ミニシンポジウム
小児の一次性頭痛における非薬物療法の変遷
2026 年 53 巻 1 号 p. 60-64
詳細
2026 年 53 巻 1 号 p. 60-64
Patient education, which can be regarded as the most fundamental form of non-pharmacological treatment, is the basic approach to managing chronic symptoms in children. In the Japanese Clinical Practice Guideline for Headache 2021, a new section entitled “Non-pharmacological Therapies for Headache in Children and Adolescents” was added under the major category “Headache in Children and Adolescents.” This section identifies three key components of non-pharmacological treatment: patient education, psychological therapy, and nutritional supplements.
Patient education includes disease-specific education and lifestyle guidance, and it is desirable to provide such educational interventions during the early stages of treatment. In the field of psychological therapy for children, cognitive behavioral therapy (CBT) has been evaluated in randomized controlled trials (RCTs) , and its short-term effectiveness has been reported. Nutritional supplements, including vitamin B2 (riboflavin) , have also been investigated for their efficacy; however, there is currently insufficient evidence to support their effectiveness. As a supportive treatment, traditional Japanese herbal medicine (Kampo medicine) is also briefly discussed.
