Unknown

Dataset Information

0

The Association of Changes in Pain Acceptance and Headache-Related Disability.


ABSTRACT: BACKGROUND:Migraine accounts for substantial suffering and disability. Previous studies show cross-sectional associations between higher pain acceptance and lower headache-related disability in individuals with migraine, but none has evaluated this association longitudinally during migraine treatment. PURPOSE:This study evaluated whether changes in pain acceptance were associated with changes in headache-related disability and migraine characteristics in a randomized controlled trial (Women's Health and Migraine) that compared effects of behavioral weight loss (BWL) treatment and migraine education (ME) on headache frequency in women with migraine and overweight/obesity. METHODS:This was a post hoc analysis of 110 adult women with comorbid migraine and overweight/obesity who received 16 weeks of either BWL or ME. Linear and nonlinear mixed effects modeling methods were used to test for between-group differences in change in pain acceptance, and also to examine the association between change in pain acceptance and change in headache disability. RESULTS:BWL and ME did not differ on improvement in pain acceptance from baseline across post-treatment and follow-up. Improvement in pain acceptance was associated with reduced headache disability, even when controlling for intervention-related improvements in migraine frequency, headache duration, and pain intensity. CONCLUSIONS:This study is the first to show that improvements in pain acceptance following two different treatments are associated with greater reductions in headache-related disability, suggesting a potential new target for intervention development. CLINICAL TRIALS INFORMATION:NCT01197196.

SUBMITTER: Lillis J 

PROVIDER: S-EPMC6546934 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

altmetric image

Publications

The Association of Changes in Pain Acceptance and Headache-Related Disability.

Lillis Jason J   Thomas J Graham JG   Lipton Richard B RB   Rathier Lucille L   Roth Julie J   Pavlovic Jelena J   O'Leary Kevin C KC   Bond Dale S DS  

Annals of behavioral medicine : a publication of the Society of Behavioral Medicine 20190601 7


<h4>Background</h4>Migraine accounts for substantial suffering and disability. Previous studies show cross-sectional associations between higher pain acceptance and lower headache-related disability in individuals with migraine, but none has evaluated this association longitudinally during migraine treatment.<h4>Purpose</h4>This study evaluated whether changes in pain acceptance were associated with changes in headache-related disability and migraine characteristics in a randomized controlled tr  ...[more]

Similar Datasets

| S-EPMC8789634 | biostudies-literature
| S-EPMC8138688 | biostudies-literature
| S-EPMC10854013 | biostudies-literature
| S-EPMC10568844 | biostudies-literature
| S-EPMC6734435 | biostudies-literature
| S-EPMC2702756 | biostudies-literature
| S-EPMC11251016 | biostudies-literature
| S-EPMC7746291 | biostudies-literature
| S-EPMC7988315 | biostudies-literature
| S-EPMC10501475 | biostudies-literature