Mindfulness-based stress reduction for treating chronic headache: A systematic review and meta-analysis
Dennis Anheyer1, Matthew J Leach2,3, Petra Klose1
11 Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany.
Mindfulness-based interventions show uncertain effects on chronic headache symptoms. Current evidence from limited trials suggests no significant improvement in headache frequency, duration, or intensity compared to usual care.
Area of Science:
- Neurology
- Psychiatry
- Pain Management
Background:
- Mindfulness-based stress reduction and cognitive therapy are common for pain but their impact on headaches is unclear.
- Chronic headache conditions significantly impact quality of life.
Purpose of the Study:
- To evaluate the efficacy and safety of mindfulness-based stress reduction/cognitive therapy for reducing chronic headache symptoms.
Main Methods:
- A systematic review of randomized controlled trials was conducted.
- Searches included MEDLINE/PubMed, Scopus, CENTRAL, and PsychINFO up to June 2017.
- Included trials compared mindfulness interventions to usual care or active comparators for migraine and tension-type headache.
Main Results:
- Five trials with 185 participants were analyzed.
- No significant differences were found in headache frequency, duration, or intensity compared to usual care.
- Effect sizes were imprecise due to small sample sizes and risk of bias.
Conclusions:
- The current evidence is insufficient to confirm the benefits of mindfulness-based interventions for chronic headaches.
- More high-quality, larger randomized controlled trials are necessary to determine the true effect.
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