Behavioral medicine for migraine
Abstract
Behavioral medicine is based on the biopsychosocial theory that biological, psychological, and environmental factors all play significant roles in human functioning. This article reviews empirically supported and efficacious behavioral approaches to the treatment and management of migraine including cognitive behavioral therapy and biobehavioral training (ie, biofeedback, relaxation training, and stress management). These techniques have demonstrated efficacy when learned and practiced correctly and may be used individually or in conjunction with pharmacologic and other interventions. Data are also reviewed regarding patient education, support groups, psychological comorbidities, modifiable risk factors for headache progression, strategies for enhancing adherence and motivation, and strategies for effective medical communication.
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Depression and/or anxiety in patients with migraine is of major public health significance because these mental health problems are common and result in greater disability and overall worse prognosis than migraine alone.
“Depression and/or anxiety in patients with migraine is of major public health significance because these mental health problems are common and result in greater disability and overall worse prognosis than migraine alone [43, 44].”
From One-Day Acceptance and Commitment Therapy Compared to Support for Depressed Migraine Patients: a Randomized Clinical Trial. (2020) · cites this paper as [43]
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- Authors
- Buse, D. C., & Andrasik, F.
- Affiliations
- Albert Einstein College of Medicine (US)
- University of West Florida (US)
- Corresponding author
- Buse, Dawn C.
- Venue
- Neurologic Clinics
- Publisher
- Elsevier BV
- Published
- 2009-05
- Volume
- 27
- Issue
- 2
- Pages
- 445-465
- ISSN
- 0733-8619 (ISSN-L)
- OpenAlex
- W2101513343
- Cited by
- 113
- References
- 109
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 3 · 2023: 6 · 2022: 3 · 2021: 3 · 2020: 1 · 2019: 7 · 2018: 7 · 2017: 3 · 2016: 4 · 2015: 10 · 2014: 9 · 2013: 14 · 2012: 12
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurologic Clinics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- migraine, behavioral medicine, biopsychosocial model, cognitive behavioral therapy, biofeedback, relaxation training, stress management, patient education, support groups, psychological comorbidity, medication adherence, medical communication
- MeSH terms
- Behavior Therapy, Behavioral Medicine, Biofeedback, Psychology, Humans, Migraine Disorders, Relaxation Therapy, Self-Help Groups, Comorbidity, Cognitive Behavioral Therapy, Treatment Outcome
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