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Conceptualising migraine attacks from a biopsychosocial model using qualitative and functional behavioural analysis
Marie Persson1,2,3, Gun Rembeck1,2,4, Sandra Weineland1,2,3,5
1Primary Health Care, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Scandinavian Journal of Primary Health Care
|July 6, 2023
Summary
Patients with episodic migraine describe their pain experiences through physical sensations, automatic reactions, and coping strategies. Understanding these elements is key to effective migraine pain management.
Area of Science:
- Neurology
- Psychology
- Qualitative Research
Background:
- Episodic migraine involves complex patient experiences beyond mere pain.
- Migraine attacks trigger biological and psychological responses influencing pain management.
Purpose of the Study:
- To explore patient experiences of pain during episodic migraine attacks.
- To understand the management strategies employed by individuals with episodic migraine.
Main Methods:
- Qualitative study utilizing semi-structured interviews.
- Functional behavioral analysis framework applied.
- Systematic text condensation for data analysis with eight participants.
Main Results:
- Patient descriptions categorized into: initial physical sensations, automatic reactions, and behavioral responses.
- Identified distinct phases in the migraine attack experience.
Conclusions:
- Migraine attacks are a complex interplay of biological and psychological factors.
- Automatic reactions and behavioral strategies are crucial components of migraine pain management.
- A biopsychosocial perspective is essential for comprehending episodic migraine.

