Psychological therapies for the prevention of migraine in adults

Sharpe, Louise; Dudeney, Joanne; Williams, Amanda C de C; Nicholas, Michael K.; McPhee, Ingrid; Baillie, Andrew; Welgampola, Miriam S.; McGuire, Brian E.

doi:10.1002/14651858.cd012295.pub2

Cited by 35 publications

(47 citation statements)

References 106 publications

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“…These results underline that patients require specialised treatment to approach all domains of headache-related disability and impaired bio-psycho-social health. Importantly, headache frequency alone did not even show a modest correlation with most of the QoL domains, which additionally highlights the need for specialist care and routine administration of instruments enabling assessment of these domains [5,21]. Specialists can provide access to multi-modal interventions that were shown to provide moderate to strong effect sizes to enhance affective symptoms, QoL and disability [22].…”

Section: Current Studymentioning

confidence: 98%

Treatment Realities of Headache Disorders in Rural Germany by the Example of the Region of Western Pomerania

et al. 2021

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(1) Background: Headache disorders are among the most disabling medical conditions but the supply with experienced providers is outpaced by the demand for service. It is unclear to what extent particularly patients in rural regions are affected by limited access to comprehensive care. Furthermore, it is unknown what role general practitioners (GPs) play in headache care. (2) Methods: First-time consultations to a specialised headache clinic at a tertiary care centre were asked to participate. Their socio-demographic background, general and headache-specific medical history, disability and quality of life (QoL) were assessed. Additionally, 176 GPs in neighbouring districts were contacted regarding headache management. (3) Results: We assessed 162 patients with first-time consultations (age 46.1 ± 17.0 years, 78.1% female), who suffered from migraine (72%), tension type, cluster and secondary headaches (each 5–10%). About 50% of patients received a new headache-diagnosis and 60% had treatment inconsistent with national guidelines. QoL was significantly worse in all domains compared to the general population. About 75% of GPs see headache patients at least several times per week, and mostly treat them by themself. (4) Conclusions: More than every second headache patient was neither correctly diagnosed nor received guideline adherent treatment. Headache-related disability is inferior to what is expected from previous studies. Access to specialised health care is more limited in rural than in urban regions in Germany and GPs request more training.

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Section: Current Studymentioning

confidence: 98%

Treatment Realities of Headache Disorders in Rural Germany by the Example of the Region of Western Pomerania

et al. 2021

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“…In addition, chronic migraine has a low response to treatments which are routinely provided to patients (e.g., medications such as triptans, non-invasive vagus nerve stimulation, pain management, stress management, biofeedback, cognitive behavioral therapy, relaxation techniques) (Becker, 2017;May & Schulte, 2016). Similarly, psychological interventions, such as cognitive behavior therapy (Martin et al, 2015) and acceptance commitment therapy (Dindo et al, 2020), improve psychological distress (Dindo et al, 2020;Martin et al, 2015;Knowlton et al, 2019) but do not affect migraine and its disability (Sharpe et al, 2019). Thus, treating chronic migraine is a real challenge for clinicians and studies on psychological treatments are warranted (National Institute for Health and Care Excellence, 2015).…”

Section: Theoretical and Research Basis For Treatmentmentioning

confidence: 99%

“…In this case example, WBT was associated with decrease of migraine attacks and disability as well as with improvement of depressive symptoms, well-being, and euthymia. They are promising results since chronic migraine is commonly resistant to pharmaceutical treatments routinely provided in the clinical realm (e.g., triptans, lamotrigine, amitriptyline) (Becker, 2017;Cecchini et al, 2012;May & Schulte, 2016), is often associated to depression (Araki et al, 2019;Bigal & Lipton, 2009), and psychological interventions studied until now have shown disappointing results in term of number of migraine attacks and migraine disability (Sharpe et al, 2019;Wells et al, 2020). Of course, based on the present clinical case, WBT is promising in chronic migraine patients with a history of depression and current depressive symptoms.…”

Section: Treatment Implications Of the Casementioning

confidence: 99%

Well-Being Therapy for Depressive Symptoms in Chronic Migraine: A Case Report

Mansueto

Cosci

2021

Clinical Case Studies

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Depression in chronic migraine is a common and vexing problem. Stress-oriented psychotherapies showed to improve depressive symptoms but not to affect migraine disability or attacks. Well-Being Therapy (WBT) is a short-term psychotherapy intervention based on promoting well-being and optimizing functioning, which showed to be effective in the treatment of residual depressive symptoms and chronic pain. This single case describes an account of successful WBT for a case of chronic migraine with depressive symptoms. The patient is a 37-year old employed, engaged, Caucasian heterosexual woman who had chronic migraine without aura and depressive symptoms and received eight WBT sessions. Number of migraine attacks, migraine disability, and psychological variables were assessed at baseline, at sessions 4 and 8 of WBT, and at 3-month follow-up. At session 8 of WBT, a decrease in number of migraine attacks and migraine disability was observed together with an improvement on depressive symptoms as well as an increase of well-being and euthymia. The positive effects of WBT were maintained at 3-month follow-up. WBT may be a promising intervention for chronic migraine patients with depressive symptoms.

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“…In one randomized trial among young patients (10-17 years old) suffering from chronic migraine, the use of CBT (10 sessions) plus amitriptyline resulted in greater reductions in days with headache and migraine-related disability compared with the use of headache education plus amitriptyline [180]. A recent meta-analysis found that 54% of individuals with migraine reported at least 50% reduction in migraine frequency after psychological therapy, vs. 24% of controls [181]. Because CBT differs substantially from traditional psychotherapy, it focuses on here and now and it is typically time limited; this therapeutic option may help practitioners in migraine management, in pediatric populations in particular [182].…”

Section: Cognitive Behavioral Therapiesmentioning

confidence: 99%

Therapeutic Management: When and What

Mavridis¹,

Breza²,

Deligianni³

et al. 2020

Migraine

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Migraine is a widespread brain disease that is classified as the second most disabling condition and has the third highest prevalence of all medical conditions. Despite its non-emergent or life-threatening nature, migraine can progress to chronic type, a subform associated with significant morbidity and drug overuse. In the management of migraine, it is important therefore to introduce early prophylactic treatment in order to limit migraine chronification. In this chapter, we will go through all the treatment options, both acute and preventive, pharmaceutical and non-pharmaceutical following this flowchart: 1.

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Psychological therapies for the prevention of migraine in adults

Abstract: To assess beneficial and adverse effects of psychological treatment versus active alternative treatment or no treatment in adults with migraine, using methods that allow comparison with reviews of psychological interventions for other painful conditions.

Cited by 35 publications

References 106 publications

Treatment Realities of Headache Disorders in Rural Germany by the Example of the Region of Western Pomerania

Treatment Realities of Headache Disorders in Rural Germany by the Example of the Region of Western Pomerania

Well-Being Therapy for Depressive Symptoms in Chronic Migraine: A Case Report

Therapeutic Management: When and What

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