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Mindfulness in migraine: A narrative review
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- 자료유형학술지논문
- 저자명Wells, Rebecca Erwin,Seng, Elizabeth K.,Edwards, Robert R.,Victorson, David E.,Pierce, Charles R.,Rosenberg, Lauren,Napadow, Vitaly,Schuman-Olivier, Zev
- 학회/출판사/기관명Informa Healthcare
- 출판년도2020
- 언어영어
- 학술지명/학위논문주기EXPERT REVIEW OF NEUROTHERAPEUTICS
- 발행사항Vol.20No.3[2020]_x000D_
- ISBN/ISSN1473-7175
- 소개/요약Introduction: 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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