Migraine management boosts sufferers' ability to self-manage symptoms

Psychological treatments could offer migraine sufferers a confidence boost in their ability to self-manage their symptoms, according to a new study.

Migraine

In the study, Elizabeth Seng and Dr. Kenneth Holroyd from Ohio University in the US compared the effects of various treatment combinations for severe migraine - drug therapy with or without behavioral management. And they showed that those patients receiving the behavioural management program alongside drug therapy are significantly more confident in their ability to use behavioural skills to effectively self-manage migraines.And surprisingly, the increase in confidence in self-management abilities is greatest among those who feel that they have very little control over their condition before treatment starts. 

The researchers analyzed data for 176 participants in the US Treatment of Severe Migraine Trial. Treatment programs included acute drug therapy for all, with either ß-blockers or placebo - each with or without behavioral migraine management. The behavioural migraine management program consisted of demonstrations of migraine management skills during four monthly clinic visits, which were then applied between sessions by participants through workbooks, audiotape lessons, and guided home practice. 

Their analyses showed that the addition of behavioral migraine management to drug therapy dramatically increased participants' confidence in their ability to effectively self-manage migraine, compared to migraine drug therapy alone. Behavioral management also increased participants' belief that migraine can be influenced by one's own behaviour and decreased the belief that migraines are primarily influenced by chance or fate. 

"Our exploratory analyses offer an optimistic message: brief psychological interventions for migraine management can effectively increase sufferers' confidence in self-management and can be long-lasting," concluded the authors.Psychological interventions enhanced drug therapy, enabling participants to take a more active role in their treatment by using behavioral skills to manage migraines. The findings are published online in Springer's journal Annals of Behavioral Medicine.

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