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Neuroscience Education Therapy for Migraine and Other Overlapping Pain Conditions

Sangida Akter, Kayla Kaplan, Mariana Espinosa-Polanco, Dennique Khanns, Jenny Guiracocha, and Dr. Mia Minen, Department of Neurology, NYU Langone Medical Center, 550 First Avenue, New York, NY, 10016

               Neuroscience Education Therapy (NET) has been successfully used for numerous overlapping pain conditions, but few studies have investigated NET for migraine. We sought to (1) review the literature on Neuroscience Education Therapy (NET) used for the treatment of various pain conditions to assess how NET has been studied thus far and (2) recommend considerations for future research of NET for the treatment of migraine. Regarding NET efficacy, NET has significantly reduced catastrophizing, kinesiophobia, pain intensity, and disability in overlapping pain conditions. In studies focusing on patients with migraine, NET has emerged as a promising therapy by reducing migraine days, pain intensity and duration, as well as acute medication intake when implemented in combination with traditional pharmacological treatments. In reviewing the content of NET, similar curricula were observed across diverse modes of delivery. Overall, a NET curriculum consists of the following topics: pain does not equate to injury, pain is generated in the brain, perception, genetics, reward systems, fear, brain plasticity, and placebo and nocebo effects. Additionally, NET treatments often incorporate exercise programs and/or components of other evidence based treatments such as cognitive-behavioral therapy (CBT), biofeedback, and relaxation. Regarding delivery, NET has been shown to offer benefits both when delivered through individual sessions or group sessions. We propose that a NET curriculum for migraine consist of either individual or group interactive sessions on the neurophysiology of pain and migraine, exercise regimens - to do as part of homework or with an instructor, behavioral strategies for pain management such as relaxation, and conventional medication for migraine pain relief. Future research should focus on refining NET for migraine, considering the type of delivery modality, length of each session, overall duration of intervention, components of other behavioral therapies to integrate, and migraine-specific NET curricula.

 

 




Additional Abstract Information

Presenter: Sangida Akter

Institution: City University of New York- City College

Type: Oral

Subject: Psychology

Status: Approved


Time and Location

Session: Oral 10
Date/Time: Wed 1:30pm-2:30pm
Session Number: 1041
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