Elizabeth K Seng1, Kenneth A Holroyd. 1. Department of Psychology, Ohio University, 200 Porter Hall, Athens, OH 45701-2979, USA. es842306@ohio.edu
Abstract
BACKGROUND: Modification of expectancies (headache self-efficacy and headache locus of control) is thought to be central to the success of psychological treatments for migraine. PURPOSE: The purpose of this study is to examine expectancy changes with various combinations of Behavioral Migraine Management and migraine drug therapies. METHODS:Frequent migraine sufferers who failed to respond to 5 weeks of optimized acute migraine drug therapy were randomized to a 2 (Behavioral Migraine Management+, Behavioral Migraine Management-) × 2 (β-blocker, placebo) treatment design. RESULTS: Mixed models for repeated measures analyses (N = 176) revealed large increases in headache self-efficacy and internal headache locus of control and large decreases in chance headache locus of control with Behavioral Migraine Management+ that were maintained over a 12-month evaluation period. Chance headache locus of control and socioeconomic status moderated changes in headache self-efficacy with Behavioral Migraine Management+. CONCLUSIONS: The "deficiency" hypothesis best explained how patient characteristics influenced changes in of headache self-efficacy with Behavioral Migraine Management.
RCT Entities:
BACKGROUND: Modification of expectancies (headache self-efficacy and headache locus of control) is thought to be central to the success of psychological treatments for migraine. PURPOSE: The purpose of this study is to examine expectancy changes with various combinations of Behavioral Migraine Management and migraine drug therapies. METHODS: Frequent migraine sufferers who failed to respond to 5 weeks of optimized acute migraine drug therapy were randomized to a 2 (Behavioral Migraine Management+, Behavioral Migraine Management-) × 2 (β-blocker, placebo) treatment design. RESULTS: Mixed models for repeated measures analyses (N = 176) revealed large increases in headache self-efficacy and internal headache locus of control and large decreases in chance headache locus of control with Behavioral Migraine Management+ that were maintained over a 12-month evaluation period. Chance headache locus of control and socioeconomic status moderated changes in headache self-efficacy with Behavioral Migraine Management+. CONCLUSIONS: The "deficiency" hypothesis best explained how patient characteristics influenced changes in of headache self-efficacy with Behavioral Migraine Management.
Authors: P Kropp; B Meyer; T Dresler; G Fritsche; C Gaul; U Niederberger; S Förderreuther; V Malzacher; T P Jürgens; M Marziniak; A Straube Journal: Schmerz Date: 2017-10 Impact factor: 1.107
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