Newly developed remedy “CBT for headache” advantages veterans with post-traumatic complications and PTSD — Concussion Alliance

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By Fadhil Hussain. This text was initially printed in our Concussion Replace publication; please think about subscribing.

Navy personnel usually tend to expertise post-traumatic stress dysfunction (PTSD) and delicate traumatic mind accidents (mTBI) than the final inhabitants. mTBI can usually result in persistent signs similar to post-traumatic complications (PTH). A study printed in JAMA Neurology aimed to search out out whether or not cognitive behavioral remedy (CBT) might be a viable choice for veterans affected by extreme ranges of each PTSD and PTH. The examine discovered {that a} new remedy, CBT for headache, decreased how a lot these veterans have been affected by complications and PTSD when in comparison with the same old remedy and that the remedy impact lasted as much as 6 months after the remedy. 

press release by UT Well being San Antonio quotes the principal investigator, Donald McGeary, Ph.D.: “To search out the primary main remedy success for post-traumatic headache, which is arguably essentially the most debilitating symptom of TBI, and that the remedy additionally considerably reduces comorbid PTSD signs, is a significant breakthrough.” Dr. McGeary’s crew developed CBT for headache by modifying “a psychotherapy for migraine complications.”

On this randomized managed trial, McGeary et al. explored the consequences of two therapies based mostly on cognitive behavioral remedy frameworks on 193 present or former members of the navy reporting “extreme baseline headache-related incapacity” and extreme PTSD signs. The primary remedy, cognitive behavioral remedy (CBT) for headache, concerned eight one-hour classes over six weeks “targeted solely on headache and stress, relying closely on behavioral interventions and stress administration with some cognitive remedy.” The second remedy, Cognitive Processing Remedy (CPT), concerned 12 one-hour classes over six weeks “targeted solely on PTSD, emphasizing cognitive remedy.” The examine additionally included a management group that acquired remedy per standard (TPU). Contributors accomplished an evaluation of headache-related incapacity (HIT-6) and an evaluation of PTSD signs (PCL-5) at four-time factors: pre-treatment, post-treatment, and 3- and 6-month follow-ups.

The group receiving CBT for headache had considerably decrease scores for headache-related difficulties and PTSD signs in comparison with the same old remedy group as much as 6 months after the remedy. The group receiving CPT had considerably decrease PTSD symptom scores than the usual remedy group as much as 3 months after remedy. Nonetheless, the impact was not statistically vital on the 6-month follow-up go to.

There are presently no “frontline therapies” for PTH stemming from mTBI. The results of this examine suggests {that a} nonpharmacological intervention, CBT for headace, might be a viable choice to assist navy members who are suffering from post-traumatic complications and PTSD.

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