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Title: Cognitive behavior therapy for comorbid migraine and/or tension-type headache and major depressive disorder: an exploratory randomized controlled trial
Austin Authors: Martin, Paul R;Aiello, Rachele;Gilson, Kathryn;Meadows, Graham;Milgrom, Jeannette ;Reece, John
Affiliation: School of Applied Psychology and Menzies Health Institute Queensland, Griffith University, Mt Gravatt, Queensland, Australia
School of Psychology and Psychiatry, Monash University, Monash Medical Centre, Victoria, Australia
Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
Heidelberg Repatriation Hospital, Austin Health, Heidelberg West, Victoria, Australia
School of Health Sciences, RMIT University, Bundoora, Victoria, Australia
Australian College of Applied Psychology, Australia
Issue Date: Oct-2015 2015-07-21
Publication information: Behaviour Research and Therapy 2015; 73: 8-18
Abstract: 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.
DOI: 10.1016/j.brat.2015.07.005
ORCID: 0000-0002-4082-4595
Journal: Behaviour Research and Therapy
PubMed URL:
Type: Journal Article
Subjects: Cognitive behavior therapy
Tension-type headache
Appears in Collections:Journal articles

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