Biopsychosocial Management of Migraine
Keywords:
migraine, chronic migraine, psychosocial factors, biopsychosocial approachAbstract
Biopsychosocial model takes into account the connection between the physical, psychological and social responses. Knowledge about the neurophysiological functioning of the brain structures influencing headache has increased. The limbicdiencephalic structures and the cerebral cortex are important. The subcortical structures influence the pain modulating system in the brainstem that in turn regulates the trigeminocervical system. The activity of the trigeminocervical system causes a change in the activity of the intracranial arteries. A peptide related to the gene for calcitonin (CGRP) is important. Psychosocial factors work through the cognitive-affective system. Social situations cause social stress. The social integration processes of inclusion and exclusion are key to wellbeing. Psychological responses are related to cognitive processing and emotional states, such as anxiety, depression and anger. The treatment is focused on managing stress management with cognitive learning and curing of emotional disturbances. In migraine treatment, it is essential to combine the pharmacological treatment, complementary techniques and modification of the psychosocial states.
References
Akerman, S., Holland, P. R. in Goadsby, P. J. (2011). Diencephalic and brainstem mechanisms in migraine. Nat Rev Neurosci, 12, št. 10, str. 570–584.
Butler, M. H., Meloy - Miller, K. C., Seedall, R. B. and Dicus, J. L. (2018). Anger can help: a transactional model and three pathways of the experience and expression of anger. Theory Psychol, 3, št. 1, str. 5–33.
Cottrell, C. K., Drew, J. B., Waller, S. E., Holroyd, K. A., Brose, J.A. and O’Donnell, F. J. (2002). Perceptions and needs of patients with migraine: a focus group study. J Family Practice, 51, št. 2, str. 142–147.
Coulter, L., Ibrahimi, M., Patel, R. and Agius, M. (2017). Linking the psychosocial aetiology and neurobiology of unipolar depression. Psychiatr Danub, 29, št. 3, str. 441–446.
Dunn, D. S. (2011). Situations matter: teaching the Lewinian link between social psychology and rehabilitation psychology. Hist Psychol, 14, št. 4, str. 405–411.
Marcus, D. A. (2000). Identification of patients with headache at risk of psychological distress. Headache, 40, št. 5, str. 373–376.
McCracken, L. M. and Turk, D. C. (2002). Behavioral and cognitive-behavioral treatment for chronic pain: outcome, predictors of outcome, and treatment process. Spine, 27, št. 22, str. 2564–2573.
McEwen, B. S, Bowles, N. P., Gray, J. D., Hill, M. N., Hunter, R. G., Karatsoreos, I. N. and Nasca, C. (2015). Mechanisms of stress in the brain. Nat Neurosci, 18, št. 10, str. 1353–1363.
Nicholson, R. A., Houle, T. T, Rhudy, J. L. and Norton, P. J. (2007). Psychological risk factors in headache. Headache, 47, št. 3, str. 413–426.
Olesen, J., Burstein. R., Ashina, M., Tfelt - Hansen, P. (2009). Origin of pain in migraine: evidence for peripheral sensitisation. Lancet Neurol, 8, št. 7, str. 679–690.
Panksepp, J. (2011). Behavior. Empathy and the laws of affect. Science, 34, št. 6061, str. 1358–1359.
Perozzo, P., Savi, L., Castelli, L., Valfrè, W., Lo Giudice, R., Gentile, S. idr. (2005). Anger and emotional distress in patients with migraine and tension-type headache. J Headache Pain, 6, št. 5, str. 392–399.
Prenderville, J. A., Kennedy, P. J., Dinan, T. G., Cryan, J. F. (2015). Adding fuel to the fire: the impact of stress on the ageing brain. Trends Neurosci, 38, št. 1, str. 13–25.
Raggi, A., Grignani, E., Leonardi, M., Andrasik, F., Sansone, E., Grazzi idr. (2018). Behavioral approaches for primary headaches: recent advances. Headache, 58, št. 6, str. 913–925.
Shiban, Y., Diemer, J., Brandl, S., Zack, R., Mühlberger, A. and Wüst, S. (2016). Trier Social Stress Test in vivo and in virtual reality: dissociation of response domains. Int J Psychophysiol, 110, št. 12, str. 47–55.
Solms, M. (2014). A neuropsychoanalytical approach to the hard problem of consciousness. J Integr Neurosci, 13, št. 2, str. 173–185.
Wadman, R., Durkin, K., Conti-Ramsden, G. (2011). Social stress in young people with specific language impairment. J Adolesc, 34, št. 3, str. 421–431.
Watkins, L. and Maier, S. (2005). Immune regulation of central nervous system functions: from sickness responses to pathological pain. J Inter Med, 257, št. 2, str. 139–155.
