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Psychological Approaches for Migraine Management
John A Sturgeon1, Dawn M Ehde2, Beth D Darnall3
1Department of Anesthesiology, University of Michigan Medical School, 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105, USA.
Anesthesiology Clinics
|May 28, 2023
Summary
Psychological interventions like cognitive-behavioral therapy are key for managing debilitating migraine headaches. Further research and technology integration can enhance their effectiveness for patients.
Area of Science:
- Neurology
- Psychology
- Pain Management
Background:
- Migraine headaches are a leading cause of disability globally.
- Effective migraine management requires a multidisciplinary approach.
- Psychological factors significantly impact migraine pain, distress, and disability.
Purpose of the Study:
- To review the role of psychological interventions in migraine management.
- To identify evidence-based psychological treatments for migraines.
- To explore future directions for improving psychological migraine therapies.
Main Methods:
- Literature review of psychological interventions for migraine.
- Analysis of clinical trial quality for psychological therapies.
- Identification of factors influencing intervention efficacy.
Main Results:
- Relaxation strategies, cognitive-behavioral therapy, and biofeedback have the strongest research support.
- The quality of existing clinical trials for psychological interventions requires enhancement.
- Technology-based delivery, trauma-informed care, and precision medicine show promise for improving efficacy.
Conclusions:
- Psychological interventions are integral to best-practice migraine care.
- Continued research is needed to improve the quality of evidence for these interventions.
- Future advancements may involve technology, tailored interventions, and personalized medicine approaches.
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