Mindfulness in migraine: A narrative review

Wells, Rebecca Erwin; Seng, Elizabeth K.; Edwards, Robert R.; Victorson, David E.; Pierce, Charles R.; Rosenberg, Lauren; Napadow, Vitaly; Schuman-Olivier, Zev

doi:10.1080/14737175.2020.1715212

Cited by 70Migraine and Headache StudiesMindfulness and Compassion InterventionsTraumatic Brain Injury Research

Mindfulness in migraine: A narrative review

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Wells, Rebecca Erwin, Seng, Elizabeth K., Edwards, Robert R., Victorson, David E., Pierce, Charles R., Rosenberg, Lauren, Napadow, Vitaly, Schuman-Olivier, Zev·2020·Expert Review of Neurotherapeutics

DOI 10.1080/14737175.2020.1715212PMC PMC7213534

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Abstract

Introduction: Migraine is the second leading cause of disability worldwide, yet many patients are unable to tolerate, benefit from, or afford pharmacological treatment options. Non-pharmacological migraine therapies exist, especially to reduce opioid use, which represents a significant unmet need. Mindfulness-based interventions (MBI) have potential as a non-pharmacological treatment for migraine, primarily through the development of flexible attentional capacity across sensory, cognitive, and emotional experiences.Areas covered: The authors review efficacy and potential mechanisms of MBIs for migraine, including mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT).Expert opinion: While most mindfulness research studies for migraine to date have been pilot trials, which are small and/or lacked rigor, initial evidence suggests there may be improvements in overall headache-related disability and psychological well-being. Many research questions remain to help target the treatment to patients most likely to benefit, including the ideal dosage, duration, delivery method, responder characteristics, and potential mechanisms and biomarkers. A realistic understanding of these factors is important for patients, providers, and the media. Mindfulness will not ‘cure’ migraine; however, mindfulness may be an important tool as part of a comprehensive treatment approach to help patients ‘mindfully’ engage in valued life activities.

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Mindfulness has become a possible treatment for migraine.
“Mindfulness has emerged as a potential treatment option for migraine.1, 2”
From Mechanisms of mindfulness in patients with migraine: Results of a qualitative study. (2023) · cites this paper as [2]
A previous narrative review by the authors proposed four mechanisms by which mindfulness might affect migraine: changing pain perception, increasing interoceptive awareness, regulating autonomic dysfunction, and improving cognitive pain modulation.
“We previously published a narrative review discussing potential mechanisms of mindfulness in migraine, which included: (1) alterations in pain perception via de-coupling the sensory and affective components of pain; (2) enhanced interoceptive body awareness; (3) regulation of autonomic dysfunction seen in patients with migraine; and (4) improved cognitive modulation of pain.2”
From Mechanisms of mindfulness in patients with migraine: Results of a qualitative study. (2023) · cites this paper as [2]
Recent clinical trials of mindfulness for migraine have yielded promising results.
“Recent clinical trials of mindfulness interventions in patients with migraine are promising.2, 7, 8”
From Mechanisms of mindfulness in patients with migraine: Results of a qualitative study. (2023) · cites this paper as [2]

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Bakhshani, N. M., Amirani, A., Amirifard, H., & Shahrakipoor, M. (2015) · Global Journal of Health Science · doi:10.5539/gjhs.v8n4p142 · Cited by 101 · cited 2× · see citing works
“Items Options Wells [83] Seng [79] Day [85] Simshäuser [82] Tavallaei [86] Bakhshani [87] Hesse [88] Grazzi [80]”
Background
Dismantling Mindfulness-Based Cognitive Therapy: Creation and validation of 8-week focused attention and open monitoring interventions within a 3-armed randomized controlled trial
Britton, W. B., Davis, J. H., Loucks, E. B., Peterson, B., Cullen, B. H., Reuter, L., Rando, A., Rahrig, H., Lipsky, J., & Lindahl, J. R. (2018) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.09.010 · Cited by 100 · cited 1× · see citing works
“Over the 8 weeks, the meditation course builds from a focused attention practice to the practice of open monitoring of one’s experience [37,38].”
Background
Well-Established and empirically supported behavioral treatments for migraine
Penzien, D. B., Irby, M. B., Smitherman, T. A., Rains, J. C., & Houle, T. T. (2015) · Current Pain and Headache Reports · doi:10.1007/s11916-015-0500-5 · Cited by 94 · see citing works
Mindfulness and pharmacological prophylaxis after withdrawal from medication overuse in patients with Chronic Migraine: an effectiveness trial with a one-year follow-up
Grazzi, L., Sansone, E., Raggi, A., D’Amico, D., Giorgio, A. D., Leonardi, M., Torres, L. D., García, F. I. S., & Andrasik, F. (2017) · The Journal of Headache and Pain · doi:10.1186/s10194-017-0728-z · Cited by 91 · see citing works
Does mindfulness meditation improve chronic pain? A systematic review
Ball, E. F., Nur Shafina Muhammad Sharizan, E., Franklin, G., & Rogozińska, E. (2017) · Current Opinion in Obstetrics & Gynecology · doi:10.1097/gco.0000000000000417 · Cited by 91 · see citing works
Complementary and Integrative Medicine for Episodic Migraine: an Update of Evidence from the Last 3 Years
Wells, R. E., Beuthin, J., & Granetzke, L. (2019) · Current Pain and Headache Reports · doi:10.1007/s11916-019-0750-8 · Cited by 91 · see citing works
Self-citation
Unmet Acute Treatment Needs From the 2017 Migraine in America Symptoms and Treatment Study
Lipton, R. B., Munjal, S., Buse, D. C., Alam, A., Fanning, K. M., Reed, M. L., Schwedt, T. J., & Dodick, D. W. (2019) · Headache The Journal of Head and Face Pain · doi:10.1111/head.13588 · Cited by 89 · see citing works
Implementing Mindfulness in the Mainstream: Making the Path by Walking It
Crane, R. S. (2017) · Mindfulness · doi:10.1007/s12671-016-0632-7 · Cited by 81 · see citing works
Mindfulness meditation for workplace wellness: An evidence map
Hilton, L. G., Marshall, N. J., Motala, A., Taylor, S. L., Miake-Lye, I. M., Baxi, S. M., Shanman, R., Solloway, M. R., Beroesand, J. M., & Hempel, S. (2019) · Work · doi:10.3233/wor-192922 · Cited by 81 · see citing works
Patterns of Mind-Body Therapies in Adults with Common Neurological Conditions
Wells, R. E., Phillips, R. S., & McCarthy, E. P. (2010) · Neuroepidemiology · doi:10.1159/000322949 · Cited by 77 · see citing works
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Mindfulness-based stress reduction for treating chronic headache: A systematic review and meta-analysis
Anheyer, D., Leach, M. J., Klose, P., Dobos, G., & Cramer, H. (2019) · Cephalalgia · doi:10.1177/0333102418781795 · Cited by 76 · see citing works
Mindfulness training enhances self-regulation and facilitates health behavior change for primary care patients: A randomized controlled trial
Gawande, R., To, M. N., Pine, E., Griswold, T., Creedon, T. B., Brunel, A., Lozada, A., Loucks, E. B., & Schuman-Olivier, Z. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-018-4739-5 · Cited by 75 · see citing works
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THE USEFULNESS OF THE RELAXATION RESPONSE IN THE THERAPY OF HEADACHE
Benson, H., Klemchuk, H. P., & Graham, J. R. (1974) · Headache The Journal of Head and Face Pain · doi:10.1111/j.1526-4610.1974.hed1401049.x · Cited by 73 · see citing works
The Role of Heart Rate Variability in Mindfulness-Based Pain Relief
Adler-Neal, A. L., Waugh, C. E., Garland, E. L., Shaltout, H. A., Diz, D. I., & Zeidan, F. Z. (2019) · Journal of Pain · doi:10.1016/j.jpain.2019.07.003 · Cited by 70 · see citing works
Mindfulness and headache: A “new” old treatment, with new findings
Andrasik, F., Grazzi, L., D'Amico, D., Sansone, E., Leonardi, M., Raggi, A., & Salgado-García, F. (2016) · Cephalalgia · doi:10.1177/0333102416667023 · Cited by 67 · see citing works
Barriers to Behavioral Treatment Adherence for Headache: An Examination of Attitudes, Beliefs, and Psychiatric Factors
Matsuzawa, Y. K., Lee, Y. S. C., Fraser, F., Langenbahn, D. M., Shallcross, A. J., Powers, S. W., Lipton, R. B., Simon, N. M., & Minen, M. T. (2018) · Headache The Journal of Head and Face Pain · doi:10.1111/head.13429 · Cited by 67 · see citing works
Identifying the Factors Underlying Discontinuation of Triptans
Wells, R. E., Markowitz, S. Y., Baron, E. P., Hentz, J. G., Kalidas, K., Mathew, P. G., Halker, R. B., Dodick, D. W., & Schwedt, T. J. (2013) · Headache The Journal of Head and Face Pain · doi:10.1111/head.12198 · Cited by 66 · see citing works
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Effect of Different Meditation Types on Migraine Headache Medication Use
Wachholtz, A. B., Malone, C. D., & Pargament, K. I. (2017) · Behavioral Medicine · doi:10.1080/08964289.2015.1024601 · Cited by 65 · see citing works
The efficacy and cost-effectiveness of minimal-therapist-contact, non-drug treatments of chronic migraine and tension headache.
Blanchard, E. B., Andrasik, F., Appelbaum, K. A., Evans, D. D., Jurish, S. E., Teders, S. J., Rodichok, L. D., & Barron, K. D. (1985) · Headache The Journal of Head and Face Pain · doi:10.1111/j.1526-4610.1985.hed2504214.x · Cited by 63 · see citing works
Effect of Mindfulness-Based Stress Reduction on Pain Severity and Mindful Awareness in Patients With Tension Headache: A Randomized Controlled Clinical Trial
Omidi, A., & Zargar, F. (2014) · Nursing and Midwifery Studies · doi:10.17795/nmsjournal21136 · Cited by 61 · see citing works
Dysautonomia in the pathogenesis of migraine
Gazerani, P., & Cairns, B. E. (2017) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2018.1414601 · Cited by 60 · see citing works
Complementary and alternative medicine (CAM) use in an Italian cohort of pediatric headache patients: the tip of the iceberg
Libera, D. D., Colombo, B., Pavan, G., & Comı, G. (2014) · Neurological Sciences · doi:10.1007/s10072-014-1756-y · Cited by 59 · see citing works
Individuals with tension and migraine headaches exhibit increased heart rate variability during post-stress mindfulness meditation practice but a decrease during a post-stress control condition – A randomized, controlled experiment
Azam, M. A., Katz, J. D., Mohabir, V., & Ritvo, P. (2016) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2016.10.011 · Cited by 59 · see citing works
Complementary and Alternative Medicine Use Among US Adults With Headache or Migraine: Results from the 2012 National Health Interview Survey
Zhang, Y., Dennis, J. A., Leach, M., Bishop, F. L., Cramer, H., Chung, V. C., Moore, C., Lauche, R., Cook, R., Sibbritt, D. W., et al. (2017) · Headache The Journal of Head and Face Pain · doi:10.1111/head.13148 · Cited by 56 · see citing works
Reiterated Concerns and Further Challenges for Mindfulness and Meditation Research: A Reply to Davidson and Dahl
Dam, N. T. V., van Vugt, M. K., Vago, D. R., Schmalzl, L., Saron, C. D., Olendzki, A., Meissner, T., Lazar, S. W., Gorchov, J., Fox, K. C. R., et al. (2017) · Perspectives on Psychological Science · doi:10.1177/1745691617727529 · Cited by 56 · see citing works
Discontinuation of Acute Prescription Medication for Migraine: Results From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study
Lipton, R. B., Hutchinson, S., Ailani, J., Reed, M. L., Fanning, K. M., Manack Adams, A., & Buse, D. C. (2019) · Headache: The Journal of Head and Face Pain · doi:10.1111/head.13642 · Cited by 51 · see citing works
Mindfulness-Based Intervention for Adolescents with Recurrent Headaches: A Pilot Feasibility Study
Hesse, T., Holmes, L. G., Kennedy-Overfelt, V., Kerr, L. M., & Giles, L. L. (2015) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2015/508958 · Cited by 50 · see citing works
Can Adults with Mild Cognitive Impairment Build Cognitive Reserve and Learn Mindfulness Meditation? Qualitative Theme Analyses from a Small Pilot Study
Wells, R. E., Kerr, C., Dossett, M. L., Danhauer, S. C., Sohl, S. J., Sachs, B. C., Feeley, J. W., Wolkin, J., Wall, R., Kaptchuk, T., et al. (2019) · Journal of Alzheimer's Disease · doi:10.3233/jad-190191 · Cited by 47 · see citing works
Self-citation
Is Mindfulness-Based Stress Reduction a Promising and Feasible Intervention for Patients Suffering from Migraine? A Randomized Controlled Pilot Trial
Simshäuser, K., Lüking, M., Kaube, H., Schultz, C., & Schmidt, S. (2020) · Complementary Medicine Research · doi:10.1159/000501425 · Cited by 43 · see citing works
Effect of a single-session meditation training to reduce stress and improve quality of life among health care professionals: a "dose-ranging" feasibility study.
Prasad, K., Wahner‐Roedler, D. L., Cha, S. S., & Sood, A. (2011) · PubMed · Cited by 42 · see citing works
Meditation-Based Treatment Yielding Immediate Relief for Meditation-Naïve Migraineurs
Tonelli, M. E., & Wachholtz, A. B. (2014) · Pain Management Nursing · doi:10.1016/j.pmn.2012.04.002 · Cited by 41 · see citing works
Applications of dynamic functional connectivity to pain and its modulation
Necka, E. A., Lee, I., Kucyi, A., Cheng, J. C., Yu, Q., & Atlas, L. Y. (2019) · PAIN Reports · doi:10.1097/pr9.0000000000000752 · Cited by 40 · see citing works
Emerging Behavioral Treatments for Migraine
Smitherman, T. A., Wells, R. E., & Ford, S. (2015) · Current Pain and Headache Reports · doi:10.1007/s11916-015-0486-z · Cited by 37 · see citing works
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Headache management: pharmacological approaches
Sinclair, A. J., Sturrock, A., Davies, B., & Matharu, M. S. (2015) · Practical Neurology · doi:10.1136/practneurol-2015-001167 · Cited by 37 · see citing works
Factors Related to Migraine Patients’ Decisions to Initiate Behavioral Migraine Treatment Following a Headache Specialist’s Recommendation: A Prospective Observational Study
Minen, M. T., Azarchi, S., Sobolev, R., Shallcross, A., Halpern, A., Berk, T., Simon, N. M., Powers, S., Lipton, R. B., & Seng, E. (2018) · Pain Medicine · doi:10.1093/pm/pny028 · Cited by 35 · see citing works
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A prospective pilot study of the effect on catecholamines of mindfulness training vs pharmacological prophylaxis in patients with chronic migraine and medication overuse headache
Grazzi, L., Raggi, A., D’Amico, D., Sansone, E., Leonardi, M., Andrasik, F., Gucciardi, A., Guido, D., & D’Andrea, G. (2018) · Cephalalgia · doi:10.1177/0333102418801584 · Cited by 34 · see citing works
A Systematic Review of Associations between Amount of Meditation Practice and Outcomes in Interventions Using the Four Immeasurables Meditations
Zeng, X., Chio, F. H. N., Oei, T. P. S., Leung, F. Y. K., & Liu, X. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.00141 · Cited by 32 · see citing works
Mind/Body and Behavioral Treatments: The Evidence and Approach
Wells, R. E., & Loder, E. (2012) · Headache The Journal of Head and Face Pain · doi:10.1111/j.1526-4610.2012.02238.x · Cited by 31 · see citing works
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Effects of mindfulness-based stress reduction on perceived stress and psychological health in patients with tension headache
Zargar, F., & Omidi, A. (2015) · Journal of Research in Medical Sciences · doi:10.4103/1735-1995.172816 · Cited by 31 · see citing works
Adolescent Perspectives on the Burden of a Parent's Migraine: Results from the CaMEO Study
Buse, D. C., Powers, S. W., Gelfand, A. A., VanderPluym, J. H., Fanning, K. M., Reed, M. L., Adams, A. M., & Lipton, R. B. (2018) · Headache: The Journal of Head and Face Pain · doi:10.1111/head.13254 · Cited by 30 · see citing works
Characteristics of adults who used mindfulness meditation: United States, 2012
Morone, N. E., Moore, C. G., & Greco, C. M. (2017) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2016.0099 · Cited by 29 · see citing works
Who Should Try New Antibody Treatments for Migraine?
Loder, E., & Burch, R. C. (2018) · JAMA Neurology · doi:10.1001/jamaneurol.2018.1268 · Cited by 27 · see citing works
Behavioral and Mind/Body Interventions in Headache: Unanswered Questions and Future Research Directions
Wells, R. E., Smitherman, T. A., Seng, E. K., Houle, T. T., & Loder, E. (2014) · Headache The Journal of Head and Face Pain · doi:10.1111/head.12362 · Cited by 26 · see citing works
Self-citation
Effect of rajyoga meditation on chronic tension headache.
Kiran, K., Girgla, K. K., Chalana, H., & Singh, H. (2014) · PubMed · Cited by 25 · see citing works
Mindfulness and pharmacological prophylaxis have comparable effect on biomarkers of inflammation and clinical indexes in chronic migraine with medication overuse: results at 12 months after withdrawal
Grazzi, L., D’Amico, D., Raggi, A., Leonardi, M., Ciusani, E., Corsini, E., D’Andrea, G., Bolner, A., García, F. I. S., Andrasik, F., et al. (2017) · Neurological Sciences · doi:10.1007/s10072-017-2874-0 · Cited by 24 · see citing works
When Mom Has Migraine: An Observational Study of the Impact of Parental Migraine on Adolescent Children
Seng, E. K., Mauser, E. D., Marzouk, M. A., Patel, Z. S., Rosen, N. L., & Buse, D. C. (2018) · Headache The Journal of Head and Face Pain · doi:10.1111/head.13433 · Cited by 24 · see citing works
Self-citation
Mindfulness for female outpatients with chronic primary headaches: an internet-based bibliotherapy
Tavallaei, V., Rezapour-Mirsaleh, Y., Rezaiemaram, P., & Saadat, S. H. (2018) · European Journal of Translational Myology · doi:10.4081/ejtm.2018.7380 · Cited by 23 · cited 2× · see citing works
“A 2018 study evaluated an eight-session MBSR ‘Internet-based bibliotherapy’ (YQRS = 19) for patients (n = 30) randomly sampled from 1396 patients from a headache clinic in Tehran, Iran, with tension type or migraine headache (diagnosed by physician using ICHD criteria) [86].”
BackgroundMethod
Mindfulness meditation for chronic migraine in pediatric population: a pilot study
Sansone, E., Raggi, A., Grignani, E., Leonardi, M., D’Amico, D., Scaratti, C., & Grazzi, L. (2018) · Neurological Sciences · doi:10.1007/s10072-018-3365-7 · Cited by 19 · see citing works
Mindfulness and Chronic Headache/Migraine: Mechanisms Explored Through the Fear-Avoidance Model of Chronic Pain
Komandur, B., Martin, P. R., & Bandarian-Balooch, S. (2018) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000580 · Cited by 16 · see citing works
Not Just Mind Over Matter: Reviewing With Patients How Mindfulness Relieves Chronic Low Back Pain
Morone, N. E. (2019) · Journal of Evidence-Based Integrative Medicine · doi:10.1177/2515690x19838490 · Cited by 15 · see citing works
Utilization of complementary and alternative medicine and conventional medicine for headache or migraine during pregnancy: A cross-sectional survey of 1,835 pregnant women
Peng, W., Lauche, R., Frawley, J., Sibbritt, D. W., & Adams, J. (2018) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2018.09.027 · Cited by 14 · see citing works
The Ancient-Turned-New Concept of “Spiritual Hygiene”: An Investigation of Media Coverage of Meditation from 1979 to 2014
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Conducting a pilot randomized controlled trial of community-based mindfulness-based stress reduction versus usual care for moderate-to-severe migraine: protocol for the Mindfulness and Migraine Study (M&M)
Pressman, A. R., Law, H., Stahl, R., Scott, A., Jacobson, A. S., Dean, L., Sudat, S. E. K., Obillo, A., & Avins, A. L. (2019) · Trials · doi:10.1186/s13063-019-3355-y · Cited by 11 · see citing works
A reanalysis of a randomized trial on meditation for migraine headaches: Distraction is not enough but meditation takes time
Wachholtz, A., Vohra, R., & Metzger, A. (2019) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2019.08.011 · Cited by 11 · see citing works
CGRP Antagonists: Physiologic Effects and Serious Side Effects
Robbins, L. D. (2018) · Headache The Journal of Head and Face Pain · doi:10.1111/head.13408 · Cited by 10 · see citing works
Consideration of Costs and Open-Label Studies of Erenumab—Reply
Loder, E., & Burch, R. C. (2018) · JAMA Neurology · doi:10.1001/jamaneurol.2018.4141 · Cited by 3 · see citing works
Response to mindfulness-based cognitive therapy for migraine in chronic and episodic migraine: Planned secondary analyses of a randomized clinical trial
Seng, E. K., Singer, A. R., Metts, C. L., Grinberg, A., Patel, Z. S., Marzouk, M. A., Rosenberg, L., Day, M. A., Minen, M. T., Buse, D. C., et al. (2019) · Headache The Journal of Head and Face Pain · Cited by 2 · see citing works
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Research works printed but not linked: 2

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Effectiveness of Mindfulness Meditation vs Headache Education for Adults With Migraine: A Randomized Clinical Trial
Wells, R. E., O’Connell, N., Pierce, C. R., Estave, P., Penzien, D. B., Loder, E., Zeidan, F., & Houle, T. T. (2021) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2020.7090 · Cited by 183 · see citing works
Self-citation
Neuroimaging-based biomarkers for pain: state of the field and current directions
van der Miesen, M. M., Lindquist, M. A., & Wager, T. D. (2019) · PAIN Reports · doi:10.1097/pr9.0000000000000751 · Cited by 137 · see citing works
Revised guidelines of the French headache society for the diagnosis and management of migraine in adults. Part 2: Pharmacological treatment
Ducros, A., de Gaalon, S., Roos, C., Donnet, A., Giraud, P., Guegan-Massardier, E., Lantéri‐Minet, M., Lucas, C., Mawet, J., Moisset, X., et al. (2021) · Revue Neurologique · doi:10.1016/j.neurol.2021.07.006 · Cited by 86 · see citing works
Enhanced mindfulness-based stress reduction in episodic migraine—effects on sleep quality, anxiety, stress, and depression: a secondary analysis of a randomized clinical trial
Burrowes, S. A. B., Goloubeva, O. G., Stafford, K. A., McArdle, P. F., Goyal, M., Peterlin, B. L., Haythornthwaite, J. A., & Seminowicz, D. A. (2021) · Pain · doi:10.1097/j.pain.0000000000002372 · Cited by 59 · see citing works
Non-Pharmacological Approaches to Headaches: Non-Invasive Neuromodulation, Nutraceuticals, and Behavioral Approaches
Grazzi, L., Toppo, C., D’Amico, D., Leonardi, M., Martelletti, P., Raggi, A., & Guastafierro, E. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18041503 · Cited by 52 · see citing works
Healthy Dwelling: Design of Biophilic Interior Environments Fostering Self-Care Practices for People Living with Migraines, Chronic Pain, and Depression
Huntsman, D. D., & Bulaj, G. W. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19042248 · Cited by 56 · see citing works
Revised guidelines of the French headache society for the diagnosis and management of migraine in adults. Part 3: Non-pharmacological treatment
Demarquay, G., Mawet, J., Guegan-Massardier, E., de Gaalon, S., Donnet, A., Giraud, P., Lantéri‐Minet, M., Lucas, C., Moisset, X., Roos, C., et al. (2021) · Revue Neurologique · doi:10.1016/j.neurol.2021.07.009 · Cited by 42 · see citing works
Efficacy of mindfulness added to treatment as usual in patients with chronic migraine and medication overuse headache: a phase-III single-blind randomized-controlled trial (the MIND-CM study)
Grazzi, L., D’Amico, D., Guastafierro, E., Demichelis, G., Erbetta, A., Fedeli, D., Nigri, A., Ciusani, E., Barbara, C., & Raggi, A. (2023) · The Journal of Headache and Pain · doi:10.1186/s10194-023-01630-0 · Cited by 34 · see citing works
Migraine as an allostatic reset triggered by unresolved interoceptive prediction errors
Sedley, W., Kumar, S., Jones, S., Levy, A. D., Friston, K. J., Griffiths, T. D., & Goldsmith, P. (2024) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2024.105536 · Cited by 31 · see citing works
Meditation-Based Therapy for Chronic Low Back Pain Management: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Lin, T.-H., Tam, K., Yang, Y., Liou, T., Hsu, T.-H., & Rau, C.-L. (2022) · Pain Medicine · doi:10.1093/pm/pnac037 · Cited by 30 · see citing works
Mechanisms of mindfulness in patients with migraine: Results of a qualitative study.
Estave, P. M., Margol, C., Beeghly, S., Anderson, R., Shakir, M., Coffield, A., Byrnes, J., O'Connell, N., Seng, E., Gardiner, P., et al. (2023) · Headache The Journal of Head and Face Pain · doi:10.1111/head.14481 · Cited by 26 · see citing works
“12,13 We previously published a narrative review discussing potential mechanisms of mindfulness in migraine, which included the following: (1) alterations in pain perception via decoupling the sensory and affective components of pain; (2) enhanced interoceptive body awareness; (3) regulation of autonomic dysfunction s…”
BackgroundSelf-citation
Mindfulness-Based Cognitive Therapy as Migraine Intervention: a Randomized Waitlist Controlled Trial
Simshäuser, K., Pohl, R., Behrens, P. J., Schultz, C., Lahmann, C., & Schmidt, S. (2021) · International Journal of Behavioral Medicine · doi:10.1007/s12529-021-10044-8 · Cited by 24 · see citing works
The Western origins of mindfulness therapy in ancient Rome
Cavanna, A. E., Purpura, G., Riva, A., Nacinovich, R., & Seri, S. (2023) · Neurological Sciences · doi:10.1007/s10072-023-06651-w · Cited by 23 · see citing works
Longitudinal neurofunctional changes in medication overuse headache patients after mindfulness practice in a randomized controlled trial (the MIND-CM study)
Fedeli, D., Ciullo, G., Demichelis, G., Medina, J. P., Bruzzone, M. G., Ciusani, E., Erbetta, A., Ferraro, S., Grisoli, M., Guastafierro, E., et al. (2024) · The Journal of Headache and Pain · doi:10.1186/s10194-024-01803-5 · Cited by 17 · see citing works
Effects and Feasibility of a Mindfulness-Based Guqin Music Intervention During Pregnancy on Postpartum Anxiety and Depression: A Pilot Randomized Controlled Trial
Qi, W., Zhao, F., Huang, S., Wei, Z., Yang, H., He, K., Li, C., Guo, Q., & Hu, J. (2023) · Mindfulness · doi:10.1007/s12671-023-02221-5 · Cited by 14 · see citing works
Multimodal chiropractic care for migraine: A pilot randomized controlled trial
Rist, P. M., Bernstein, C. A., Kowalski, M., Osypiuk, K., Connor, J. P., Vining, R. D., Long, C. R., Macklin, E. A., & Wayne, P. M. (2020) · Cephalalgia · doi:10.1177/0333102420963844 · Cited by 15 · see citing works
Alternative and complementary treatments for migraine
Tabeeva, G. R., Filatova, E. G., Амелин, А. В., Osipova, V. В., Artemenko, A. R., Ахмадеева, Л. Р., Ekusheva, E. V., Koreshkina, M. I., Lebedeva, E. R., Сергеев, А. В., et al. (2024) · Neurology neuropsychiatry Psychosomatics · doi:10.14412/2074-2711-2024-1-4-15 · Cited by 14 · see citing works
The Epidemiology of Primary Headache Disorders
Kopel, D., & Gottschalk, C. H. (2022) · Seminars in Neurology · doi:10.1055/a-1942-6823 · Cited by 13 · see citing works
Psychological Approaches for Migraine Management
Sturgeon, J. A., Ehde, D. M., Darnall, B. D., Barad, M. J., Clauw, D. J., & Jensen, M. P. (2023) · Anesthesiology Clinics · doi:10.1016/j.anclin.2023.02.002 · Cited by 13 · see citing works
Behavioral therapy in migraine: Expanding the therapeutic arsenal
Mínguez‐Olaondo, A., Días, P. A., de Munáin, E. L., Grozeva, V., Laspra‐Solís, C., Martín‐Villalba, I., García‐Martín, V., Vila‐Pueyo, M., Barandiarán, M., Zabalza, R., et al. (2024) · European Journal of Neurology · doi:10.1111/ene.16414 · Cited by 11 · see citing works
Well-Being Therapy for Depressive Symptoms in Chronic Migraine: A Case Report
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Intensive Mindfulness Meditation Reduces Frequency and Burden of Migraine: An Unblinded Single-Arm Trial
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Additional file 1 of Efficacy of mindfulness added to treatment as usual in patients with chronic migraine and medication overuse headache: a phase-III single-blind randomized-controlled trial (the MIND-CM study)
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Additional file 2 of Efficacy of mindfulness added to treatment as usual in patients with chronic migraine and medication overuse headache: a phase-III single-blind randomized-controlled trial (the MIND-CM study)
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Mindfulness as one component of an integrative approach to migraine treatment in clinical practice: companion editorial
Wells, R. E. (2020) · Expert Review of Neurotherapeutics · doi:10.1080/14737175.2020.1724783 · Cited by 3 · see citing works
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Authors: Wells, R. E., Seng, E. K., Edwards, R. R., Victorson, D. E., Pierce, C. R., Rosenberg, L., Napadow, V., & Schuman-Olivier, Z.
Affiliations: Atrium Health Wake Forest Baptist (US)
Albert Einstein College of Medicine (US)
Brigham and Women's Hospital (US)
Northwestern University (US)
Yeshiva University (US)
Harvard University (US)
Center for Mindfulness and Compassion, Addictions, Department of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Cambridge, MA, USA
Corresponding author: Wells, Rebecca Erwin
ORCID: Wells, Rebecca Erwin
Seng, Elizabeth K.
Edwards, Robert R.
Victorson, David E.
Rosenberg, Lauren
Napadow, Vitaly
Venue: Expert Review of Neurotherapeutics
Publisher: Informa UK Limited
Published: 2020-02-12
Volume: 20
Issue: 3
Pages: 207-225
ISSN: 1473-7175 (ISSN-L)
1744-8360
DOI: 10.1080/14737175.2020.1715212
PMC: PMC7213534
OpenAlex: W2999119065
Cited by: 70
References: 132
Citations by year: 2026: 3 · 2025: 12 · 2024: 15 · 2023: 13 · 2022: 9 · 2021: 12 · 2020: 5 · 2019: 1
FWCI: 1.61
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Expert Review of Neurotherapeutics (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (UL1TR001420, 5r33at009306-05, OT2OD023867)
National Institute of Neurological Disorders and Stroke (K23NS096107)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR064367)
National Center for Advancing Translational Sciences
National Center for Complementary and Integrative Health (R33-AT009306, K23AT008406, R01AT007550, R61AT009306, P01AT009965)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
Keywords: migraine, mindfulness-based interventions, mindfulness-based stress reduction, mindfulness-based cognitive therapy, non-pharmacological treatment, headache-related disability, psychological well-being, opioid use reduction, attentional flexibility, therapeutic mechanisms
MeSH terms: Humans, Migraine Disorders, Mindfulness

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