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An update on behavioral treatments in migraine - current knowledge and future options
Peter Kropp1, Bianca Meyer1, Wolfgang Meyer2
1a Institute of Medical Psychology and Medical Sociology , University Medicine Rostock , Rostock , Germany.
Expert Review of Neurotherapeutics
|September 8, 2017
Summary
Behavioral therapy, including relaxation and cognitive behavioral therapy, effectively reduces migraine frequency. Combining behavioral and pharmacological treatments offers additive benefits for migraine management.
Area of Science:
- Neurology
- Behavioral Medicine
Background:
- Migraine management includes pharmacological, interventional, and non-medical therapeutic options.
- Behavioral therapy, derived from behavioral medicine, is a key non-pharmacological approach for migraine.
- Modern approaches incorporate information technology for enhanced behavioral treatment delivery.
Purpose of the Study:
- To review and update the understanding of behavioral treatment options for migraine.
- To highlight the efficacy and integration of behavioral therapies in migraine prophylaxis.
- To discuss novel technology-based approaches in behavioral migraine management.
Main Methods:
- Systematic review of studies retrieved via PubMed searches.
- Analysis of existing literature on behavioral interventions for migraine.
- Evaluation of modern information technology-based approaches.
Main Results:
- Patient consultation alone can reduce migraine attack frequency.
- Effective behavioral techniques include relaxation (e.g., progressive muscle relaxation) and biofeedback.
- Cognitive behavioral therapy (CBT) is effective, though some limitations exist.
- Online therapy and smartphone applications represent advancements in behavioral treatment.
- Combined behavioral and pharmacological treatments yield additive effects.
Conclusions:
- Behavioral treatment is an indispensable component of multidisciplinary migraine care.
- Behavioral therapy for migraine prophylaxis is as effective as pharmacological treatment.
- Combining behavioral and pharmacological approaches enhances overall treatment efficacy.
- Novel online and electronic device-based treatments offer promising future options for migraine management.
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