Background: Headache disorder is not only a common complaint but also a global burden. Pharmacotherapeutic\nand non-pharmacotherapeutic approaches have been developed for its treatment and prophylaxis. The present\nstudy included a systematic review of psychological treatments for primary headache disorder accessible in Korea.\nMethods: We included English and Korean articles from EMBASE, MEDLINE, Cochrane library database, SCOPUS,\nScienceDirect, Web of Science, CINAHL, PsycArticles and Korean database, KoreaMed and KMBASE which studied\nprimary headache and medication-overuse headache. The primary efficacy measure was the number of headache\ndays per month, while secondary efficacy measures were the number of headache attacks per week, headache\nindex, treatment response rate, and migraine disability assessment. The meta-analysis was performed using R 3.5.1.\nto obtain pooled mean difference and pooled relative risk with 95% confidence interval (CI) for continuous data\nand dichotomous data, respectively.\nResults: From 12,773 identified articles, 27 randomized clinical trials were identified. Primary outcome showed\nsignificant superiority of psychological treatments (pooled mean difference = - 0.70, 95% CI [- 1.22, - 0.18]). For the\nsecondary outcomes, the number of headache attacks (pooled mean difference = - 1.15, 95% CI [- 1.63, - 0.67]), the\nheadache index (pooled mean difference = - 0.92, 95% CI [-1.40 to - 0.44]) and the treatment response rate (pooled\nrelative risk = 3.13, 95% CI [2.24, 4.37]) demonstrated significant improvements in the psychological treatment group\nover the control group.\nConclusion: Psychological treatments for primary headache disorder reduced headache frequency and the headache\nindex. Future research using standardized outcome measures and strategies for reducing bias is needed.
Loading....