Evidence map›Paper›PMID 38279088›Full record

ArticleBMC neurology2024

Exploring the link between self-management of migraine and emotional wellbeing: a cross-sectional study of community-dwelling migraine sufferers.

Nicola Filzmoser, Iman Webber, Gabriele Kerr, Aos Alaa, Marie Iine El Asmar, Manisha Karki, Eva Riboli-Sasco, Austen El-Osta

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 24% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
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

8 authors at 2 institutions in 1 country.

Nicola FilzmoserDepartment of Primary Care & Public Health, Self-Care Academic Research Unit (SCARU) Imperial College London, Charing Cross Hospital, London, W6 8RF, UK. Nicola.filzmoser20@imperial.ac.uk.
Iman WebberDepartment of Primary Care & Public Health, Self-Care Academic Research Unit (SCARU) Imperial College London, Charing Cross Hospital, London, W6 8RF, UK.
Gabriele KerrDepartment of Primary Care & Public Health, Self-Care Academic Research Unit (SCARU) Imperial College London, Charing Cross Hospital, London, W6 8RF, UK.
Aos AlaaDepartment of Primary Care & Public Health, Self-Care Academic Research Unit (SCARU) Imperial College London, Charing Cross Hospital, London, W6 8RF, UK.
Marie Iine El AsmarDepartment of Primary Care & Public Health, Self-Care Academic Research Unit (SCARU) Imperial College London, Charing Cross Hospital, London, W6 8RF, UK.
Manisha KarkiDepartment of Primary Care & Public Health, Self-Care Academic Research Unit (SCARU) Imperial College London, Charing Cross Hospital, London, W6 8RF, UK.
Eva Riboli-SascoDepartment of Primary Care & Public Health, Self-Care Academic Research Unit (SCARU) Imperial College London, Charing Cross Hospital, London, W6 8RF, UK.
Austen El-OstaDepartment of Primary Care & Public Health, Self-Care Academic Research Unit (SCARU) Imperial College London, Charing Cross Hospital, London, W6 8RF, UK.
Charing Cross Hospital · GBImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, an estimated 14% of adults live with migraine disease which impacts their physical, emotional and social wellbeing. To target the disease comprehensively, research recommends a multidisciplinary approach to migraine management. Yet, at present, migraine management primarily centers around pharmaceutical treatments. The aim of this study was to investigate the extent to which emotional awareness could influence the uptake of self-care behaviours of community-dwelling adults with migraine.

methodsA cross-sectional online survey explored personal experiences with migraine disease and strategies or behaviours to manage migraine attacks. Chi-squared tests were used to investigate differences in ratings of migraine prevention and management strategies between users and non-users of the strategies. Univariable logistic regressions were used to assess the effectiveness of self-care behaviours to manage or prevent migraine attacks.

resultsWe surveyed 170 community-dwelling adults with migraine in the United Kingdom, Austria, Germany and the United States. Most (85%) respondents had experienced migraine for over five years, where 42% of attacks usually lasted several days. Whereas we did not differentiate between diagnosis by a neurologist or self-diagnosis, the most common diagnoses in the cohort were migraine without aura (38.9%) and migraine with aura (29%). Staying hydrated was the most popular preventative strategy (87%), 70.2% used prescription medication and 64.9% changed their diet and/or supplements. Almost all ( 92.4%) respondents stated that their mood or emotions could trigger their migraine attacks. Keeping a headache or mood diary was the lowest-rated prevention strategy and was rated as "probably ineffective" or causing "no change" in preventing migraine attacks. Over a third (39.7%) kept track of their physical wellbeing and symptoms. Reasons stated for tracking symptoms included to identify triggers (65.8%), show reports to a healthcare professional (59.6%), understand when they must take medication (48.1%), track improvements (67.3%) or deteriorations (67.3%).

conclusionsMigraine management is dominated by pharmaceutical management for acute pain attacks and lifestyle changes for managing migraine long-term. Perception of the effectiveness of those techniques is high, whereas perception of interventions that target the emotional or psychological components of chronic pain management (keeping a mood diary, and mental health support) is mixed. There exists a gap between the recommended biopsychosocial approach and the current state of migraine management.

Indexed as

Migraine DisordersSelf-ManagementAdultCross-Sectional StudiesEmotionsHumansIndependent LivingPharmaceutical PreparationsUnited StatesPharmaceutical PreparationsEmotional wellbeingHeadacheLifestyle changeLifestyle medicineMigrainePreventionSelf-careSelf-management

Identifiers

PMID38279088
PMCPMC10821553
OpenAlexW4391276717

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.