Behavioral Treatments for Migraine Management: Useful at Each Step of Migraine Care

Singer, Alexandra B.; Buse, Dawn C.; Seng, Elizabeth K.

doi:10.1007/s11910-015-0533-5

Cited by 34 publications

(37 citation statements)

References 58 publications

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“…Cognitive Behavioral Therapy (CBT) is an evidence-based behavioral treatment designed to effect change through modifying maladaptive beliefs and cognitive patterns. CBT specific to depression, anxiety, and migraine have demonstrated to improve outcomes for these conditions (36, 37). CBT treatments to reduce depressive and anxious symptoms are similar in many ways, and yet also differ in scope and content when compared with CBT targeting migraine symptoms specifically.…”

Section: Discussionmentioning

confidence: 99%

Psychological Factors Associated With Chronic Migraine and Severe Migraine‐Related Disability: An Observational Study in a Tertiary Headache Center

et al. 2017

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Objective To evaluate relationships among modifiable psychological factors and chronic migraine and severe migraine-related disability in a clinic-based sample of persons with migraine. Background Evidence evaluating relationships between modifiable psychological factors and chronic migraine and severe migraine-related disability is lacking in people with migraine presenting for routine clinical care. Methods Adults with migraine completed surveys during routinely scheduled visits to a tertiary headache center. Participants completed surveys assessing chronic migraine (meeting criteria for migraine with ≥15 headache days in the past month), severe migraine disability (Migraine Disability Assessment Scale score ≥ 21), and modifiable psychological factors [depressive symptoms (Patient Health Questionnaire-9), anxious symptoms (Generalized Anxiety Disorder-7), Pain Catastrophizing Scale and Headache Specific Locus of Control]. Logistic regression evaluated relationships between modifiable psychological factors and chronic migraine and severe migraine disability. Results Among 90 eligible participants the mean age was 45.0 (SD = 12.4); 84.8% were women. One-third (36.0%) met study criteria for chronic migraine; half of participants (51.5%) reported severe migraine-related disability. Higher depressive symptoms (OR = 1.99, 95% CI = 1,11, 3.55) and chance HSLC (OR = 1.85, 95% CI = 1.13, 1.43) were associated with chronic migraine. Higher depressive symptoms (OR = 3.54, 95%CI = 1.49, 8.41), anxiety symptoms (OR = 3.65, 95% CI = 1.65, 8.06), and pain catastrophizing (OR = 1.95, 95% CI = 1.14, 3.35), were associated with severe migraine-related disability. Conclusions Psychiatric symptoms and pain catastrophizing were strongly associated with severe migraine-related disability. Depression and chance locus of control were associated with chronic migraine. This study supports the need for longitudinal observational studies to evaluate relationships among naturalistic variation in psychological factors, migraine-related disability and migraine chronification.

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Section: Discussionmentioning

confidence: 99%

Psychological Factors Associated With Chronic Migraine and Severe Migraine‐Related Disability: An Observational Study in a Tertiary Headache Center

et al. 2017

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“…Pacing, whereby patients learn to avoid overloading their activities and schedules in order to stay below their migraine threshold in terms of stress and fatigue, is an important skill for many patients with chronic migraine. Specific behavioral therapies can also be helpful for many patients, including the teaching of relaxation techniques, biofeedback, and cognitive behavioral treatment (CBT) . Given the primary care physician's limited time for individual patient encounters and perhaps limited expertise in these areas, the recruitment of non‐physician health professionals (psychologists, occupational therapists) can be very helpful so that patients can master some of these important skills.…”

Section: Introductionmentioning

confidence: 99%

The Diagnosis and Management of Chronic Migraine in Primary Care

Becker

2017

Headache

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Management of chronic migraine is complex, and many patients are relatively refractory to therapy. Specialist referral will often be required and should not be unduly delayed. On the other hand, the primary care physician should be able to make the diagnosis, initiate therapy, and manage some less refractory patients without referral. The timing of referral should depend both on the expertise of the primary care physician in headache management and the patient's response to initial therapy.

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“…Common examples include the early intake of acute medications and the sufficient duration of a prophylaxis trial . Adequate medications may also fail to help a patient if significant lifestyle issues contributing to migraine frequency are not addressed or if overuse is not managed . Multidisciplinary programs, though effective, are costly and their cost‐effectiveness is not well demonstrated.…”

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confidence: 99%

A Nursing Intervention Increases Quality of Life and Self‐Efficacy in Migraine: A 1‐Year Prospective Controlled Trial

et al. 2017

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Behavioral Treatments for Migraine Management: Useful at Each Step of Migraine Care

Cited by 34 publications

References 58 publications

Psychological Factors Associated With Chronic Migraine and Severe Migraine‐Related Disability: An Observational Study in a Tertiary Headache Center

Psychological Factors Associated With Chronic Migraine and Severe Migraine‐Related Disability: An Observational Study in a Tertiary Headache Center

The Diagnosis and Management of Chronic Migraine in Primary Care

A Nursing Intervention Increases Quality of Life and Self‐Efficacy in Migraine: A 1‐Year Prospective Controlled Trial

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