Genetics, pathophysiology, diagnosis, treatment, management, and prevention of migraine

Khan, Johra; Asoom, Lubna Ibrahim Al; Alsunni, Ahmed A; Rafique, Nazish; Latif, Rabia; Saif, Seham Al; Almandil, Noor B.; Almohazey, Dana; AbdulAzeez, Sayed; Borgio, J. Francis

doi:10.1016/j.biopha.2021.111557

Cited by 99 publications

(95 citation statements)

References 156 publications

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“… [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] .…”

Section: Uncited Referencesunclassified

The impacts of masks and disinfectants on migraine patients in the COVID-19 pandemic

Yüksel

Kenar

Gursoy

et al. 2022

Journal of Clinical Neuroscience

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Since the onset of the COVID-19 pandemic, the use of personal protective equipment (PPE) and disinfectants has become necessary to prevent transmission of the virus. However, the effects of such pandemic obligations on chronic diseases such as migraine have not been fully elucidated. We aimed to investigate the effects of the COVID-19 pandemic, as well as the use of masks and disinfectants, on migraine patients. A total of 310 migraine patients were included. Demographic data, migraine characteristics, and mask and disinfectant use were obtained through a face-to-face survey. Patients were grouped as worsening, stable, or improving according to pre-pandemic and pandemic migraine characteristics. Migraine worsening was found in 177 (57.1%) patients, stable course in 96 (31%) patients, and improvement in 37 (11.9%) patients. The use of scalp contact masks and double masks and daily mask duration were higher in the worsening group (p:0.005, p:0.005 and p:0.001). In addition, the frequency of personal disinfectant use was higher in this group (p:0.011). In regression analysis, mask type, daily mask duration, presence of allodynia, being a health worker, depression score, and odor were determined as independent risk factors for migraine worsening. We found a worsening of migraines in more than half of patients during the COVID-19 pandemic. We also demonstrated a relationship between migraine worsening and mask type, number of masks, and intensive disinfectant use. Migraine patients should be advised of optimal prevention methods based on individual social and working conditions rather than exaggerated preventative measures.

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“… [1] , [2] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] .…”

Section: Uncited Referencesunclassified

The impacts of masks and disinfectants on migraine patients in the COVID-19 pandemic

Yüksel

Kenar

Gursoy

et al. 2022

Journal of Clinical Neuroscience

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“…Migraine is known as a multifactorial disorder, with hormonal, genetic, environmental, sleep, dietary, and psychological aspects playing different roles in each individual [ 1 ]. The social and individual impact of migraine is also remarkable and diverse, including different sorts of psychiatric impairments [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Empirically derived dietary patterns and their association with mental health: a cross-sectional sample of Iranian migraine patients (2019–2020)

et al. 2022

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Objectives Based on a comprehensive search, we realized that there is no previous study conducted among migraine patients to assess the association between major dietary patterns and mental health. Therefore, the present study aims to explore the relationship between empirically-derived dietary patterns and depression, anxiety, and stress in a sample of Iranian migraine patients. Methods A total of 262 migraine patients (20–50 years) were selected through simple random sampling method for this study. Dietary intake during the previous year was determined using a validated 168-item, semi-quantitative food frequency questionnaire (FFQ), and major dietary patterns were derived using principal component analysis (PCA). For mental health evaluation, authors used the Depression, Anxiety, and Stress Scales (DASS- 21) questionnaire. Statistical analysis included multinomial logistic regression analysis and results were expressed as odds ratio (OR) with a 95% confidence interval (CI). Results We identified three major dietary patterns including “traditional”, “western”, and “healthy”. After controlling for potential confounders, those in the highest tertile of the healthy dietary pattern had lower odds of depression (OR = 0.44, 95% CI: 0.22, 0.88; P for trend: 0.030) and stress (OR = 0.50, 95% CI: 0.25, 0.99; P for trend: 0.049). However, no significant association was observed between western and traditional dietary patterns and mental disorders. Conclusions In summary, significant associations were documented between healthy dietary patterns and risk of depression and stress. Current findings urge migraine patients to increase their intakes of fruits, vegetables, eggs, whole grains, nuts and seeds, meat, and poultry and reduce the intake of fast foods and snacks, processed meat, fish, cola drink, condiments, dairy, and vegetable pickles to diminish the chance of depression and stress.

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“…If there were any missing or unclear results, we contacted the authors of the included studies. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]31] (1) Automatic pilot: Practice (Body scan, Mindful eating), Homework (Body scan) (2) Awareness of appraisals and stress: Practice (Body scan, Awareness of appraisals, Awareness of thoughts arising during breathing meditation), Homework (Body scan, Mindfulness breath, Awareness of thoughts, Stress events calendar) (3) Mindfulness of the breath: Practice (Breathing space, Labeling automatic thoughts), Homework (Sitting meditation and body scan, Breathing space) (4) Recognizing aversion: Practice (Mindful movement; walking and stretching), Homework (Sitting meditation and mindful movement, Breathing space) (5) Allowing/Letting be: Practice (Identifying automatic thoughts, Sitting meditation with acceptance), Homework (Sitting meditation, Breathing space) (6) Thoughts are not facts: Practice (Sitting meditation, Mindful observation of cognitions and considering alternatives, Awareness of pleasant events), Homework (Choose your own meditation, Breathing space for coping, Pleasant events calendar (7) How can I best take care of myself? : Practice (Sitting meditation, Linking activity and mood/stress/migraine, Identifying warning signs for stress and migraine, Making a plan for nourishing activities), Homework (Develop routine to practice mindfulness, Dealing with stress and migraine) (8) Using Mindfulness to cope with migraine: Practice (Body scan, Relapse prevention, Focused meditation)…”

Section: Outcome Assessment and Data Extractionmentioning

confidence: 99%

“…Overuse of painkillers can lead to a variety of side effects and medication overuse headache; therefore, attention should be paid to drug abuse during migraine symptoms [11,12]. Non-drug therapy is known to have fewer side effects and can be used simultaneously with medications [12,13].…”

Section: Introductionmentioning

confidence: 99%

Cognitive Behavioral Therapy for Migraine Headache: A Systematic Review and Meta-Analysis

et al. 2021

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Background and Objectives: Migraine headaches are chronic neurological diseases that reduce the quality of life by causing severe headaches and autonomic nervous system dysfunction, such as facial flushing, nasal stuffiness, and sweating. Their major treatment methods include medication and cognitive behavioral therapy (CBT). CBT has been used for pain treatment and various psychogenic neurological diseases by reducing pain, disability, and emotional disorders caused by symptoms of mental illness and improving the understanding of mental health. This study aimed to evaluate the effectiveness and safety of CBT in treating migraines. Materials and Methods: Seven electronic databases were searched from the date of inception to December 2020. Randomized controlled studies (RCTs) using CBT as an intervention for migraine were included. The primary outcome of this study was to determine the frequency of migraines and the intensity of migraines on Visual Analog Scale (VAS), the frequency of drug use, Migraine Disability Assessment (MIDAS), and Headache Impact Test (HIT-6) index. The two authors independently conducted the data extraction and quality assessment of the included RCTs, and conducted meta-analysis with RevMan V.5.4. Results: Among the 373 studies, 11 RCTs were included in this systematic review. Seven out of the 11 RCTs were conducted in the USA, and four were conducted in the UK, Germany, Iran, and Italy, respectively. Headache frequency and MIDAS scores were statistically significant reduced. In the subgroup analysis, headache strength was significantly reduced. Two of the included studies reported adverse effects, including worsening of migraine intensity and frequency, respiratory symptoms, and vivid memory of a traumatic event. Conclusions: CBT for migraine effectively reduced headache frequency and MIDAS score in meta-analysis and headache intensity subgroup analysis, with few adverse events. Additional RCTs with CBT for migraine headaches are needed for a more accurate analysis.

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Genetics, pathophysiology, diagnosis, treatment, management, and prevention of migraine

Cited by 99 publications

References 156 publications

The impacts of masks and disinfectants on migraine patients in the COVID-19 pandemic

The impacts of masks and disinfectants on migraine patients in the COVID-19 pandemic

Empirically derived dietary patterns and their association with mental health: a cross-sectional sample of Iranian migraine patients (2019–2020)

Cognitive Behavioral Therapy for Migraine Headache: A Systematic Review and Meta-Analysis

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