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Migraine Disorders: HELP
Articles by Kazuhiro Yoshiuchi
Based on 2 articles published since 2009
(Why 2 articles?)

Between 2009 and 2019, Kazuhiro Yoshiuchi wrote the following 2 articles about Migraine Disorders.
+ Citations + Abstracts
1 Review [Psychosomatic therapies in primary headaches]. 2009

Yoshiuchi, Kazuhiro. ·Department of Stress Science and Psychosomatic Medicine, Graduate School of Medicine, The University of Tokyo. ·Nihon Rinsho · Pubmed #19768914.

ABSTRACT: Many previous studies have reported that primary headaches such as tension-type headache and migraine are influenced by psychosocial factors including stressful life events and daily hassles. In addition, noncompliance and nonadherence with medical regimens represent a major challenge to the treatment of primary headaches including medication-overuse headache. Therefore, non-pharmacological therapies such as relaxation, cognitive-behavioral therapy, and biofeedback have become important and their efficacy has been reported. In the present review, I would like to introduce the importance of psychosocial factors in primary headaches and psychosomatic therapies by reviewing previous studies on the association between psychosocial factors and primary headaches and on the efficacy of non-pharmacological therapies and by showing a representative case.

2 Article Real-Time Assessment of the Effect of Biofeedback Therapy with Migraine: A Pilot Study. 2015

Odawara, Miyuki / Hashizume, Masahiro / Yoshiuchi, Kazuhiro / Tsuboi, Koji. ·Department of Psychosomatic Medicine, Faculty of Medicine, Toho University, 6-11-1 Omorinishi, Ota-ku, Tokyo, 143-8541, Japan. mykodawara@med.toho-u.ac.jp. · Department of Psychosomatic Medicine, Faculty of Medicine, Toho University, 6-11-1 Omorinishi, Ota-ku, Tokyo, 143-8541, Japan. · Department of Psychosomatic Medicine, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. ·Int J Behav Med · Pubmed #25670026.

ABSTRACT: BACKGROUND: Biofeedback therapy has been reported to be effective in the treatment of migraine. However, previous studies have assessed its effectiveness using paper-and-pencil diaries, which are not very reliable. PURPOSE: The objective of the present pilot study was to investigate the feasibility of using computerized ecological momentary assessment (EMA) for evaluating the efficacy of BF treatment for migraine in a randomized controlled trial. METHOD: The subjects comprised one male and 26 female patients with migraine. They were randomly assigned to either biofeedback or wait-list control groups. Patients were asked to carry a palmtop-type computer to record momentary symptoms for 4 weeks before and after biofeedback treatment. The primary outcome measure was headache intensity. The secondary outcome measures included psychological stress, anxiety, irritation, headache-related disability and the frequency (number of days per month) of migraine attack and of headache of at least moderate intensity (pain rating ≥50). RESULTS: Headache intensity showed significant main effects of period (before vs. after therapy, p = 0.02) and group (biofeedback vs. control groups, p = 0.42) and a significant period × group interaction (p < 0.001). Biofeedback reduced the duration of headaches by 1.9 days, and the frequency of days when headache intensity was ≥50 by 2.4 times. In addition, headache-related disability, psychological stress, depression, anxiety, and irritation were significantly improved. CONCLUSION: The present study used computerized EMA to show that biofeedback could improve the symptoms of migraine, including psychological stress and headache-related disability.