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Behavioral medicine for migraine.

Dawn C Buse1, Frank Andrasik

  • 1Department of Neurology, Albert Einstein College of Medicine of Yeshiva University, NY, USA. dbuse@montefiore.org

Neurologic Clinics
|March 18, 2009
PubMed
Summary

Behavioral medicine offers effective treatments for migraine management, including cognitive behavioral therapy and biobehavioral training. These evidence-based approaches address biological, psychological, and environmental factors for improved patient outcomes.

Area of Science:

  • Behavioral medicine
  • Psychology
  • Neuroscience

Background:

  • Migraine is a complex neurological condition influenced by biopsychosocial factors.
  • Behavioral medicine integrates biological, psychological, and social elements in understanding health and illness.
  • Effective migraine management requires addressing multiple contributing factors.

Purpose of the Study:

  • To review empirically supported behavioral interventions for migraine treatment and management.
  • To highlight the efficacy of cognitive behavioral therapy and biobehavioral training.
  • To discuss adjunctive strategies for comprehensive migraine care.

Main Methods:

  • Review of empirically supported behavioral approaches.
  • Analysis of cognitive behavioral therapy, biofeedback, relaxation training, and stress management.

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  • Inclusion of data on patient education, support groups, and psychological comorbidities.

    • Main Results:

    • Cognitive behavioral therapy and biobehavioral training demonstrate efficacy in migraine management.
    • These behavioral techniques are effective when learned and practiced correctly.
    • Behavioral interventions can be used alone or with pharmacologic treatments.

    Conclusions:

    • Behavioral interventions are valuable components of a multimodal migraine treatment plan.
    • Addressing psychological comorbidities and modifiable risk factors is crucial.
    • Enhancing patient adherence, motivation, and medical communication improves outcomes.