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Papers of the Week

2021 Oct

Health Psychol



Integrating headache trigger management strategies into cognitive-behavioral therapy: A randomized controlled trial.


Martin PR, Reece J, Mackenzie S, Bandarian-Balooch S, Brunelli A, Goadsby PJ
Health Psychol. 2021 Oct; 40(10):674-685.
PMID: 34881935.


Traditionally, the standard advice to individuals suffering from migraine and tension-type headache was that the best way to prevent headaches is to avoid the triggers. This advice has been challenged in recent years and the Trigger Avoidance Model of Headache has been proposed, which suggests that one pathway to developing a headache disorder is by avoiding triggers resulting in trigger sensitization. The objective of the study was to evaluate a novel intervention for primary headache comprising a new approach to trigger management that includes exposure to some triggers with the goal of trigger desensitization (learning to cope with triggers [LCT]) integrated into a cognitive-behavioral therapy (CBT) program (LCT/CBT).