Indian Journal of Pain

ORIGINAL ARTICLE
Year
: 2022  |  Volume : 36  |  Issue : 3  |  Page : 140--146

Effect of adjunctive transcranial direct current stimulation and cognitive behavior therapy on headache disability in episodic frequent or chronic tension-type headache: A pilot, exploratory study


Saloni Gupta1, Deepak Goel2, Shobit Garg1, Sai Krishna Tikka3, Preeti Mishra1, Priya Tyagi1 
1 Department of Psychiatry, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
2 Department of Neurology, Himalayan University, Dehradun, Uttarakhand, India
3 Department of Psychiatry, AIIMS, Bibinagar, Hyderabad, Telangana, India

Correspondence Address:
Dr. Deepak Goel
Department of Neurology, Himalayan Hospital and Medical Sciences, Swami Ram Himalayan University, Jolly Grant, Dehradun - 248 140, Uttarakhand
India

Background: Literature suggests that non-pharmacological treatments like non-invasive brain stimulation and cognitive behavioural therapy (CBT) may be used as augments in the management of Tension-Type Headache (TTH). Aims and Objectives: To assess the efficacy of Transcranial Direct Current Stimulation (tDCS) and Cognitive Behavioral Therapy (CBT) compared to treatment as usual (TAU) on headache-related disability and the psychological impact of headache on life of patients suffering from TTH. Materials and Methods: Thirty right-handed TTH patients HDI (headache disability index) > 30 were randomly allocated to group A (tDCS + TAU), group B (CBT + TAU), and group C (TAU). While the primary outcome measure was headache related disability (Headache Disability Index(HDI)), somatic symptoms (Somatic Symptom Severity (SSS-8)), anxiety & depression (Hospital Anxiety and Depression Scale (HADS)) and sleep quality (Pittsburgh Sleep Quality Index (PSQI). Assessments were done at baseline, end of the third and sixth month. Results: We found a statistically significant reduction in HDI (F=12.419, p <0.001), SSS-8 (F=4.587, p=0.010), and HADS-anxiety (F=4.810, p=0.002). tDCS showed better efficacy than CBT, while these two were significantly better than TAU on HDI and SSS-8. On HADS-A also both tDCS and CBT were better than TAU, but showed no significant difference between them. Conclusion: Supplementing non-pharmacological techniques like tDCS and CBT will be effective in reducing headache-related disability and associated psychological symptoms.


How to cite this article:
Gupta S, Goel D, Garg S, Tikka SK, Mishra P, Tyagi P. Effect of adjunctive transcranial direct current stimulation and cognitive behavior therapy on headache disability in episodic frequent or chronic tension-type headache: A pilot, exploratory study.Indian J Pain 2022;36:140-146


How to cite this URL:
Gupta S, Goel D, Garg S, Tikka SK, Mishra P, Tyagi P. Effect of adjunctive transcranial direct current stimulation and cognitive behavior therapy on headache disability in episodic frequent or chronic tension-type headache: A pilot, exploratory study. Indian J Pain [serial online] 2022 [cited 2022 Dec 8 ];36:140-146
Available from: https://www.indianjpain.org/article.asp?issn=0970-5333;year=2022;volume=36;issue=3;spage=140;epage=146;aulast=Gupta;type=0