Behavioural management of migraine

Brown, Helen; Newman, Craig; Noad, Rupert; Weatherby, Stuart
August 2012
Annals of Indian Academy of Neurology;Aug2012 Supplement, pS78
Academic Journal
It is important to recognise that migraine is a 'biological' and not a 'psychological' entity. However, psychological factors can be involved in migraine in 4 different ways:- 1) Migraines can be triggered by psychological stressors; 2) Severe migraine can itself be a cause of significant psychological stress which can, in turn, exacerbate the problem; 3) Even if psychological stress is not significantly involved in the genesis of the headache, pain management techniques can help people cope with their pain more effectively; 4) Longitudinal data demonstrate a complex bidirectional association between mood disorders and migraine. Treatment of a co-existing mood disorder, for example with cognitive behavioural techniques, may therefore reduce the impact of migraine. It would thus appear logical to view medical and psychological approaches as potentially synergistic rather than mutually exclusive. Functional imaging indicates that cognition, emotions, and pain experiences change the way the brain processes pain inputs. This may provide a physiological rationale for psychological interventions in pain management. As most studies of psychological management of migraine have been relatively small and the approach often varies between clinicians, the magnitude of benefit, optimum method of delivery, and the length of intervention are uncertain.


Related Articles

  • Effectiveness of Cognitive Behavioral Therapy a long with Conventional Treatment in Asthma Patients Compared with Solely Conventional Therapy. Jamalimotlagh, Maryam; Rezaei, Omid; Fata, Ladan; Jamaati, Hamidreza; Masafi, Saeede // International Journal of Collaborative Research on Internal Medi;Sep2012, Vol. 4 Issue 9, p1651 

    Background: While origin of Asthma is allergy and infection, mental stresses can also indicate asthma attacks. Most people with asthma argue that the reason of asthma attacks is mentalpsychological problems such as stress. Aim & objective: Asthma is a chronic and recurrent disease. High levels...

  • NHS study warns CBT not a long-term cure. Hairon, Nerys // Pulse;11/12/2005, Vol. 65 Issue 44, p8 

    Presents a new NHS study questioning the long-term effectiveness of cognitive behavior therapy in Great Britain. Calls for general practitioners to monitor patients with anxiety; Assessment of patients who had participated in trials of CBT for anxiety between two and fourteen years earlier;...

  • Cognitive change and enhanced coping: missing mediational links in cognitive behavior therapy with anxiety-disordered children. Prins, Pier J. M.; Ollendick, Thomas H.; Prins, Pier J // Clinical Child & Family Psychology Review;Jun2003, Vol. 6 Issue 2, p87 

    In this review, we examine the recent cognitive behavior therapy (CBT) outcome literature with anxiety-disordered children and, specifically, explore the status of cognitive change and increased coping ability as (1) specific treatment effects, and (2) possible mediators of the efficacy of CBT....

  • Measuring Change in OCD: Sensitivity of the Obsessive-Compulsive Inventory-Revised. Abramowitz, Jonathan S.; Tolin, David F.; Diefenbach, Gretchen J. // Journal of Psychopathology & Behavioral Assessment;Dec2005, Vol. 27 Issue 4, p317 

    This study examined the sensitivity to change and specificity of response of the Obsessive-Compulsive Inventory-Revised (OCI-R), an 18-item self-report measure of obsessive-compulsive disorder (OCD) severity. Seventy-seven OCD patients received cognitive-behavioral therapy incorporating exposure...

  • Recent Research on Bulimia Nervosa. Mitchell, James E.; Steffen, Kristine J. // Eating Disorders Review;Jan/Feb2008, Vol. 19 Issue 1, p1 

    The article focuses on bulimia nervosa (BN) and its treatment. Community-recruited samples revealed that binge eating and compensatory behaviors occurring twice a week led to a higher need for health-care utilization. Women with BN disorder who often binge eat when feeling hostility and stress...

  • CBT Basics: A Group Approach to Teaching Fundamental Cognitive-Behavioral Skills. Macrodimitris, Sophie D.; Hamilton, Kate E.; Backs-Dermott, Barb J.; Mothersill, Kerry J. // Journal of Cognitive Psychotherapy;Summer2010, Vol. 24 Issue 2, p132 

    CBT Basics I is a psychoeducational group program originally developed as a pre-individual therapy introduction to cognitive-behavioral therapy (CBT) skills for clients presenting with depression and/or anxiety disorders. We describe the development and content of this six-session introductory...

  • Severity directs treatment choice.  // New Zealand Doctor;2/11/2009, p21 

    The article focuses on ways to treat child and adolescent anxiety. It notes that around 60 percent of children and young people improve with cognitive behavioral therapy (CBT). The most common side effects of selective serotonin reuptake inhibitor (SSRI) are nausea, restlessness and headaches....

  • Predictors of relapse in the second follow-up year post cognitive-behavior therapy for panic disorder. Heldt, Elizeth; Kipper, Letícia; Blaya, Carolina; Salum, Giovanni A.; Hirakata, Vânia N.; Otto, Michael W.; Manfro, Gisele G. // Revista Brasileira de Psiquiatria;mar2011, Vol. 33 Issue 1, p23 

    Objective: To investigate predictors of relapse two years after a brief cognitive-behavior group therapy in patients with panic disorder who had failed to respond to pharmacologic treatment. Method: A total of 56 patients with panic disorder who had met remission criteria at 1 year evaluation...

  • A Systematic and Empirical Review of Mindfulness Interventions with Adolescents: A Potential Fit for Delinquency Intervention. Montgomery, Katherine L.; Kim, Johnny S.; Springer, David W.; Learman, Joy A. // Best Practice in Mental Health;Mar2013, Vol. 9 Issue 1, p1 

    Mindfulness therapies have gained considerable attention recently in empirical literature, revealing promise for the reduction of a variety of psychological and physiological symptoms among adults. Studies have offered promising results regarding the efficacy of Acceptance and Commitment Therapy...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics