{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T04:46:30Z","timestamp":1789274790225,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2006,4,5]],"date-time":"2006-04-05T00:00:00Z","timestamp":1144195200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Headache"],"published-print":{"date-parts":[[2006,4]]},"abstract":"<jats:p>Objectives.\u2014This study was undertaken to evaluate the rates, pattern, and presence of predictors of complementary and alternative medicine use in a clinical population of patients with chronic tension\u2010type headache.<\/jats:p>\n                  <jats:p>Background.\u2014The use of complementary and alternative medicine in the treatment of headaches is a growing phenomenon about which little is known.<\/jats:p>\n                  <jats:p>Methods.\u2014A total of 110 chronic tension\u2010type headache patients attending a headache clinic participated in a physician\u2010administered structured interview designed to gather information on complementary and alternative medicine use.<\/jats:p>\n                  <jats:p>Results.\u2014Past use of complementary and alternative therapies was reported by 40% of the patients surveyed (22.7% in the previous year). Chronic tension\u2010type headache patients prefer complementary and alternative practitioner\u2010administered physical treatments to self\u2010treatments, the most frequently used being chiropractic (21.9%), acupuncture (17.8%), and massage (17.8%). Only 41.1% of the patients perceived complementary and alternative therapies to be beneficial. The most common source of recommendation of complementary and alternative medicine was a friend or relative (41.1%). Most of the chronic tension\u2010type headache patients used complementary and alternative treatment as a specific intervention for their headache (77.3%). Almost 60% of complementary and alternative medicine users had not informed their medical doctors of their use of complementary and alternative medicine. The most common reasons given for choosing to use a complementary or alternative therapy was the \u201cpotential improvement of headache\u201d it offered (45.4%). The patients who had used more complementary and alternative treatments were found to be those recording a higher lifetime number of visits to conventional medical doctors, those with a comorbid psychiatric disorder, those enjoying a higher (household) income, and those who had never tried a preventive pharmacological treatment.<\/jats:p>\n                  <jats:p>Conclusions.\u2014Our findings suggest that headache\u2010clinic chronic tension\u2010type headache patients, in their need of and quest for care, seek and explore both conventional and complementary and alternative therapies, even if only 41.1% of them perceived complementary treatments as effective. Physicians should be made aware of this patient\u2010driven change in the medical climate in order to prevent misuse of health care resources and to be better equipped to meet patients\u2019 care requirements.<\/jats:p>","DOI":"10.1111\/j.1526-4610.2006.00412.x","type":"journal-article","created":{"date-parts":[[2006,4,5]],"date-time":"2006-04-05T06:51:49Z","timestamp":1144219909000},"page":"622-631","source":"Crossref","is-referenced-by-count":36,"title":["Use of Complementary and Alternative Medicine by Patients With Chronic Tension\u2010Type Headache: Results of a Headache Clinic Survey"],"prefix":"10.1111","volume":"46","author":[{"given":"Paolo","family":"Rossi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Di 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