Clinical Edge

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Outpatient Program for Headache Gets High Marks

Headache; ePub 2017 Jan 27; Krause, Stillman, et al

A recent study supported the efficacy of an intensive outpatient program designed to improve functioning and reduce psychological impairment for chronic headache sufferers. 379 patients were admitted to the 3-week interdisciplinary treatment program. Assessments of headache severity, psychological status, and functional impairment were completed by 371 (97.8%) of these at the time of admission. At discharge, 340 subjects (89.7%) provided assessment data, and 152 (40.1%) provided data at 1-year follow-up. Researchers found:

  • Subjects' mean ratings on a 0-10 scale for their headache pain in the prior week declined, and these improvements were maintained at follow-up.
  • Measures of functional impairment also improved following treatment, and these gains were maintained at 12-month follow up.
  • As measured by the Depression, Anxiety and Stress Scale, anxiety and reactivity to stress decreased following treatment, and remained improved at follow-up.


Krause SJ, Stillman MJ, Tepper DE, Zajac D. A prospective cohort study of outpatient interdisciplinary rehabilitation of chronic headache patients. [Published online ahead of print January 27, 2017]. Headache. doi:10.1111/head.13020.