title: Cognitive-Behavioral Therapy: How Medical Providers Can Increase Patient and Family Openness and Access to Evidence-Based Multimodal Therapy for Pediatric Migraine.
abstract: Although evidence supports the recommendation for cognitive-behavioral therapy (CBT) for pediatric migraine, few children actually receive this evidence-based intervention. In this article, we briefly review the most recent empirical evidence supporting CBT. We then identify both provider- and system-related barriers as well as patient-related barriers. Finally, we provide practical solutions to addressing these barriers in the service of facilitating children receiving optimal comprehensive management of their headaches.
authors.affiliation: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.|Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Ernst
authors.affiliation: Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.|Headache Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.|Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Hope L
authors.initials: HL
authors.lastname: O'Brien
authors.affiliation: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.|Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.|Headache Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Scott W
authors.initials: SW
authors.lastname: Powers
mesh_terms: D002648:Child; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy / Q000379:methods; D019317:Evidence-Based Medicine / Q000379:methods*; D006801:Humans; D008881:Migraine Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D010372:Pediatrics / Q000379:methods*; D010817:Physician-Patient Relations; D011368:Professional-Family Relations
keywords: care integration; cognitive-behavioral therapy; pediatric migraine