Journal article
One-Day Behavioral Intervention in Depressed Migraine Patients: Effects on Headache
Headache, Vol.54(3), pp.528-538
03/01/2014
DOI: 10.1111/head.12258
PMCID: PMC3990866
PMID: 24741688
Abstract
ObjectiveTo determine whether a 1-day behavioral intervention, aimed at enhancing psychological flexibility, improves headache outcomes of migraine patients with comorbid depression.
BackgroundMigraine is often comorbid with depression, with each disorder increasing the risk for onset and exacerbation of the other. Managing psychological triggers, such as stress and depression, may result in greater success of headache management.
MethodSixty patients with comorbid migraine and depression were assigned to a 1-day Acceptance and Commitment Training plus Migraine Education workshop (ACT-ED; N=38) or to treatment as usual (TAU; N=22). Patients completed a daily headache diary prior to, and for 3 months following, the intervention. Clinical variables examined included headache frequency/severity, medication use, disability, and visit to a health care professional. Comparisons were made between baseline findings and findings at the 3-month follow up.
ResultsParticipants assigned to the ACT-ED condition exhibited significant improvements in headache frequency, headache severity, medication use, and headache-related disability. In contrast, the TAU group did not exhibit improvements. The difference in headache outcomes between ACT-ED and TAU was not statistically significant over time (ie, the treatment by time interaction was nonsignificant). These results complement those of a previous report showing effects of ACT-ED vs TAU on depression and disability.
ConclusionA 1-day ACT-ED workshop targeting psychological flexibility may convey benefit for patients with comorbid migraine and depression. These pilot study findings merit further investigation using a more rigorously designed large-scale trial.
Details
- Title: Subtitle
- One-Day Behavioral Intervention in Depressed Migraine Patients: Effects on Headache
- Creators
- Lilian Dindo - University of IowaAna Recober - University of IowaJames Marchman - University of IowaMichael W. O' Hara - Univ Iowa, Dept Psychol, Iowa City, IA 52242 USACarolyn Turvey - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Headache, Vol.54(3), pp.528-538
- DOI
- 10.1111/head.12258
- PMID
- 24741688
- PMCID
- PMC3990866
- NLM abbreviation
- Headache
- ISSN
- 0017-8748
- eISSN
- 1526-4610
- Publisher
- Wiley
- Number of pages
- 11
- Grant note
- UL1RR024979 / NATIONAL CENTER FOR RESEARCH RESOURCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR) K08NS066087 / NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Neurological Disorders & Stroke (NINDS) KL2RR024980; UL1RR024979 / National Center for Research Resources (NCRR), a part of the National Institutes of Health (NIH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Research Resources (NCRR)
- Language
- English
- Date published
- 03/01/2014
- Academic Unit
- Psychiatry; Epidemiology; Psychological and Brain Sciences
- Record Identifier
- 9984281752102771
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