Evidence map›Paper›PMID 26526604›Full record

ArticleBritish journal of pain2015

Systematic review of cognitive behavioural therapy for the management of headaches and migraines in adults.

Petra Harris, Emma Loveman, Andy Clegg, Simon Easton, Neil Berry

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in British journal of pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 29 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 5 pooled it
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03701477 nacompletednot on this mapstarted 2018, after this paper: background citation

Evaluation of the Efficacy of Trans-diagnostic Cognitive-behavioral Therapy on Controlling and Reducing Headache and Associated Symptoms Among Migrainous Patients

TypeinterventionalSponsorIsfahan University of Medical SciencesRan2018 to 2019Enrolled20ConditionsMigraineArmsTrans-diagnostic cognitive-behavioral therapy, General relaxation/stress management therapeutic session
NCT06938178 recruitingnot on this mapstarted 2024, after this paper: background citation

High-Density EEG-MEG-wearable EEG: Comparison of Quantitative Electroencephalographic Indicators as Neurophysiological Markers of Effectiveness of Mindfulness Therapy in Addition to Standard Treatment in Patients With High-frequency Episodic Migraine

TypeobservationalSponsorFondazione I.R.C.C.S. Istituto Neurologico Carlo BestaRan2024 to 2026Enrolled40ConditionsMigraine, Migraine Disease, High Frequency Episodic MigraineArmsMindfulness treatment
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 5 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
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  8. Psychological interventions for migraine.Nature reviews. Neurology · 2026
    Review
  9. Article
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  11. Review
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  15. Review
  16. Review
  17. Article
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  19. Nightmares in Migraine: A Focused Review.Behavioral sciences (Basel, Switzerland) · 2021
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Petra HarrisSouthampton Health Technology Assessments Centre (SHTAC), University of Southampton, Southampton, UK.
Emma LovemanSouthampton Health Technology Assessments Centre (SHTAC), University of Southampton, Southampton, UK.
Andy CleggSouthampton Health Technology Assessments Centre (SHTAC), University of Southampton, Southampton, UK.
Simon EastonDepartment of Psychology, University of Portsmouth, Portsmouth, UK.
Neil BerryPain Management team, Hythe Hospital, Southampton, UK.
University of Southampton · GBHythe Hospital · GBUniversity of Portsmouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis systematic review aimed to establish if cognitive behavioural therapy (CBT) can reduce the physical symptoms of chronic headache and migraines in adults.

methodsEvidence from searches of eight databases was systematically sought, appraised and synthesised. Screening of title and abstracts was conducted independently by two reviewers. Full papers were screened, data extracted and quality assessed by one reviewer and checked by a second. Data were synthesised narratively by intervention due to the heterogeneity of the studies. The inclusion criteria specified randomised controlled trials with CBT as an intervention in adults suffering from chronic headaches/migraines not associated with an underlying pathology/medication overuse. CBT was judged on the basis of authors describing the intervention as CBT. The diagnosis of the condition had to be clinician verified. Studies had to include a comparator and employ headache/migraine-specific outcomes such as patient-reported headache days.

resultsOut of 1126 screened titles and abstracts and 20 assessed full papers, 10 studies met the inclusion criteria of the review. Some studies combined CBT with another intervention, as well as employing varying numbers of comparators. CBT was statistically significantly more effective in improving some headaches-related outcomes in CBT comparisons with waiting lists (three studies), in combination with relaxation compared with relaxation only (three studies) or antidepressant medication (one study), with no statistically significant differences in three studies.

conclusionsThe findings of this review were mixed, with some studies providing evidence in support of the suggestion that people experiencing headaches or migraines can benefit from CBT, and that CBT can reduce the physical symptoms of headache and migraines. However, methodology inadequacies in the evidence base make it difficult to draw any meaningful conclusions or to make any recommendations.

Indexed as

cognitive behavioural therapyHeadachemigrainerandomised controlled trialsystematic review

Identifiers

PMID26526604
PMCPMC4616982
OpenAlexW2152706594

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.