Psychological interventions for migraine: a systematic review

Andrew Sullivan, Sian Cousins, Leone Ridsdale, Andrew Sullivan, Sian Cousins, Leone Ridsdale

Abstract

Migraine causes major health impairment and disability. Psychological interventions offer an addition to pharmacotherapy but they are not currently recommended by the National Institute of Clinical Excellence (NICE) or available in the National Health Service. We aimed to systematically review evidence on the efficacy of psychological interventions for migraine in adults. A search was done of MEDLINE, psychINFO, http://www.opengrey.eu , the meta-register of controlled trials and bibliographies. Twenty-four papers were included and rated independently by two people using the Yates scale, which has 35 points. Cochrane recommendations are that high quality reports score above the mid-point (18 points). Methods used in 17/24 papers were rated 'high quality'. However, frequently descriptions of key areas such as randomisation methods were omitted. Eighteen studies measured effects of psychological interventions on headache-related outcomes, fifteen reporting significant improvements, ranging 20-67 %. Interventions also produced improvements in psychological outcomes. Few trials measured or reported improvement in disability or quality of life. We conclude that evidence supports the efficacy of psychological interventions in migraine. Over half of the studies were from the USA, which did not provide universal health care at the time of the study, so it is difficult to generalise results to typical populations in receipt of publically funded health services. We agree with the NICE recommendation that high quality pragmatic randomised controlled trials are needed in the UK.

Keywords: Biofeedback; Cognitive behavioural therapy; Headache; Migraine; Relaxation; Systematic review.

Conflict of interest statement

Compliance with ethical standards Conflicts of interest The authors declare no conflicts of interest.

Figures

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Fig. 1
PRISMA flow diagram

References

    1. World Health Organisation (2001) The World Health Report: Mental health: New understanding, new hope. Geneva
    1. Steiner TJ, Scher AI, Stewart WF, et al. The prevalence and disability burden of adult migraine in England and their relationships to age, gender and ethnicity. Cephalalgia. 2003;23:519–527. doi: 10.1046/j.1468-2982.2003.00568.x.
    1. McCrone P, Seed PT, Dowson AJ, et al. Service use and costs for people with headache: a UK primary care study. J Headache Pain. 2011;12:617–623. doi: 10.1007/s10194-011-0362-0.
    1. Andrasik F, Buse DC, Grazzi L. Behavioral medicine for migraine and medication overuse headache. Curr Pain Headache Rep. 2009;13:241–248. doi: 10.1007/s11916-009-0041-x.
    1. Hamelsky SW, Lipton RB. Psychiatric comorbidity of migraine. Headache. 2006;46:1327–1333. doi: 10.1111/j.1526-4610.2006.00576.x.
    1. Campbell JK, Penzien DB, Wall EM (1999) Evidenced-Based Guidelines For Migraine Headache: Behavioral and Physical Treatments. Prepared for the US Headache Consortium. Available at: . Accessed 26/03/16
    1. Holroyd KA, Penzien DB. Self-management of recurrent headache. Geneva: World Health Organization; 1993.
    1. National Institute of Clinical Excellence (2012) Headaches: Diagnosis and management of headaches in young people and adults. Clinical Guideline 150. London
    1. Cousins S, Ridsdale L, Goldstein L, et al. A pilot study of cognitive behavioural therapy and relaxation for migraine headache: a randomised controlled trial. J Neurol. 2015;262:2764–2772. doi: 10.1007/s00415-015-7916-z.
    1. Goslin R, Gray RN, McCrory DC et al (1999) Behavioral and physical treatments for migraine headache. Tech. Rev. No. 2.2:
    1. Barnes P, James EK. Migraine headache in children. BMJ Clin Evid. 2009;2009:0318.
    1. Damen L, Bruijn J, Koes BW, et al. Prophylactic treatment of migraine in children. Part 1. A systematic review of non-pharmacological trials. Cephalalgia. 2006;26:373–383. doi: 10.1111/j.1468-2982.2005.01046.x.
    1. Nestoriuc Y, Martin A, Rief W, Andrasik F. Biofeedback treatment for headache disorders: a comprehensive efficacy review. Appl Psychophysiol Biofeedback. 2008;33:125–140. doi: 10.1007/s10484-008-9060-3.
    1. Yates SL, Morley S, Eccleston C, de C Williams AC. A scale for rating the quality of psychological trials for pain. Pain. 2005;117:314–325. doi: 10.1016/j.pain.2005.06.018.
    1. Olivo SA, Macedo LG, Gadotti IC, et al. Scales to assess the quality of randomized controlled trials: a systematic review. Phys Ther. 2008;88:156–175. doi: 10.2522/ptj.20070147.
    1. Eccleston C, Palermo TM, Fisher E, Law E. Psychological interventions for parents of children and adolescents with chronic illness. Rev: Cochrane Database Syst; 2012.
    1. Thorn BE, Pence LB, Ward LC, et al. A randomized clinical trial of targeted cognitive behavioral treatment to reduce catastrophizing in chronic headache sufferers. J Pain. 2007;8:938–949. doi: 10.1016/j.jpain.2007.06.010.
    1. Devineni T, Blanchard EB. A randomized controlled trial of an internet-based treatment for chronic headache. Behav Res Ther. 2005;43:277–292. doi: 10.1016/j.brat.2004.01.008.
    1. D’Souza PJ, Lumley MA, Kraft CA, Dooley JA. Relaxation training and written emotional disclosure for tension or migraine headaches: a randomized, controlled trial. Ann Behav Med. 2008;36:21–32. doi: 10.1007/s12160-008-9046-7.
    1. Kraft CA, Lumley MA, D’Souza PJ, Dooley JA. Emotional approach coping and self-efficacy moderate the effects of written emotional disclosure and relaxation training for people with migraine headaches. Br J Health Psychol. 2008;13:67–71. doi: 10.1348/135910707X251144.
    1. Dittrich SM, Günther V, Franz G, et al. Aerobic exercise with relaxation: influence on pain and psychological well-being in female migraine patients. Clin J Sport Med. 2008;18:363–365. doi: 10.1097/JSM.0b013e31817efac9.
    1. Varkey E, Cider A, Carlsson J, Linde M. Exercise as migraine prophylaxis: a randomized study using relaxation and topiramate as controls. Cephalalgia. 2011;31:1428–1438. doi: 10.1177/0333102411419681.
    1. Vasudeva S, Claggett AL, Tietjen GE, McGrady AV. Biofeedback-assisted relaxation in migraine headache: relationship to cerebral blood flow velocity in the middle cerebral artery. Headache. 2003;43:245–250. doi: 10.1046/j.1526-4610.2003.03048.x.
    1. Kang E-H, Park J-E, Chung C-S, Yu B-H. Effect of biofeedback-assisted autogenic training on headache activity and mood states in Korean female migraine patients. J Korean Med Sci. 2009;24:936–940. doi: 10.3346/jkms.2009.24.5.936.
    1. Lemstra M, Stewart B, Olszynski WP. Effectiveness of multidisciplinary intervention in the treatment of migraine: a randomized clinical trial. Headache J Head Face Pain. 2002;42:845–855. doi: 10.1046/j.1526-4610.2002.02202.x.
    1. Andersson G, Lundström P, Ström L. Internet-based treatment of headache: does telephone contact add anything? Headache. 2003;43:353–361. doi: 10.1046/j.1526-4610.2003.03070.x.
    1. Mérelle SYM, Sorbi MJ, van Doornen LJP, Passchier J. Migraine patients as trainers of their fellow patients in non-pharmacological preventive attack management: short-term effects of a randomized controlled trial. Cephalalgia. 2008;28:127–138.
    1. Mérelle SYM, Sorbi MJ, van Doornen LJP, Passchier J. Lay trainers with migraine for a home-based behavioral training: a 6-month follow-up study. Headache. 2008;48:1311–1325. doi: 10.1111/j.1526-4610.2007.01043.x.
    1. Fritsche G, Frettlöh J, Hüppe M, et al. Prevention of medication overuse in patients with migraine. Pain. 2010;151:404–413. doi: 10.1016/j.pain.2010.07.032.
    1. Hedborg K, Muhr C. Multimodal behavioral treatment of migraine: an Internet-administered, randomized, controlled trial. Ups J Med Sci. 2011;116:169–186. doi: 10.3109/03009734.2011.575963.
    1. Hedborg K, Muhr C. The influence of multimodal behavioral treatment on the consumption of acute migraine drugs: a randomized, controlled study. Cephalalgia. 2012;32:297–307. doi: 10.1177/0333102412437386.
    1. Bromberg J, Wood ME, Black RA, et al. A randomized trial of a web-based intervention to improve migraine self management and coping. Headache. 2012;52:244–261. doi: 10.1111/j.1526-4610.2011.02031.x.
    1. Kaushik R, Kaushik RM, Mahajan SK, Rajesh V. Biofeedback assisted diaphragmatic breathing and systematic relaxation versus propranolol in long term prophylaxis of migraine. Complement Ther Med. 2005;13:165–174. doi: 10.1016/j.ctim.2005.04.004.
    1. Mullally WJ, Hall K, Goldstein R. Efficacy of biofeedback in the treatment of migraine and tension type headaches. Pain Phys. 2009;12:1005–1011.
    1. Martin PR, Forsyth MR, Reece J. Cognitive-behavioral therapy versus temporal pulse amplitude biofeedback training for recurrent headache. Behav Ther. 2007;38:350–363. doi: 10.1016/j.beth.2006.10.004.
    1. Holroyd KA, Cottrell CK, O’Donnell FJ, et al. Effect of preventive (beta blocker) treatment, behavioural migraine management, or their combination on outcomes of optimised acute treatment in frequent migraine: randomised controlled trial. BMJ. 2010;341:c4871. doi: 10.1136/bmj.c4871.
    1. Seng EK, Holroyd KA. Dynamics of changes in self-efficacy and locus of control expectancies in the behavioral and drug treatment of severe migraine. Ann Behav Med. 2010;40:235–247. doi: 10.1007/s12160-010-9223-3.
    1. Seng EK, Holroyd KA. Psychiatric comorbidity and response to preventative therapy in the treatment of severe migraine trial. Cephalalgia. 2012;32:390–400. doi: 10.1177/0333102411436333.
    1. Calhoun AH, Ford S. Behavioral sleep modification may revert transformed migraine to episodic migraine. Headache. 2007;47:1178–1183. doi: 10.1111/j.1526-4610.2007.00780.x.
    1. Wachholtz AB, Pargament KI. Migraines and meditation: does spirituality matter? J Behav Med. 2008;31:351–366. doi: 10.1007/s10865-008-9159-2.
    1. Penzien DB, Andrasik F, Freidenberg BM, et al. Guidelines for trials of behavioral treatments for recurrent headache, first edition: american headache society behavioral clinical trials workgroup. Headache. 2005;45:S110–S132. doi: 10.1111/j.1526-4610.2005.4502004.x.
    1. Tfelt-Hansen P, Pascual J, Ramadan N, et al. Guidelines for controlled trials of drugs in migraine: third edition. A guide for investigators. Cephalalgia. 2011;32:6–38.
    1. Schafer AM, Rains JC, Penzien DB, et al. Direct costs of preventive headache treatments: comparison of behavioral and pharmacologic approaches. Headache. 2011;51:985–991. doi: 10.1111/j.1526-4610.2011.01905.x.
    1. Morgan M, Cousins S, Middleton L, et al. Patients’ experiences of a behavioural intervention for migraine headache: a qualitative study. J Headache Pain. 2016;17:16. doi: 10.1186/s10194-016-0601-5.
    1. Craig P, Dieppe P, Macintyre S, et al. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008;337:a1655. doi: 10.1136/bmj.a1655.
    1. Richardson GM, McGrath PJ. Cognitive-behavioral therapy for migraine headaches: a minimal-therapist-contact approach versus a clinic-based approach. Headache. 1989;29:352–357. doi: 10.1111/j.1526-4610.1989.hed2906352.x.
    1. Rains JC, Penzien DB, McCrory DC, Gray RN. Behavioral headache treatment: history, review of the empirical literature, and methodological critique. Headache. 2005;45(Suppl 2):S92–S109. doi: 10.1111/j.1526-4610.2005.4502003.x.
    1. Penzien DB, Johnson C, Seville J, Rubman S. Interrelationships among daily and global self-report measures of headache. Headache Q. 1994;5:27–33.

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