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Non-pharmacological approaches to treating chronic migraine with medication overuse

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Abstract

Medication overuse headache (MOH) is now recognized as a biobehavioral disorder, a condition wherein emotion and pain are intermingled. This review discusses the steps to consider when treating this condition. The first step involves educating patients about MOH and the pathways to chronicity. The second step concerns working with patients to identify risk factors and behaviors that are present and contributing to the condition. The final step involves behavioral intervention. Examples for accomplishing each step are provided.

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References

  1. Grazzi L, Andrasik F, D’Amico D, Leone M, Usai S, Kass S, Bussone G (2002) Behavioral and pharmacologic treatment of transformed migraine with analgesic overuse: outcome at 3 years. Headache 42:483–490

    Article  PubMed  Google Scholar 

  2. Grazzi L, Andrasik F, Usai S, Bussone G (2009) Treatment of chronic migraine with medication overuse: is drug withdrawal crucial? Neurol Sci (this issue). doi:10.1007/s10072-009-0079-x

  3. Grazzi F, Andrasik F, Usai S, Bussone G (2008) Headache with medication overuse: treatment strategies and proposal of relapse prevention. Neurol Sci 29:93–98

    Article  PubMed  Google Scholar 

  4. Saper JR, Hamel RL, Lake AEIII (2005) Medication overuse headache (MOH) is a biobehavioural disorder. Cephalalgia 25:545–546

    Article  PubMed  CAS  Google Scholar 

  5. Lake AEIII (2006) Medication overuse headache: biobehavioral issues and solutions. Headache 46(Suppl 3):S88–S97

    Article  PubMed  Google Scholar 

  6. Bigal ME, Lipton RB (2006) Modifiable risk factors for migraine progression. Headache 46:1334–1343

    Article  PubMed  Google Scholar 

  7. Martin LR, Jahng KH, Golin CE, DiMatteo MR (2003) Physician facilitation of patient involvement in care: correspondence between patient and observer reports. Behav Med 28:159–164

    Article  PubMed  Google Scholar 

  8. Boyle D, Dwinnell B (2005) Invite, listen and summarize: a patient-centered communication technique. Acad Med 80:29–32

    Article  PubMed  Google Scholar 

  9. Hahn SR (2008) Communication in the care of the headache patient. In: Silberstein SD, Lipton RL, Dodick DW (eds) Wolff’s headache and other head pain. Oxford University Press, New York, pp 805–824

    Google Scholar 

  10. Buse DC, Lipton RB (2008) Facilitating communication with patients for improved migraine outcomes. Curr Pain Headache Rep 12:230–236

    Article  PubMed  Google Scholar 

  11. Lipton RB, Hahn SR, Cady RK et al (2008) In-office discussions of migraine: results from the American Migraine Communication Study. J Gen Intern Med 23:1145–1151

    Article  PubMed  Google Scholar 

  12. Hahn SR, Lipton RB, Sheftell FD et al (2008) Healthcare provider-patient communication and migraine assessment: results of the American Migraine Communications Study (AMCS) Phase II. Curr Med Res Opin 24:1711–1718

    Article  PubMed  Google Scholar 

  13. Cady R, Farmer K, Beach ME, Tarrasch J (2008) Nurse-based education: an office-based comparative model for education of migraine patients. Headache 48:564–569

    Article  PubMed  Google Scholar 

  14. Lemstra M, Stewart B, Olszynski W (2002) Effectiveness of multidisciplinary intervention in the treatment of migraine: a randomized clinical trial. Headache 42:845–854

    Article  PubMed  Google Scholar 

  15. Harpole L, Samsa G, Jurgelski A et al (2003) Headache management program improves outcome for chronic headache. Headache 43:715–724

    Article  PubMed  Google Scholar 

  16. Blumenfeld A, Tischio M (2003) Center of excellence for headache care: group model at Kaiser Permanente. Headache 43:431–440

    Article  PubMed  Google Scholar 

  17. Rothrock JF, Parada VA, Sims C et al (2006) The impact of intensive patient education on clinical outcome in a clinic-based migraine population. Headache 46:726–731

    Article  PubMed  Google Scholar 

  18. Rains JC, Penzien DB, Lipchik GL (2006) Behavioral facilitation of medical treatment for headache—part II: theoretical models and behavioral strategies for improving adherence. Headache 46:1395–1403

    PubMed  Google Scholar 

  19. Holroyd KA, Cordingley GE, Pingel JD et al (1989) Enhancing the effectiveness of abortive therapy: a controlled evaluation of self-management training. Headache 29:148–153

    Article  PubMed  CAS  Google Scholar 

  20. Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice Hall, Englewood Cliffs

    Google Scholar 

  21. Elder JP, Ayala GX, Harris S (1999) Theories and intervention approaches to health-behavior change in primary care. Am J Prev Med 17:275–284

    Article  PubMed  CAS  Google Scholar 

  22. Jensen MP (2002) Enhancing motivations to change in pain treatment. In: Turk DC, Gatchel RJ (eds) Psychological approaches to pain management: a practitioner’s handbook, 2nd edn. Guilford Press, New York, pp 71–93

    Google Scholar 

  23. Prochaska JO, Redding A, Evers KE (1997) The transtheoretical model and stages of change. In: Glanz K, Lewis FM, Rimer BK (eds) Health behavior and health education. Jossey-Bass, San Francisco, pp 60–84

    Google Scholar 

  24. Miller WR, Rollnick S (2002) Motivational interviewing: preparing people for change, 2nd edn. Guildford Press, New York

    Google Scholar 

  25. Miller WR (1996) Motivational interviewing: research, practice, and puzzles. Addict Behav 21:835–842

    Article  PubMed  CAS  Google Scholar 

  26. Buse DC, Andrasik F (2009) Behavioral medicine for migraine. Neurol Clin 27:445–465

    Article  PubMed  Google Scholar 

  27. Andrasik F (2007) What does the evidence show? Efficacy of behavioural treatments for recurrent headaches in adults. Neurol Sci 28:S70–S77

    Article  PubMed  Google Scholar 

  28. Nestoriuc Y, Martin A, Rief W, Andrasik F (2008) Biofeedback treatment for headache disorders: a comprehensive efficacy review. Appl Psychophysiol Biofeedback 33:125–140

    Article  PubMed  Google Scholar 

  29. Breslau N, Davis GC (1993) Migraine, physical health and psychiatric disorder: a prospective epidemiologic study in young adults. J Psychiatr Res 27:211–221

    Article  PubMed  CAS  Google Scholar 

  30. Jette N, Patten S, Williams J et al (2008) Comorbidity of migraine and psychiatric disorders: a national population-based study. Headache 48:501–516

    Article  PubMed  Google Scholar 

  31. Lanteri-Minet M, Radat F, Chautard H-H et al (2005) Anxiety and depression associated with migraine: influence on migraine subjects’ disability and quality of life, and acute migraine management. Pain 118(3):319–326

    Article  PubMed  Google Scholar 

  32. Maizels M, Smitherman TA, Penzien DB (2006) A review of screening tools for psychiatric comorbidity in headache patients. Headache 46(Suppl 3):S98–S109

    Article  PubMed  Google Scholar 

  33. Smitherman TA, Maizels M, Penzien DB (2008) Headache chronification: screening and behavioral management of comorbid depressive and anxiety disorders. Headache 48:45–50

    PubMed  Google Scholar 

  34. Lipchik GL, Smitherman TA, Penzien DB, Holroyd KA (2006) Basic principles and techniques of cognitive-behavioral therapies for comorbid psychiatric symptoms among headache patients. Headache 46(Suppl 3):S119–S132

    Article  PubMed  Google Scholar 

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Conflict of interest statement

The authors declare that they have no conflict of interest related to the publication of this manuscript.

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Authors and Affiliations

  1. Department of Psychology, University of West Florida, 11000 University Parkway, Pensacola, FL, 32514, USA

    F. Andrasik

  2. National Neurological Institute, Via Celoria 11, 20133, Milan, Italy

    L. Grazzi, S. Usai & G. Bussone

  3. Department of Neurology, Albert Einstein College of Medicine of Yeshiva University, New York, NY, USA

    D. C. Buse

  4. Montefiore Headache Center, Bronx, New York, NY, USA

    D. C. Buse

Authors
  1. F. Andrasik
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  2. L. Grazzi
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  3. S. Usai
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  4. D. C. Buse
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  5. G. Bussone
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Corresponding author

Correspondence to F. Andrasik.

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Andrasik, F., Grazzi, L., Usai, S. et al. Non-pharmacological approaches to treating chronic migraine with medication overuse. Neurol Sci 30 (Suppl 1), 89–93 (2009). https://doi.org/10.1007/s10072-009-0081-3

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