Posted 04.28.2020 | by AMRA
Migraines, marked by intense, throbbing headaches, nausea, vomiting, and sensitivity to light, affect 13% of the adult population and are the sixth most frequent cause of disability. Migraines are known to be accompanied by changes in brain structures involved with cognitive aspects of pain processing including the insula, cingulate, and prefrontal cortices. This is an area of interest because mindfulness training is thought to work, in part, by altering one’s thoughts and attitudes towards pain.
Seminowicz et al. [Pain] conducted a randomized controlled trial to test if mindfulness training reduces migraines and determine whether it alters brain structure and function in regions related to cognitive aspects of pain processing.
The researchers randomly assigned 98 migraineurs (average age = 36 years; 72% Caucasian; 91% female) who had experienced 4-14 days of headache in the past month to either enhanced Mindfulness-Based Stress Reduction (MBSR) or a stress management program. Both programs met in 2-hour weekly groups for the first 8 weeks, and biweekly for the following 8 weeks. MBSR differed from the conventional standard in its addition of four group sessions after the initial 8 weeks. These additional sessions emphasized developing qualities of self-compassion, gratitude, equanimity, and sympathetic joy, and applying mindfulness skills before, during, and after migraines.
The stress management control offered didactic content focused on understanding stress, triggers, pain, sleep hygiene, and medications along with group support and muscle stretching exercises. Attendance to all scheduled groups sessions and/or individual make-up sessions was high (86% in MBSR and 83% in the control group).
All participants completed headache questionnaires at baseline and at week 10, 20, and 52. In addition, they completed fMRI brain scans at baseline and […]