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Mindfulness and other behavioral approaches.

Licia Grazzi

Neurological Sciences September 2022 DOI: 10.1007/s10072-022-06155-z (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Interventions Mindfulness behavioral approaches
Topics Meditation
Keywords Behavioral approach Migraine
Key findings Argues that mindfulness and other behavioral approaches have demonstrated efficacy for chronic pain and migraine, and are particularly suitable for chronic migraine with medication overuse headache because of the bidirectional relationship between migraine, anxiety, and depression and their potential to modify behavioral factors such as external locus of control and self-efficacy. The authors contend that these approaches should be encouraged alongside medication despite an unclear mechanism of action.

Abstract

Mindfulness and other behavioral approaches have demonstrated efficacy in treatment of different kinds of chronic pain condition and migraine in particular. Such treatments are of particular utility in the treatment of chronic forms of migraine, also associated to medication overuse headache, in reason of the relevant comorbidity - and bidirectional relationship - between migraine, and two of the most common associated conditions, namely anxiety and depression. Second, in reason of the impact that such treatments may have on behavioral issues that might promote MOH maintenance, including external locus of control and self-efficacy. Although the specific mechanism of action of these approaches has not been clarified yet, the absence of side effects and their effectiveness make these options suitable for different categories of frail patients and also for patients during therapy with medication if we want to improve the efficacy of medications itself. The use of these approaches has to be encouraged for clinicians and for patients to treat at the best pain condition and migraine and to improve the efficacy of the new medication for migraine prevention.

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