Behavioral Management of Migraine Headache Triggers: Learning to Cope with Triggers

  title={Behavioral Management of Migraine Headache Triggers: Learning to Cope with Triggers},
  author={Paul R Martin},
  journal={Current Pain and Headache Reports},
  • Paul R Martin
  • Published 27 April 2010
  • Psychology
  • Current Pain and Headache Reports
The literature on migraine triggers is reviewed, including the most common triggers, interactions between triggers, the research evidence related to the capacity of self-reported triggers to precipitate headaches, and the neurobiologic pathways by which triggers induce migraine attacks. An argument is developed against the standard advice to avoid migraine triggers as the best way of preventing attacks, based on conceptual and practical criticisms, and consideration of cognate literatures on… 

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Managing headache triggers: Think ‘coping’ not ‘avoidance’

  • Primrose Martin
  • Psychology, Medicine
    Cephalalgia : an international journal of headache
  • 2010
Clinicians need to become more flexible in the advice they give pertaining to triggers, namely they should think ‘coping with triggers’ rather than avoiding all triggers, as avoidance will sometimes be the preferred strategy, but often it will not be.

Headache triggers: To avoid or not to avoid, that is the question

It is demonstrated that repeated, prolonged exposure to a headache trigger led to desensitisation with participants experiencing less visual disturbance, less negative affect and less head pain in response to the trigger.

How do trigger factors acquire the capacity to precipitate headaches?

  • P. R. Martin
  • Psychology, Medicine
    Behaviour research and therapy
  • 2001

Is stress a trigger factor for migraine?

Migraine and the Environment

This article addresses commonly mentioned environmental triggers of migraine with a discussion of their pathophysiology and proposed preventive measures.

The Triggers or Precipitants of the Acute Migraine Attack

  • L. Kelman
  • Medicine, Psychology
    Cephalalgia : an international journal of headache
  • 2007
Tiggers were more likely to be associated with a more florid acute migraine attack and differences were seen between women and men, aura and no aura, episodic and chronic migraine, and between migraine and probable migraine.

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The results build on earlier studies that suggest the traditional clinical advice to headache sufferers, that the best way to prevent headaches is to avoid the triggers, runs the risk of establishing an insidious sensitization process, thereby increasing headache frequency.

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The study suggests that foods may trigger not only migraine but also tension type headache attacks.