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Insomnia and Migraine: A Review of Evidence-Based, Biobehavioral Interventions

  • Psychological and Behavioral Aspects of Headache and Pain (D Buse, Section Editor)
  • Published:
Current Pain and Headache Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The purpose of this review is to discuss the current evidence for Cognitive Behavioral Therapy for Insomnia (CBT-I) for patients with migraine and comorbid insomnia. In this article, we provide a narrative review of the literature on CBT-I and migraine, highlighting recent advances in research into this topic. Finally, we propose a way for clinicians to integrate CBT-I into clinical practice.

Recent Findings

Multiple studies support CBT-I as a validated modality for the treatment of insomnia in migraine.

Summary

CBT-I is used to treat insomnia and should be offered as first line therapy. Clinicians should screen for insomnia in all patients with headache, especially in those with migraine, to best manage this condition through the implementation of specific insomnia treatment.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Niushen Zhang & Lauren R. Natbony

  2. Department of Neurology, Stanford School of Medicine, Palo Alto, CA, USA

    David Walker & Niushen Zhang

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  1. David Walker
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Correspondence to Lauren R. Natbony.

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David Walker, Niushen Zhang, and Lauren R. Natbony declare no conflict of interests.

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Walker, D., Zhang, N. & Natbony, L.R. Insomnia and Migraine: A Review of Evidence-Based, Biobehavioral Interventions. Curr Pain Headache Rep 27, 19–25 (2023). https://doi.org/10.1007/s11916-023-01100-x

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