Document Detail

Patients' management of migraine and chronic daily headache: a study of the members of the Migraine Action Association (United Kingdom).
MedLine Citation:
PMID:  15953276     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Many strategies are available to treat and prevent migraine and chronic daily headache (CDH). Broadly these strategies can be divided into four groups, including (i) health care consultations, (ii) medication and alternative remedies, (iii) general (acute and prophylactic) strategies, and (iv) social support. OBJECTIVE: This study aimed to compare headache management between migraine (MO), migraine with aura (MA), and those with CDH over the last 12 months. DESIGN: A postal questionnaire was sent to 887 members of the Migraine Action Association (MAA). The response rate was 60.5% (n=537), and 438 questionnaires were included in the analysis. Migraine (n=117) and MA (n=239) patients were classed according to the International Headache Society (IHS). CDH (n=82) was diagnosed when respondents had 15 or more headache days per month. Descriptive tests, analysis of variances (ANOVAs), chi2, and Kruskal-Wallis tests were used for statistical analysis (P<.05). RESULTS: The three groups did not differ in age, gender, ethnicity, level of education, and employment status. Significant differences in management strategies between the groups were found in the number of respondents who had consulted headache specialists (P=.002) and neurologists (P=.004), the number and types of acute medications (eg, triptans, P=.002), the use of antidepressants (P=.004), and some acute and prophylactic avoidance techniques. Although, no significant differences between the groups were found in the use of other health professionals (eg, GP), alternative health professionals, general acute management, and the use of social support, they all actively used these strategies. CONCLUSIONS: The respondents of this study were active users of management strategies that are based on a combination of health care consultations, medication and alternative remedies, general management, and social support. In comparison to previous findings, the respondents in this study frequently reported higher use of management strategies (such as the use of triptans), which may be related to this group of patients being better informed about headache management than those with headache within the general population. Thus, the findings may not be representative for the general population, but they give an indication of the influence and importance of headache-related education carried out by patient organizations such as the MAA.
Michele Peters; Huda Huijer Abu-Saad; Ian Robbins; Vasso Vydelingum; Andrew Dowson; Margaret Murphy
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Headache     Volume:  45     ISSN:  0017-8748     ISO Abbreviation:  Headache     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-06-14     Completed Date:  2005-09-26     Revised Date:  2009-02-02    
Medline Journal Info:
Nlm Unique ID:  2985091R     Medline TA:  Headache     Country:  United States    
Other Details:
Languages:  eng     Pagination:  571-81     Citation Subset:  IM    
University of Surrey, European Institute of Health and Medical Sciences, Guildford, Surrey, United Kingdom
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MeSH Terms
Great Britain
Headache Disorders / therapy*
Middle Aged
Migraine Disorders / prevention & control,  therapy*
Referral and Consultation
Self Care
Social Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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