Towards a Functional Model of Chronic Headaches: Investigation of Antecedents and Consequences

Martin, Paul R.; Milech, Dan; Nathan, Paula R.

doi:10.1111/j.1526-4610.1993.hed3309461.x

Cited by 33 publications

(35 citation statements)

References 18 publications

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“…NA not available drawn in many other studies [14]. Stress is the most important trigger for males and females [15] and for children as well as adults [16].…”

Section: Migraine Triggersmentioning

confidence: 98%

Behavioral Management of Migraine Headache Triggers: Learning to Cope with Triggers

Martin

2010

Curr Pain Headache Rep

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105

108

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The literature on migraine triggers is reviewed, including the most common triggers, interactions between triggers, the research evidence related to the capacity of self-reported triggers to precipitate headaches, and the neurobiologic pathways by which triggers induce migraine attacks. An argument is developed against the standard advice to avoid migraine triggers as the best way of preventing attacks, based on conceptual and practical criticisms, and consideration of cognate literatures on chronic pain, stress, and anxiety. A small number of studies suggest that exposure to headache triggers has the same effect as exposure to anxiety-eliciting stimuli, with short exposure associated with increased pain response and prolonged exposure associated with decreased pain response. On the basis of this literature, "learning to cope with triggers" is advocated, where controlled exposure and approach/confront strategies are used to manage migraine triggers, except in cases where such an approach would probably be inappropriate.

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“…NA not available drawn in many other studies [14]. Stress is the most important trigger for males and females [15] and for children as well as adults [16].…”

Section: Migraine Triggersmentioning

confidence: 98%

Behavioral Management of Migraine Headache Triggers: Learning to Cope with Triggers

Martin

2010

Curr Pain Headache Rep

Self Cite

105

108

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“…The age range of children was [8][9][10][11][12][13][14] (mean age 11.2±2.4 in the clinical group and 10.7±2.2 in the control group). The difference was not significant.…”

Section: Resultsmentioning

confidence: 99%

“…The frequency, intensity and quality of headaches have been associated with complex interactions between biological, psychological and socio/environmental factors [10][11][12][13]. Psychosocial mechanisms may be relevant in the etiology and pathogenesis of primary headaches and include social and economic status, resilience, housing conditions, family conditions, life events, school conditions and performance, leisure time activities, quality of life, situational factors, coping responses, psychiatric and somatic comorbidity, and behavioral problems [14].…”

Section: Introductionmentioning

confidence: 99%

Family ecology in children with primary headache

2002

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IntroductionRecurrent headache is a common symptom in children. By the age of seven, about 30%-50% of children have experienced headache [1][2][3][4]. These proportions dramatically increase during adolescence and may reach the 90% of the adolescent population [1,5,6]. About 15% of school age children suffer from recurrent headache, either tension-type headache or migraine, once a week or more [7][8][9].The frequency, intensity and quality of headaches have been associated with complex interactions between biological, psychological and socio/environmental factors [10][11][12][13]. Psychosocial mechanisms may be relevant in the etiology and pathogenesis of primary headaches and include social and economic status, resilience, housing conditions, family conditions, life events, school conditions and performance, leisure time activities, quality of life, situational factors, coping responses, psychiatric and somatic comorbidity, and behavioral problems [14]. A controlled study [14] of children and adolescents with primary headache showed that migraine is not related to family and housing conditions, school situation or peer relations, whereas tension-type headache is associated with a higher rate of divorced parents and fewer peer relations.There is substantial agreement on the role of the family in the development, maintenance and/or worsening of recurrent headache in adults [15][16][17]. The family not only has a crucial effect in the development of psychosomatic illnesses [18][19][20][21] but also is the basic unit for the health care of its members [22]. Given the broad consensus among researchers and clinicians in the field on the relevance of the family, it is surprising that few studies investigated the role of family factors on children affected by primary headaches. Ursula Napoli Vanna Axia Pier Antonio BattistellaAbstract The focus of this paper is the family factors associated with primary headache in children between 8 and 14 years. We studied the differences in the family ecology between 32 children with headaches and 32 healthy controls. The families were comparable for socio-economic status and children's age. We examined various aspects of the family connectedness, daily workload, social network and support, ecological fit and resilience using an Italian version of the Ecocultural Family Interview. Families of juvenile headache patients have less resilience in using their subsistence base, less social support and are less closely knitted than the control families. No difference was found for the amount of domestic workload. These findings suggest that psychosocial environment and family ecology are relevant to children's headaches, and that clinical support can be planned to sustain parents of children affected by primary headache.

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“…The substance of the brain is largely insensate; pain can be generated by large cranial vessels, proximal intracranial vessels [27] or by the dura mater [28]. These vessels are innervated by branches of the ophthalmic division of the trigeminal nerve, whereas the structures of the posterior fossa are innervated by branches of the C2 nerve roots.…”

Section: Pain Mechanisms In Migrainementioning

confidence: 99%

Migraine: Current Therapeutic Targets and Future Avenues

Arulmozhi

Addepalli²,

Bodhankar

2006

CVP

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Migraine is characterized by attacks of intense pulsatile and throbbing headache, typically unilateral in nature with or without aura. Migraine affects a substantial fraction (10-20 %) of the world population (more women than men). With regard to the pathophysiology of migraine, several theories have been proposed; the major three are vascular (due to cerebral vasodilatation), neurological (abnormal neurological firing) and neurogenic dural inflammation (release of inflammatory neuropeptides). The drugs used to treat migraine can be divided into two groups: agents that abolish the acute migraine headache and agents aimed at prevention. The acutely acting antimigraine agents (5-HT(1B/1D) receptor agonists) stimulated research interest in the field of migraine. Currently prophylactic treatments for migraine include calcium channel blockers, 5-HT(2) receptor antagonists, beta-adrenoceptor blockers and gamma-amino butyric acid (GABA) agonists. Unfortunately, many of these treatments are non-specific and not always effective. Despite progress, the complex etiology of migraine requires further research, the condition often remains undiagnosed and available therapies are underused. In this review, the evidence that linked the different theories of migraine with its pathophysiology is considered. Furthermore, the present therapeutic targets and future approaches for the acute and prophylactic treatment of migraine are critically evaluated.

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Towards a Functional Model of Chronic Headaches: Investigation of Antecedents and Consequences

Cited by 33 publications

References 18 publications

Behavioral Management of Migraine Headache Triggers: Learning to Cope with Triggers

Behavioral Management of Migraine Headache Triggers: Learning to Cope with Triggers

Family ecology in children with primary headache

Migraine: Current Therapeutic Targets and Future Avenues

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