Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Higher Migraine Pain Acceptance & Lower Disability

Headache; ePub 2017 Mar 13; Lillis, Thomas, et al

Higher pain willingness, independent of degree of both migraine severity and overweight, is associated with lower headache-related disability and general pain interference in treatment-seeking women with migraine and overweight/obesity, according to a recent study. In this cross-sectional study, participants seeking weight loss and headache relief in the Women's Health and Migraine trial completed baseline measures of pain acceptance (Chronic Pain Acceptance Questionnaire [CPAQ]), headache-related disability (Headache Impact Test-6), and pain interference (Brief Pain Inventory). Researchers found:

  • On average, participants (n=126; age=38.5 ± 8.2 years; BMI=35.3 ± 6.6 kg/m2) reported 8.4 ± 4.7 migraine days/month and pain intensity of 6.0 ± 1.5 on a 0-10 scale on headache days.
  • After correcting for multiple comparisons, pain willingness was independently associated with both lower headache-related disability and pain interference.
  • Activity engagement was not associated with headache-related disability and pain interference.
  • CPAQ total score was not associated with headache-related disability and pain interference.

Citation:

Lillis J, Thomas JG, Seng EK, et al. Importance of pain acceptance in relation to headache disability and pain interference in women with migraine and overweight/obesity. [Published online ahead of print March 13, 2017]. Headache. doi:10.1111/head.13058.

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