An update on behavioral treatments in migraine - current knowledge and future options
Abstract
INTRODUCTION: Besides pharmacological and interventional treatments a variety of non-medical therapeutic options exist for migraine, which has largely been derived from behavioral therapy. Areas covered: For our update we collected available studies via PubMed searches. This review highlights that already consulting of the patient is able to reduce the frequency of migraine attacks. Relaxation techniques, especially progressive muscle relaxation, and various types of biofeedback are effective, as is the implementation of cognitive behavioral therapy. However, recent reviews also point to some existing inconsistencies and methodological limitations. The advent of modern information technology based approaches (e.g. online therapy, smartphone applications) further advanced the arsenal of behavioral treatment regimes. The combination of behavioral treatment options and the combination with pharmacotherapy lead to additive effects. In modern multidisciplinary treatment approaches, behavioral therapy is an indispensable component. Expert commentary: Behavioral treatment in prophylaxis of migraine is as effective as pharmacological treatment with additional effects when pharmacological and behavioral treatment is applied in combination. Novel treatment approaches using online technology and electronic devices offer interesting options that will spread more in the future.
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Different relaxation techniques are considered to have similar effects, with Progressive Muscle Relaxation (PMR) having the advantage of ease of learning and application.
“Different relaxation techniques are considered to have similar effects, with the advantage of Progressive Muscle Relaxation (PMR) being ease of learning and application (15).”
From Efficacy of Cognitive-Behavioral Therapy for the Prophylaxis of Migraine in Adults: A Three-Armed Randomized Controlled Trial (2022) · cites this paper as [15]
Relaxation, biofeedback, and CBT are presumably effective to a similar extent.
“Relaxation, biofeedback, and CBT are presumably effective to a similar extent (14, 15).”
From Efficacy of Cognitive-Behavioral Therapy for the Prophylaxis of Migraine in Adults: A Three-Armed Randomized Controlled Trial (2022) · cites this paper as [15]
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“A recently published update on behavioural treatments for migraine concluded that these types of treatments seem to be as effective as the pharmacological treatment for the prophylaxis of migraine and the observed effects are even more pronounced when the pharmacological and behavioural treatment are applied in combin…”
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“Die nicht medikamentösen Verfahren umfassen auch verschiedene Formen des Biofeedbacks, von denen das Vasokonstriktionstraining nach einer entsprechenden Trainingsphase auch als Akuttherapie während einer Attacke eingesetzt werden kann [86].”
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- Authors
- Kropp, P., Meyer, B., Meyer, W., & Dresler, T.
- Affiliations
- Universitätsmedizin Rostock (DE)
- Queen Mary University of London (GB)
- Universitätsklinikum Tübingen (DE)
- Corresponding author
- Kropp, Peter
- Venue
- Expert Review of Neurotherapeutics
- Publisher
- Informa UK Limited
- Published
- 2017-09-19
- Volume
- 17
- Issue
- 11
- Pages
- 1059-1068
- ISSN
- 1473-7175 (ISSN-L)
- 1744-8360
- OpenAlex
- W2751609836
- Cited by
- 37
- References
- 96
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 8 · 2021: 4 · 2020: 4 · 2019: 4 · 2018: 6 · 2016: 1
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Expert Review of Neurotherapeutics (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 › Epidemiology › Traumatic Brain Injury Research
- Keywords
- migraine, behavior therapy, migraine prophylaxis, relaxation techniques, progressive muscle relaxation, biofeedback, cognitive behavioral therapy, mobile application, online therapy, multidisciplinary treatment
- MeSH terms
- Behavior Therapy, Biofeedback, Psychology, Combined Modality Therapy, Exercise Therapy, Humans, Migraine Disorders, Relaxation Therapy
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