Most clinicians and researchers agree that the experience of pain is influenced by a wide range of psychological factors, which are important variables in the assessment and treatment of tension-type headache patients. However, there is lack of the systematic examinations that explore the relationships among psychological variables in tension-type headache. In this article, description and history of tension-type headaches, behavioral checklist, data of self report, interview with significant others, records of self-monitoring, bio-psycho-socio-spritual model in the assessment of tension-type headache, quality of life, and problem of psychometric tests in the assessment of tension-type headache were reviewed. That is, a multimodal psychological assessment strategy is important and considerable model in tension-type headache evaluation, and futher direction were discussed.
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