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Migraines Theory

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Due to urbanization and urban life-changing complications, especially in stressful urban life, the incidence of various diseases including headache is provided. More than 90 percent of people over the years have experienced at least one headache (1). Headache is one of the important reasons for visiting the doctor and reducing work efficiency.
International Headache Society (IHS) divided headaches into two categories: primary and secondary. One of the types of primary headaches are migraine (2). Migraine is the most common primary headache syndrome with no specific pathologic reason that has adverse effects on different dimensions of physical, psychological, social health (3). Epidemiological studies have documented its high prevalence and …show more content…

This theory proposed by Engel (7) and reflects the complex relationship between psychological, social and biological factors. A bio-psychosocial approach to migraine management needs to reflect these complex relationships. The studies showed that psychological factors can be involved in migraine in 4 different ways: 1) Migraines can be triggered by them; 2) Severe migraine can itself be a cause of significant psychological problem; 3) Even if psychological factors is not significantly involved in some kinds migraines, psychological techniques can help effectively & 4) Longitudinal data demonstrate a complex bidirectional association between mood disorders and migraine …show more content…

Research findings also point to the effectiveness of non-pharmacological and psychological treatment (14, 15, and 16). The literature suggests that it is particularly important to assess the co-morbid presence of mood/anxiety, thought or personality issues in the selection of patients for group treatment (8).
One of the common methods of treatment that can have enormous applications in the field of psychological disorders is dialectical behavior therapy. Dialectical behavior approach is a cognitive-behavioral treatment that was coined first for borderline personality disorder (17).
This approach integrates interventions of cognitive behavioral therapy (that based on changing) whit eastern philosophy of Zen techniques (that based on acceptance) and raises its intervention based on four components (18).
So the dialectical behavior treatment based on mindfulness and tolerance of suffering and distress (as acceptance component); and emotional regulation and interpersonal effectiveness (as changing component). In fact the theoretical orientation of dialectical behavior therapy approach is a mixture of these three theoretical perspectives: behavioral sciences, dialectical philosophy, and Zen practice

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