Purpose of Review

The purpose of this review is to summarize the role of avoidance behavior in headache-related disability and overview relevant clinical implications.

Recent Findings

Avoidance occupies a central role in contemporary psychological perspectives on headache disorders and other chronic pain conditions. Several cognitive constructs of relevance to headache are influenced and maintained by avoidance behavior. A growing body of literature attests to the notion that avoidance of headache triggers, of stimuli that exacerbate headache, and of broader life domains can negatively affect headache progression, disability/quality of life, and comorbid psychiatric symptoms. Interventions targeting avoidance behavior, such as therapeutic exposure to headache triggers, mindfulness, and acceptance and commitment therapy (ACT), hold promise for headache disorders but need to be tested in larger trials. Researchers and clinicians are encouraged to attend to functional impairment as a critically important treatment outcome.

Summary

Comprehensive understanding of headache disorders necessitates attention not merely to diagnostic symptoms and their reduction, but to patterns of avoidance behavior that inadvertently exacerbate headache and contribute to functional impairment.

中文翻译：

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头痛症的恐惧，避免和残疾。

审查目的

这篇综述的目的是总结回避行为在头痛相关残疾中的作用，并概述相关的临床意义。

最近的发现

在当代关于头痛症和其他慢性疼痛状况的心理学观点中，回避起着核心作用。回避行为会影响和维持与头痛相关的几种认知结构。越来越多的文献证明了避免头痛的触发，加剧头痛的刺激以及更广泛的生活领域的观念可能会对头痛的进展，残疾/生活质量以及合并的精神病症状产生负面影响。针对回避行为的干预措施，例如头痛触发，正念以及接受和承诺治疗（ACT）的治疗性暴露，有望缓解头痛疾病，但需要在大型试验中进行测试。鼓励研究人员和临床医生将功能障碍作为至关重要的治疗结果。

概要

对头痛疾病的全面理解不仅需要关注诊断症状及其减轻，而且还应注意避免行为，这些行为会无意加重头痛并导致功能障碍。