Team players against headache: multidisciplinary treatment of primary headaches and medication overuse headache

Multidisciplinary approaches are gaining acceptance in headache treatment. However, there is a lack of scientific data about the efficacy of various strategies and their combinations offered by physiotherapists, physicians, psychologists and headache nurses. Therefore, an international platform for more intense collaboration between these professions and between headache centers is needed. Our aims were to establish closer collaboration and an interchange of knowledge between headache care providers and different disciplines. A scientific session focusing on multidisciplinary headache management was organised at The European Headache and Migraine Trust International Congress (EHMTIC) 2010 in Nice. A summary of the contributions and the discussion is presented. It was concluded that effective multidisciplinary headache treatment can reduce headache frequency and burden of disease, as well as the risk for medication overuse headache. The significant value of physiotherapy, education in headache schools, and implementation of strategies of cognitive behavioural therapy was highlighted and the way paved for future studies and international collaboration

User acceptance of an Internet training aid for migraine self-management

We have developed an Internet training aid (MyMigraine) for migraine self-management derived from an evidence-based protocol for behavioural attack prevention. Its acceptance was tested in two studies concerning the opinions of new patients (n = 10), and the opinions of expert patients acquainted with the protocol (n = 6). The questionnaires employed 5-point scales. In study 1, all lessons were rated positively regarding clarity, instructiveness, importance and easy execution. After training, the patients were positive about user-friendliness and clarity (mean score 3.9), training content (3.5), satisfaction (3.6) and benefits (attack risk detection: 3.7; preventive coping: 3.9). In study 2, the expert patients provided positive ratings for the web application (mean score 4.1), digital support (3.8–4.4) and web adaptation of the protocol (4.1–4.8). The expert patients considered MyMigraine instructive, captivating and fun to work with, but emphasized the necessity of patient-to-patient contact. The training aid was very well accepted by new and experienced patients with chronic migraine

Associations between received social support and positive and negative affect: evidence for age differences from a daily-diary study

ecent evidence suggests negative associations between received social support and emotional well-being. So far, these studies mainly focused on younger adults. Quantity and quality of social support changes with age; therefore, this study investigated whether there are age differences regarding the association between received social support and positive affect (PA) and negative affect (NA). Moreover, it was tested whether these age effects might be due to a differential effectiveness of different sources of support for younger and older individuals. Forty-two individuals (21 younger adults, aged 21–40 and 21 older adults, aged 61–73) completed 30-daily diaries on their received social support, PA/NA and the sources of support provision. Data were analyzed using multilevel modeling. Results indicated age-related differential effects: for younger individuals, received social support was negatively associated with indicators of emotional well-being, whereas these associations were positive for older respondents. Regarding NA, these effects held when testing lagged predictions and controlling for previous-day affect. No age differences emerged regarding the associations between different sources of support and indicators of affect. Conceptual implications of these age-differential findings are discussed