Purpose of Review

This narrative review examines the use of behavioral interventions for acute treatment of headache and pain in the emergency department (ED)/urgent care (UC) and inpatient settings.

Recent Findings

Behavioral interventions demonstrate reductions of pain and associated disability in headache, migraine, and other conditions in the outpatient setting. Behavioral treatments may be a useful addition for patients presenting with acute pain to hospitals and emergency departments.

Summary

We review challenges and limitations and offer suggestions for implementation of behavioral interventions in the acute setting. Some evidence exists for relaxation-based treatments, mindfulness-based treatments, hypnosis/self-hypnosis, and immersive virtual reality for acute pain, migraine, and headache. There are few high-quality studies on behavioral treatments in the inpatient and emergency department settings. Further research is warranted to determine the efficacy and cost-effectiveness of these interventions. Given the general safety and cost-effectiveness of behavioral interventions, healthcare professionals may want to include these therapies in treatment plans.

中文翻译：

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急性护理环境中偏头痛、头痛和疼痛行为治疗的有效性和可行性

审查目的

这篇叙述性评论审查了行为干预在急诊科 (ED)/紧急护理 (UC) 和住院环境中用于急性头痛和疼痛治疗的使用。

最近的发现

行为干预证明了门诊环境中头痛、偏头痛和其他病症的疼痛和相关残疾的减轻。对于到医院和急诊科就诊的急性疼痛患者，行为治疗可能是一种有用的补充。

概括

我们回顾了挑战和局限性，并为在急性环境中实施行为干预提供了建议。一些证据表明，基于放松的治疗、基于正念的治疗、催眠/自我催眠以及用于急性疼痛、偏头痛和头痛的沉浸式虚拟现实。很少有关于住院和急诊科环境中行为治疗的高质量研究。需要进一步研究以确定这些干预措施的有效性和成本效益。鉴于行为干预的一般安全性和成本效益，医疗保健专业人员可能希望将这些疗法纳入治疗计划。