{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T03:02:19Z","timestamp":1784257339485,"version":"3.55.0"},"reference-count":56,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,8,12]],"date-time":"2015-08-12T00:00:00Z","timestamp":1439337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Headache"],"published-print":{"date-parts":[[2015,9]]},"abstract":"\n Objective<\/jats:title>\n \n To test the long\u2010term clinical effectiveness (follow\u2010up at 3, 6 and 12 months) of an outpatient combined group and individual cognitive\u2010behavioral treatment (\n CBT<\/jats:styled-content>\n ) for headache patients following standard medical care. A decrease in headache intensity, frequency, headache\u2010specific impairment, depression, and change of pain\u2010related cognitions was expected.\n <\/jats:p>\n <\/jats:sec>\n \n Background<\/jats:title>\n \n The efficacy of\n CBT<\/jats:styled-content>\n for primary headaches has been confirmed in research, yet the translation into clinical practice has remained untested thus far.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n \n In this single\u2010group outcome study, 87 headache patients diagnosed with migraine and\/or tension\u2010type headache received (1) headache\u2010specific medication for 10 weeks and (2) a subsequent\n CBT<\/jats:styled-content>\n treatment made up of 13 individual and 12 group sessions consisting of psychoeducation, progressive muscle relaxation, coping strategies for pain and stress, and goal setting skills.\n B<\/jats:styled-content>\n ooster group sessions after 3 and 6 months were implemented to stimulate individual goal attainment, and follow\u2010up measures were recorded up to 12 months.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A significant decrease was found for all primary and secondary outcome criteria, ie, average headache intensity (prae M: 6.0, standard deviation [\n SD<\/jats:styled-content>\n ]: 1.5 vs follow\u2010up [\n FU<\/jats:styled-content>\n ] 1 year M: 5.1,\n SD<\/jats:styled-content>\n : 1.9), headache frequency (prae M: 16.0,\n SD<\/jats:styled-content>\n : 9.5 vs\n FU<\/jats:styled-content>\n 1 year M: 13.4,\n SD<\/jats:styled-content>\n : 9.9), and catastrophizing (prae M: 3.4,\n SD<\/jats:styled-content>\n : 1.0 vs\n FU<\/jats:styled-content>\n 1 year M: 2.6,\n SD<\/jats:styled-content>\n : 1.1). Coping strategies were increased (prae M: 3.4,\n SD<\/jats:styled-content>\n : .9 vs\n FU<\/jats:styled-content>\n 1 year M: 4.0,\n SD<\/jats:styled-content>\n : 1.0).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n CBT<\/jats:styled-content>\n treatment is a useful component within a routine clinical setting and can improve standard medical care thereby helping patients in managing their headache pain.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/head.12626","type":"journal-article","created":{"date-parts":[[2015,8,12]],"date-time":"2015-08-12T07:57:57Z","timestamp":1439366277000},"page":"1072-1091","source":"Crossref","is-referenced-by-count":29,"title":["Outpatient Combined Group and Individual Cognitive\u2013Behavioral Treatment for Patients With Migraine and Tension\u2010Type Headache in a Routine Clinical Setting"],"prefix":"10.1111","volume":"55","author":[{"given":"Sandra","family":"Christiansen","sequence":"first","affiliation":[{"name":"Department of Psychology Outpatient Clinic of Behavior Therapy University of Hamburg Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim P.","family":"J\u00fcrgens","sequence":"additional","affiliation":[{"name":"Department of Systems Neuroscience University Medical Center Hamburg\u2010Eppendorf Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regine","family":"Klinger","sequence":"additional","affiliation":[{"name":"Department of Psychology Outpatient Clinic of Behavior Therapy University of Hamburg Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,8,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.70.3.656"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1016247811416"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2005.4502003.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-007-0754-8"},{"key":"e_1_2_9_6_1","unstructured":"McCroryDC PenzienDB HasselbladV GrayRN.Evidence report: Behavioral and physical treatments for tension\u2010type and cervicogenic headache. 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