TY - JOUR
T1 - Cognitive behavior therapy for comorbid migraine and/or tension-type headache and major depressive disorder
T2 - An exploratory randomized controlled trial
AU - Martin, Paul R.
AU - Aiello, Rachele
AU - Gilson, Kathryn
AU - Meadows, Graham
AU - Milgrom, Jeannette
AU - Reece, John
PY - 2015/10/1
Y1 - 2015/10/1
N2 - Numerous studies have demonstrated comorbidity between migraine and tension-type headache on the one hand, and depression on the other. Presence of depression is a negative prognostic indicator for behavioral treatment of headaches. Despite the recognised comorbidity, there is a limited research literature evaluating interventions designed for comorbid headaches and depression. Sixty six participants (49 female, 17 male) suffering from migraine and/or tension-type headache and major depressive disorder were randomly allocated to a Routine Primary Care control group or a Cognitive Behavior Therapy group that also received routine primary care. The treatment program involved 12 weekly 50-min sessions administered by clinical psychologists. Participants in the treatment group improved significantly more than participants in the control group from pre-to post-treatment on measures of headaches, depression, anxiety, and quality of life. Improvements achieved with treatment were maintained at four month follow-up. Comorbid anxiety disorders were not a predictor of response to treatment, and the only significant predictor was gender (men improved more than women). The new integrated treatment program appears promising and worthy of further investigation.
AB - Numerous studies have demonstrated comorbidity between migraine and tension-type headache on the one hand, and depression on the other. Presence of depression is a negative prognostic indicator for behavioral treatment of headaches. Despite the recognised comorbidity, there is a limited research literature evaluating interventions designed for comorbid headaches and depression. Sixty six participants (49 female, 17 male) suffering from migraine and/or tension-type headache and major depressive disorder were randomly allocated to a Routine Primary Care control group or a Cognitive Behavior Therapy group that also received routine primary care. The treatment program involved 12 weekly 50-min sessions administered by clinical psychologists. Participants in the treatment group improved significantly more than participants in the control group from pre-to post-treatment on measures of headaches, depression, anxiety, and quality of life. Improvements achieved with treatment were maintained at four month follow-up. Comorbid anxiety disorders were not a predictor of response to treatment, and the only significant predictor was gender (men improved more than women). The new integrated treatment program appears promising and worthy of further investigation.
KW - Cognitive behavior therapy
KW - Depression
KW - Migraine
KW - Tension-type headache
UR - http://www.scopus.com/inward/record.url?scp=84938056056&partnerID=8YFLogxK
U2 - 10.1016/j.brat.2015.07.005
DO - 10.1016/j.brat.2015.07.005
M3 - Article
AN - SCOPUS:84938056056
SN - 0005-7967
VL - 73
SP - 8
EP - 18
JO - Behaviour Research and Therapy
JF - Behaviour Research and Therapy
ER -