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For numerous people, stress is at the origin of frequent headaches. Two types of treatments offer themselves to them: to learn to manage their stress or to take some antidepressants. A recent survey indicates that at two third the patients the association of these two treatments permits to decrease of half the intensity of the cephalees. The cephalees of tension is very particular headaches, gladly chronic, in helmet, associated to an impression of tension in the muscles of the neck. Sometimes add themselves of it of the sensations of tingle or pang in the scalp. Contrary to what one often observes in the migraines, there are not any visual unrests, nor of nauseas or vomitings. In fact, these céphalées is often of moderate intensity and repeats themselves during long years without no treatment is set in motion. But at some people, they can take more bothersome proportions and become quasi-perms. Their origin is probably psychosomatic, although their mechanism is little clear. Two hundred studied patientsStress being supposed to play a big role in the intervening of these pains of heads, different techniques of relaxation and cognitive therapies or comportementales have been proposed. The hold of antidepressants tricycliques appeared also efficient in some cases. A team of the university of the Ohio valued the efficiency of an antidepressant treatment associated to therapies of stress management. More than 200 patients that endured céphalées of tension, 26 days per month on average, participated in this survey during eight months. Some have been treated by an antidepressant only tricyclique, of others by a placebo or by therapies of management of stress associated to a placebo, and of others finally by these therapies associated to the antidepressants. For the stern shapesThe antidepressants, as the techniques of stress management, had an efficiency superior to the placebo. If the association of the two treatments doesn't appear to act on the frequency of the cephalees, on the other hand for 64% of people treated, the intensity of the headaches had decreased half, whereas it was not the case that for 38% of the patients coins only antidepressants and for 35% of those been solely by therapy about stress management. These results seem encouraging for people enduring strong céphalées in spite of the follow-up of one or the other of these treatments. It is necessary to recall however that the antidepressants are not deprived of secondary effects (somnolence, drought of the mouth, constipation...) and that their use cannot be considered that to treat really bothersome céphalées and only after failure of the other treatments. 2009-05-29
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