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Entspannungsverfahren und verhaltenstherapeutische Interventionen zur Behandlung der Migräne

Leitlinie der Deutschen Migräne- und Kopfschmerzgesellschaft

Relaxation techniques and behavioural therapy for the treatment of migraine

Guidelines from the German Migraine and Headache Society

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Zusammenfassung

Neben medikamentösen und interventionellen Verfahren bestehen zur Behandlung der Migräne nichtmedikamentöse Möglichkeiten, die großenteils der Verhaltenstherapie entstammen. In der Zusammenschau kann dabei aufgezeigt werden, das bereits eine ausführliche Beratung des Patienten zu positiven Effekten in der Migränehäufigkeit führen kann. Entspannung (insbesondere die progressive Muskelrelaxation nach Jacobson), Ausdauersport und verschiedene Arten von Biofeedback sind neben der Anwendung kognitiver Verhaltenstherapie in der Behandlung der Migräne effektiv. Die Kombination der Behandlungsverfahren selbst und mit medikamentöser Therapie führt zu zusätzlichen positiven Effekten.

Abstract

Besides pharmacological and interventional possibilities nonpharmacological options, deriving from behavioural approaches may be helpful in the treatment of migraine. Already consulting a patient reduces frequency of attacks. Relaxation (especially progressive muscle relaxation), endurance sports, and biofeedback as well as cognitive behavioural therapy are effective in treatment of migraine. The combination of these treatment options also with pharmacological treatment increase the positive effects.

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Authors and Affiliations

  1. Institut für Medizinische Psychologie und Medizinische Soziologie, Universitätsmedizin Rostock, Gehlsheimer Str. 20, 18147, Rostock, Deutschland

    P. Kropp & B. Meyer

  2. Klinik für Psychiatrie und Psychotherapie, Universität Tübingen, Tübingen, Deutschland

    T. Dresler

  3. Graduiertenschule & Forschungsnetzwerk LEAD, Universität Tübingen, Tübingen, Deutschland

    T. Dresler

  4. Klinik für Neurologie, Universitätsklinikum Essen, Essen, Deutschland

    G. Fritsche

  5. Migräne- und Kopfschmerz Klinik Königstein, Königstein im Taunus, Deutschland

    C. Gaul

  6. Institut für Medizinische Psychologie und Medizinische Soziologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland

    U. Niederberger

  7. Neurologie, Ludwig-Maximilians-Universität München, München, Deutschland

    S. Förderreuther & A. Straube

  8. Neurologische Praxis, Reutlingen, Deutschland

    V. Malzacher

  9. Klinik und Poliklinik für Neurologie, Universitätsmedizin Rostock, Rostock, Deutschland

    T. P. Jürgens

  10. Klinik für Neurologie, Zentrum für Neurologische Intensivmedizin, kbo-Isar-Amper-Klinikum München-Ost, München, Deutschland

    M. Marziniak

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  1. P. Kropp
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Interessenkonflikt

P. Kropp: Shire. C. Gaul: Allergan, Desitin, MSD, Bayer, Boehringer, St. Jude, ATI, ElectroCore, Astellas Pharma, Weber & Weber, Hormosan Pharma, Grünenthal. S. Förderreuther: Boehringer, Allergan, Hormosan. V. Malzacher: Genzyme, Teva, Novartis, Biogen. T.P. Jürgens: Allergan, Pfizer, Hormosan, Autonomic Technologies, MSD. M. Marziniak: Allergan, Novartis, Teva. A. Straube: Allergan, Novartis, Boehringer Ingelheim, ElectroCore, Ceramed, Hormosan, Desitin, MSD. B. Meyer, T. Dresler, G. Fritsche und U. Niederberger geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Dieser Beitrag ist unserem Mitautor, Herrn Dr. Günther Fritsche, gewidmet, der am 25.02.2017 gestorben ist.

Originalpublikation: Kropp P, Meyer B, Dresler T et al (2016) Entspannungsverfahren und verhaltenstherapeutische Interventionen zur Behandlung der Migräne. Nervenheilkunde 35:502–515

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Kropp, P., Meyer, B., Dresler, T. et al. Entspannungsverfahren und verhaltenstherapeutische Interventionen zur Behandlung der Migräne. Schmerz 31, 433–447 (2017). https://doi.org/10.1007/s00482-017-0214-1

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