford S. Behavioral sleep modification may revert transformed migraine to episodic migraine. Headache. 2007;47:1178-83. DOI:10.1111/j.1526-4610.2007.00780.x
18. Smitherman TA, Walters AB, Davis RE, et al. Randomized controlled pilot trial of behavioral insomnia treatment for chronic migraine with comorbid insomnia. Headache. 2016;56:276-91. DOI:10.1111/head.12760
19. Smitherman TA, Kuka AJ, Calhoun AH, et al. Cognitive-behavioral therapy for insomnia to reduce chronic migraine: a sequential Bayesian analysis. Headache. 2018;58(7):1052-9. DOI:10.1111/head.13313
20. Crawford MR, Luik AI, Espie CA, et al. Digital Cognitive Behavioral Therapy for Insomnia in Women With Chronic Migraines. Headache. 2020;60(5):902-15. DOI:10.1111/head.13777
21. Maizels M. The patient with daily headaches. Am Fam Physician. 2004;70(12):2299-306.
22. Bashir A, Lipton RB, Ashina S, Ashina M. Migraine and structural changes in the brain: a systematic review and meta-analysis. Neurology. 2013;1;81(14):1260-8. DOI:10.1212/WNL.0b013e3182a6cb32
23. Golovacheva VA, Pozhidaev KA, Golovacheva AA. Cognitive impairment in patients with migraine: causes, principles of effective prevention and treatment. Neurology, neuropsychiatry, psychosomatics. 2018;10(3):141-9 (in Russian). DOI:10.14412/2074-2711-2018-3-141-149
24. Evers S, Afra J, Frese A, et al.; European Federation of Neurological Societies. EFNS guideline on the drug treatment of migraine – revised report of an EFNS task force. Eur J Neurol. 2009;16(9):968-81. DOI:10.1111/j.1468-1331.2009.02748.x
25. Filatova EG, Osipova VV, Tabeeva GR, et al. Diagnosis and treatment of migraine: Russian experts' recommendations. Neurology, neuropsychiatry, psychosomatics. 2020;12(4):4-14 (in Russian).
DOI:10.14412/2074-2711-2020-4-4-14
26. Evers S, Jensen R; European Federation of Neurological Societies. Treatment of medication overuse headache – guideline of the EFNS headache panel. Eur J Neurol. 2011;18(9):1115-21.
DOI:10.1111/j.1468-1331.2011.03497.x
27. Golovacheva VA, Parfenov VA, Tabeeva GR, et al. Optimizaciya vedeniya pacientov s hronicheskoj ezhednevnoj golovnoj bol'yu. Zhurnal nevrologii i psihiatrii im. S.S. Korsakova. 2017;117(2):4-9 (in Russian). DOI:10.17116/jnevro2017117214-9
28. Osipova V, Ayzenberg I, Amelin A, et al. The highest prevalence of CDH in Russia: why? Cephalalgia. 2015;35(6S):287. DOI:10.1177/0333102415581304
29. Osipova VV, Azimova YuE, Tabeeva GR, et al. Diagnostika golovnyh bolej v Rossii i stranah postsovetskogo prostranstva: sostoyanie problemy i puti ee resheniya. Annaly klinicheskoj i eksperimental'noj nevrologii. 2012;6(2):16-21 (in Russian).
30. Lebedeva ER, Kobzeva NR, Gilev DV, Olesen E. Analysis of the quality of diagnosis and treatment of primary headache in different social groups of the Ural Region. Neurology, neuropsychiatry, psychosomatics. 2015;7(1):19-26 (in Russian). DOI:10.14412/2074-2711-2015-1-19-26
31. Spielman AJ, Nunes J, Glovinsky PB. Insomnia. Neurol Clin. 1996;14(3):513-43. DOI:10.1016/s0733-8619(05)70272-3
2. Bigal ME, Serrano D, Reed M, Lipton RB. Chronic migraine in the population: burden, diagnosis, and satisfaction with treatment. Neurology. 2008;71(8):559-66. DOI:10.1212/01.wnl.0000323925.29520.e7
3. Buse DC, Reed ML, Fanning KM, et al. Comorbid and co-occurring conditions in migraine and associated risk of increasing headache pain intensity and headache frequency: results of the migraine in America symptoms and treatment (MAST) study. J Headache Pain. 2020;21(1):23. DOI:10.1186/s10194-020-1084-y
4. Kim J, Cho SJ, Kim WJ, et al. Impact of migraine on the clinical presentation of insomnia: a population-based study. J Headache Pain. 2018;19(1):86. DOI:10.1186/s10194-018-0916-5
5. Tiseo C, Vacca A, Felbush A, et al.; European Headache Federation School of Advanced Studies (EHF-SAS). Migraine and sleep disorders: a systematic review. J Headache Pain. 2020;21(1):126.
DOI:10.1186/s10194-020-01192-5
6. Green MW, Muskin PR. The neuropsychiatry of headache. UK: Cambridge University Press, 2013.
7. Agostoni EC, Barbanti P, Calabresi P, et al.; Italian chronic migraine group. Current and emerging evidence-based treatment options in chronic migraine: a narrative review. J Headache Pain. 2019;20(1):92. DOI:10.1186/s10194-019-1038-4
8. Полуэктов М.Г., Бузунов Р.В., Авербух В.М., и др. Проект клинических рекомендаций по диагностике и лечению хронической инсомнии у взрослых. Consilium Medicum. Неврология и Ревматология (Прил.). 2016;2:41-51 [Poluektov MG, Buzunov RV, Averbukh VM, et al. Project of clinical recommendations on diagnosis and treatment of chronic insomnia in adults. Consilium Medicum. Neurology and Rheumatology (Suppl.). 2016;2:41-51 (in Russian)].
9. Riemann D, Baglioni C, Bassetti C, et al. European guideline for the diagnosis and treatment of insomnia. J Sleep Res. 2017;26(6):675-700. DOI:10.1111/jsr.12594
10. Bandelow B, Michaelis S, Wedekind D. Treatment of anxiety disorders. Dialogues Clin Neurosci. 2017;19(2):93-107.
DOI:10.31887/DCNS.2017.19.2/bbandelow
11. Beck AT. A 60-Year Evolution of Cognitive Theory and Therapy. Perspect Psychol Sci. 2019;14(1):16-20. DOI:10.1177/1745691618804187
12. Парфенов В.А., Яхно Н.Н., Давыдов О.С., и др. Хроническая неспецифическая (скелетно-мышечная) поясничная боль. Рекомендации Российского общества по изучению боли (РОИБ). Неврология, нейропсихиатрия, психосоматика. 2019;11(2S):7-16 [Parfenov VA, Yakhno NN, Davydov OS, et al. Chronic nonspecific (musculoskeletal) low back pain. Guidelines of the Russian Society for the Study of Pain (RSSP). Neurology, neuropsychiatry, psychosomatics. 2019;11(2S):7-16 (in Russian)]. DOI:10.14412/2074-2711-2019-2S-7-16
13. Knapp TW. A “cognitive-behavioral stress management training (CBST)” for the treatment of migraine: a controlled, behavior therapy case study. Z Klin Psychol Psychoter. 1981;29(3):238-46.
14. Knapp TW. Treating migraine by training in temporal artery vasoconstriction and/or cognitive behavioral coping: a one-year follow-up. J Psychosom Res. 1982;26(5):551-7. DOI: 10.1016/0022-3999(82)90096-4
15. Martin PR, Nathan PR, Milech D, van Keppel M. Cognitive therapy vs. self-management training in the treatment of chronic headaches. Br J Clin Psychol. 1989;28(4):347-61. DOI: 10.1111/j.2044-8260.1989.tb00839.x
16. Onur OS, Ertem DH, Karsidag C, et al. An open/pilot trial of cognitive behavioral therapy in Turkish patients with refractory chronic migraine. Cogn Neurodyn. 2019;13(2):183-9. DOI:10.1007/s11571-019-09519-y
17. Calhoun AH, Ford S. Behavioral sleep modification may revert transformed migraine to episodic migraine. Headache. 2007;47:1178-83. DOI:10.1111/j.1526-4610.2007.00780.x
18. Smitherman TA, Walters AB, Davis RE, et al. Randomized controlled pilot trial of behavioral insomnia treatment for chronic migraine with comorbid insomnia. Headache. 2016;56:276-91. DOI:10.1111/head.12760
19. Smitherman TA, Kuka AJ, Calhoun AH, et al. Cognitive-behavioral therapy for insomnia to reduce chronic migraine: a sequential Bayesian analysis. Headache. 2018;58(7):1052-9. DOI:10.1111/head.13313
20. Crawford MR, Luik AI, Espie CA, et al. Digital Cognitive Behavioral Therapy for Insomnia in Women With Chronic Migraines. Headache. 2020;60(5):902-15. DOI:10.1111/head.13777
21. Maizels M. The patient with daily headaches. Am Fam Physician. 2004;70(12):2299-306.
22. Bashir A, Lipton RB, Ashina S, Ashina M. Migraine and structural changes in the brain: a systematic review and meta-analysis. Neurology. 2013;1;81(14):1260-8. DOI:10.1212/WNL.0b013e3182a6cb32
23. Головачева В.А., Пожидаев К.А., Головачева А.А. Когнитивные нарушения у пациентов с мигренью: причины, принципы эффективного предупреждения и лечения. Неврология, нейропсихиатрия, психосоматика. 2018;10(3):141-9 [Golovacheva VA, Pozhidaev KA, Golovacheva AA. Cognitive impairment in patients with migraine: causes, principles of effective prevention and treatment. Neurology, neuropsychiatry, psychosomatics. 2018;10(3):141-9 (in Russian)]. DOI:10.14412/2074-2711-2018-3-141-149
24. Evers S, Afra J, Frese A, et al.; European Federation of Neurological Societies. EFNS guideline on the drug treatment of migraine – revised report of an EFNS task force. Eur J Neurol. 2009;16(9):968-81. DOI:10.1111/j.1468-1331.2009.02748.x
25. Филатова Е.Г., Осипова В.В., Табеева Г.Р., и др. Диагностика и лечение мигрени: рекомендации российских экспертов. Неврология, нейропсихиатрия, психосоматика. 2020;12(4):4-14
[Filatova EG, Osipova VV, Tabeeva GR, et al. Diagnosis and treatment of migraine: Russian experts' recommendations. Neurology, neuropsychiatry, psychosomatics. 2020;12(4):4-14 (in Russian)].
DOI:10.14412/2074-2711-2020-4-4-14
26. Evers S, Jensen R; European Federation of Neurological Societies. Treatment of medication overuse headache – guideline of the EFNS headache panel. Eur J Neurol. 2011;18(9):1115-21.
DOI:10.1111/j.1468-1331.2011.03497.x
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27. Golovacheva VA, Parfenov VA, Tabeeva GR, et al. Optimizaciya vedeniya pacientov s hronicheskoj ezhednevnoj golovnoj bol'yu. Zhurnal nevrologii i psihiatrii im. S.S. Korsakova. 2017;117(2):4-9 (in Russian). DOI:10.17116/jnevro2017117214-9
28. Osipova V, Ayzenberg I, Amelin A, et al. The highest prevalence of CDH in Russia: why? Cephalalgia. 2015;35(6S):287. DOI:10.1177/0333102415581304
29. Osipova VV, Azimova YuE, Tabeeva GR, et al. Diagnostika golovnyh bolej v Rossii i stranah postsovetskogo prostranstva: sostoyanie problemy i puti ee resheniya. Annaly klinicheskoj i eksperimental'noj nevrologii. 2012;6(2):16-21 (in Russian).
30. Lebedeva ER, Kobzeva NR, Gilev DV, Olesen E. Analysis of the quality of diagnosis and treatment of primary headache in different social groups of the Ural Region. Neurology, neuropsychiatry, psychosomatics. 2015;7(1):19-26 (in Russian). DOI:10.14412/2074-2711-2015-1-19-26
31. Spielman AJ, Nunes J, Glovinsky PB. Insomnia. Neurol Clin. 1996;14(3):513-43. DOI:10.1016/s0733-8619(05)70272-3
Авторы
В.А. Головачева*, А.А. Головачева, В.А. Парфенов
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский Университет) Минздрава России, Москва, Россия
*xoxo.veronicka@gmail.com
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*xoxo.veronicka@gmail.com
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский Университет) Минздрава России, Москва, Россия
*xoxo.veronicka@gmail.com
________________________________________________
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*xoxo.veronicka@gmail.com
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