Relaxation following heightened stress increases risk of migraine attacks the subsequent day

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Written By: Agencies | Published : April 1, 2014 12:38 PM IST

Migraine deviceA new study by researchers at the Montefiore Headache Center and Albert Einstein College of Medicine at Yeshiva University suggests that migraine sufferers who experienced reduced stress from one day to the next are at significantly increased risk of migraine onset on the subsequent day.

Stress has long been believed to be a common headache trigger. In this study, researchers found that relaxation following heightened stress was an even more significant trigger for migraine attacks. Findings may aid in recommending preventive treatments and behavioral interventions. Migraine is a chronic condition that affects approximately 38 million Americans. To examine headache triggers, investigators at the Montefiore Headache Center and Einstein conducted a three month electronic daily diary study which captured 2,011 diary records and 110 eligible migraine attacks in 17 participants. The study compared levels of stress and reduction in stress as predictors of headache.

'This study demonstrates a striking association between reduction in perceived stress and the occurrence of migraine headaches,' study lead author Richard B. Lipton, M.D., director, Montefiore Headache Center, professor and vice chair of neurology and the Edwin S. Lowe Chair in Neurology, Einstein said. 'Results were strongest during the first six hours where decline in stress was associated with a nearly five-fold increased risk of migraine onset. The hormone cortisol, which rises during times of stress and reduces pain, may contribute to the triggering of headache during periods of relaxation,' he said. (Read: 5 ways to fight migraine)

Data were collected using a custom-programmed electronic diary. Each day participants recorded information about migraine attacks, two types of stress ratings and common migraine triggers, such as hours of sleep, certain foods, drinks and alcohol consumed, and menstrual cycle. They also recorded their mood each day, including feeling happy, sad, relaxed, nervous, lively and bored. (Read: Treatment and self-care for Migraine)

'This study highlights the importance of stress management and healthy lifestyle habits for people who live with migraine,' Dawn C. Buse, Ph.D., director, Behavioral Medicine, Montefiore Headache Center, associate professor, Clinical Neurology, Einstein, and study co-author said. 'It is important for people to be aware of rising stress levels and attempt to relax during periods of stress rather than allowing a major build up to occur. This could include exercising or attending a yoga class or may be as simple as taking a walk or focusing on one's breath for a few minutes,' she said. (Read: Botox: The miracle migraine cure?)

The study is published online in Neurology, the medical journal of the American Academy of Neurology.

What is migraine?

Migraine is a condition which refers to severe headache that is commonly associated with signs like blind spots, nausea and/or vomiting. Migraine headaches are extremely painful and can last for hours or sometimes even for days together. Migraine headaches are often caused by certain genetic as well as environmental factors. These factors cause blood vessels in the brain to constrict and trigger headache. Triggers of migraine headache can vary among people with migraine. Certain chemicals in foods may trigger migraine headache in some people while in other factors like stress, loud noise, bright lights and poor sleep or sleep disorders can trigger migraine headache. In most migraine sufferers the pain is usually confined to half part of the brain and is pulsating or throbbing. It may worsen with physical activity like climbing the stairs or brisk walking. There is no cure for migraine but the symptoms can be controlled with medicines or pain killers and by eliminating factors that trigger migraine. Migraine can be prevented to a great extent by exercising and alternative therapies likeacupuncture. In this section you'll find detailed information on complications of migraine, how migraine causes depression, the impact of migraine on brain function and much more. (Read: Migraine: Facts you should know)

With inputs from ANI

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