Behavioral medicine for migraine and medication overuse headache

Andrasik, Frank; Buse, Dawn C.; Grazzi, Licia

doi:10.1007/s11916-009-0041-x

Cited by 34 publications

(33 citation statements)

References 48 publications

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“…Avoidance of trigger factors and behavioural medicine techniques, including patient education, cognitive behavioural therapy and biobehavioural training (biofeedback, relaxation training and stress management) (32), are additional strategies that can be employed in the prevention of migraine attacks.…”

Section: Attack Frequencymentioning

confidence: 99%

Review of comorbidities and risk factors for the development of migraine complications (infarct and chronic migraine)

Dodick

2009

Cephalalgia

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A number of comorbid disorders, behavioural traits and associated risk factors in patients with migraine are known to increase the risk of complications such as ischaemic vascular events and chronic migraine, a syndrome that is more disabling and resistant to treatment with acute and preventative medications than episodic migraine. Reduction of cardiovascular risk factors, smoking cessation and use of non-oestrogen-containing oral contraceptives in female patients are beneficial strategies to reduce the risk of ischaemic events in patients with migraine (especially those with aura). Attack frequency, acute medication overuse, obesity and coexisting depression and anxiety disorders are particularly strong but potentially modifiable independent risk factors for progression to chronic migraine. Identifying and managing comorbidities and associated risk factors for complications of migraine are likely to require an integrated disease management strategy involving several disciplines and allied health services. Such a disease-oriented model of care may potentially interrupt the cycle of progression and disability and improve quality of life for patients with migraine.

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Section: Attack Frequencymentioning

confidence: 99%

Review of comorbidities and risk factors for the development of migraine complications (infarct and chronic migraine)

Dodick

2009

Cephalalgia

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“…Current treatment for migraine is primarily focussed on pharmacological interventions, however, these treatments only show moderate efficacy. With headache disorders now considered a bio-psychosocial phenomenon, pharmacotherapy fails to address underlying psychological and social factors influencing headache [4]. Evidence also shows that migraine may be comorbid with psychiatric conditions, notably anxiety and depression [5].…”

Section: Introductionmentioning

confidence: 99%

Psychological interventions for migraine: a systematic review

2016

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Migraine causes major health impairment and disability. Psychological interventions offer an addition to pharmacotherapy but they are not currently recommended by the National Institute of Clinical Excellence (NICE) or available in the National Health Service. We aimed to systematically review evidence on the efficacy of psychological interventions for migraine in adults. A search was done of MEDLINE, psychINFO, http://www.opengrey.eu, the meta-register of controlled trials and bibliographies. Twenty-four papers were included and rated independently by two people using the Yates scale, which has 35 points. Cochrane recommendations are that high quality reports score above the mid-point (18 points). Methods used in 17/24 papers were rated ‘high quality’. However, frequently descriptions of key areas such as randomisation methods were omitted. Eighteen studies measured effects of psychological interventions on headache-related outcomes, fifteen reporting significant improvements, ranging 20–67 %. Interventions also produced improvements in psychological outcomes. Few trials measured or reported improvement in disability or quality of life. We conclude that evidence supports the efficacy of psychological interventions in migraine. Over half of the studies were from the USA, which did not provide universal health care at the time of the study, so it is difficult to generalise results to typical populations in receipt of publically funded health services. We agree with the NICE recommendation that high quality pragmatic randomised controlled trials are needed in the UK.

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“…coping with migraine triggers [12,15,16]. Non-pharmacologic treatments have been shown to be effective in controlling migraines [1,17].…”

Section: Introductionmentioning

confidence: 99%

The impact of regular lifestyle behavior in migraine: a prevalence case–referent study

Woldeamanuel

Cowan

2016

J Neurol

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Regular lifestyle behaviors (RLBs) of sleep, exercise, mealtime pattern and hydration status independently affect migraine occurrence. We aimed herein to evaluate the differences in migraine occurrence among participants who do and do not maintain the RLB triumvirate. Cases of chronic migraine (CM) and referents of episodic migraine (EM) ≥ aged 15 years with charts regularly documenting RLB notes were continuously enrolled from a retrospective case-referent cohort study performed on electronic chart review from January 1, 2014 to January 1, 2015 at the Stanford Headache and Facial Pain Program. Association between RLB prevalence and migraine occurrence was studied. 175 CM and 175 EM patients were enrolled (mean age 44.4 years, 22 % males). Migraine was diagnosed according to the ICHD-3 beta criteria, and was confirmed by a Headache Specialist attending the Clinic. The CM cohort (22 %) exhibited less RLB than the EM cohort (69 %), with crude odds ratio of 0.13 (95 % confidence interval or CI 0.08-0.21). The adjusted odds ratio and adjusted relative risk between RLB+, Meds+ (those taking medication) and CM were 0.67 (95 % CI 0.32-1.40) and 0.74 (95 % CI 0.43-1.28), indicating no significant effect modification. Engaging in regular lifestyle behavior helps quell chronic migraine.

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Behavioral medicine for migraine and medication overuse headache

Cited by 34 publications

References 48 publications

Review of comorbidities and risk factors for the development of migraine complications (infarct and chronic migraine)

Review of comorbidities and risk factors for the development of migraine complications (infarct and chronic migraine)

Psychological interventions for migraine: a systematic review

The impact of regular lifestyle behavior in migraine: a prevalence case–referent study

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