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Cited by 171Migraine and Headache StudiesMusculoskeletal pain and rehabilitationTraumatic Brain Injury Research

The DOI matches its Crossref record; 159 of the 163 references it cites were found in a registry or an index.

Behavioral management of headache triggers: Avoidance of triggers is an inadequate strategy

Martin, Paul R., MacLeod, Colin·2009·Clinical Psychology Review
DOI 10.1016/j.cpr.2009.05.002
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Abstract

The standard clinical advice for individuals who suffer from recurrent headaches is that the best way to prevent headaches is to avoid the triggers. This review challenges that advice from a number of perspectives, including: that the advice is given in a theoretical vacuum; it is associated with practical problems; and it is not evidence-based. The review considers cognate literatures on stress, negative affect, and chronic pain that advocate approach/confront strategies over avoidance strategies. It is suggested that advice to avoid triggers could result in maintenance of the capacity of the trigger to precipitate headaches or even a sensitization process whereby tolerance diminishes. As anxiety researchers have investigated extensively the issue of how stimuli acquire and lose their capacity to elicit fear, this literature is explored to draw inferences for headache triggers. The review concludes with suggestions concerning etiology of chronic headache and associated management implications, and directions for future research. It argues that the philosophy of 'avoidance of triggers' should be replaced with 'coping with triggers,' as the latter includes both avoidance and approach/confront strategies involving exposure to triggers.

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Crossref · 10.1016/j.cpr.2009.05.002

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159 of 159 references verified0 citation errors · 0 not checkable

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Citations

Cites

Research works printed but not linked: 10

  1. Abramson, 1995, Is allergen immunotherapy effective in asthma?, American Journal of Respiratory and Critical Care Medicine, 151, 969
  2. Diamond, 1979, Headache, American Academy of Family Physicians, 6
  3. Ehde, 1992, Stress and headache: Comparisons of migraine, tension, and headache-free subjects, Headache Quarterly, Current Treatment and Research, 3, 54
  4. Gotzsche, 2003, House dust mite control measures for asthma (Cochrane Review)
  5. Marcus, 2003, Chronic headache: The importance of trigger identification, Headache and Pain, 14, 139
  6. O'Banion, 1981, Dietary control of headache pain, five case studies, Journal of Holistic Medicine, 3, 140
  7. Radnitz, 1990, A preliminary report of dietary therapy as a treatment for refraction migraine headache, Headache Quarterly, 1, 239
  8. Savi, 2002, Food and headache attacks, Panminerva Medica, 44, 27
  9. Scopp, 1992, Headache triggers. Part I, Headache Quarterly, 3, 32
  10. Smith, 2006, Are changes in cognitive and emotional factors important in improvement in headache impact and quality of life, Headache, 46, 878

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Metadata

Authors
Martin, P. R., & MacLeod, C.
Affiliations
  • Monash Medical Centre (AU)
  • The University of Western Australia (AU)
Corresponding author
Martin, Paul R.
ORCID
Venue
Clinical Psychology Review
Publisher
Elsevier BV
Published
2009-08
Volume
29
Issue
6
Pages
483-495
ISSN
0272-7358 (ISSN-L)
DOI
10.1016/j.cpr.2009.05.002
OpenAlex
W1974134796
Cited by
171
References
163
Citations by year
2026: 4 · 2025: 9 · 2024: 5 · 2023: 6 · 2022: 8 · 2021: 9 · 2020: 13 · 2019: 12 · 2018: 7 · 2017: 12 · 2016: 14 · 2015: 10 · 2014: 12 · 2013: 17 · 2012: 13
FWCI
1.39
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Clinical Psychology Review (publishedVersion)
  • PubMed (publishedVersion)
  • UWA Profiles and Research Repository (UWA) (submittedVersion)
  • Griffith Research Online (submittedVersion)
Topics
  • Health Sciences › Medicine › Clinical Neurology › Migraine and Headache Studies
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
Keywords
headache triggers, trigger avoidance, recurrent headache, chronic headache, avoidance strategies, stress, negative affect, chronic pain, sensitization, anxiety, fear acquisition, headache prevention
MeSH terms
Adaptation, Psychological, Affect, Alcohol Drinking, Anxiety Disorders, Avoidance Learning, Chronic Disease, Desensitization, Psychologic, Diet, Humans, Hunger, Menstruation, Pain, Sleep Wake Disorders, Stress, Psychological, Weather, Headache Disorders, Pain Management

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