Cognitive-Behavioral Therapy: How Medical Providers Can Increase Patient and Family Openness and Access to Evidence-Based Multimodal Therapy for Pediatric Migraine

Michelle M Ernst; Hope L O'Brien; Scott W Powers

doi:10.1111/head.12605

Cognitive-Behavioral Therapy: How Medical Providers Can Increase Patient and Family Openness and Access to Evidence-Based Multimodal Therapy for Pediatric Migraine

Headache. Nov-Dec 2015;55(10):1382-96. doi: 10.1111/head.12605. Epub 2015 Jul 21.

Authors

Michelle M Ernst^{1

2}, Hope L O'Brien^{2

3

4}, Scott W Powers^{1

2

3}

Affiliations

¹ Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
² Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
³ Headache Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
⁴ Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Abstract

Although evidence supports the recommendation for cognitive-behavioral therapy (CBT) for pediatric migraine, few children actually receive this evidence-based intervention. In this article, we briefly review the most recent empirical evidence supporting CBT. We then identify both provider- and system-related barriers as well as patient-related barriers. Finally, we provide practical solutions to addressing these barriers in the service of facilitating children receiving optimal comprehensive management of their headaches.

Keywords: care integration; cognitive-behavioral therapy; pediatric migraine.

Publication types

Research Support, N.I.H., Extramural
Review

MeSH terms

Child
Cognitive Behavioral Therapy / methods*
Combined Modality Therapy / methods
Evidence-Based Medicine / methods*
Humans
Migraine Disorders / diagnosis
Migraine Disorders / psychology
Migraine Disorders / therapy*
Pediatrics / methods*
Physician-Patient Relations
Professional-Family Relations*

Grant support

U01 NS076788/NS/NINDS NIH HHS/United States