Effect of autogenic training on drug consumption in patients with primary headache: an 8-month follow-up study.
OBJECTIVE
To examine the effects of Schultz-type autogenic training on headache-related drug consumption and headache frequency in patients with migraine, tension-type, or mixed (migraine plus tension-type) headache over an 8-month period.


BACKGROUND
Behavioral treatments often are used alone or adjunctively for different types of headache. There are, however, only a few studies that have compared the efficacy and durability of the same treatment in different types of primary headache, and the effects of treatment on headache-related drug consumption rarely have been assessed even in these studies.


METHODS
Twenty-five women with primary headache (11 with mixed headache, 8 with migraine, and 6 with tension-type headache) were evaluated via an open-label, self-controlled, 8-month, follow-up study design. After an initial 4 months of observation, patients began learning Schultz-type autogenic training as modified for patients with headache. They practiced autogenic training on a regular basis for 4 months. Based on data from headache diaries and daily medication records, headache frequencies and the amounts of analgesics, "migraine-specific" drugs (ergots and triptans), and anxiolytics taken by the patients were compared in the three subgroups over the 8-month period. Results.-From the first month of implementation of autogenic training, headache frequencies were significantly reduced in patients with tension-type and mixed headache. Significant reduction in frequency was achieved in patients with migraine only from the third month of autogenic training. Decreases in headache frequencies were accompanied by decreases in consumption of migraine drugs and analgesics resulting in significant correlations among these parameters. Reduction in consumption of anxiolytic drugs was more rapid and robust in patients with tension-type headache compared to patients with migraine, and this outcome failed to show any correlation with change in headache frequency.


CONCLUSIONS
Schultz-type autogenic training is an effective therapeutic approach that may lead to a reduction in both headache frequency and the use of headache medication.
Zsombok
Terezia
T
Laboratory of Neurochemistry and Experimental Medicine, and the Department of Vascular Neurology, Semmelweis University National Institute of Psychiatry and Neurology, Budapest, Hungary.
Juhasz
Gabriella
G
Budavari
Agota
A
Vitrai
Jozsef
J
Bagdy
Gyorgy
G
D000293:Adolescent; D000328:Adult; D000700:Analgesics / Q000627:therapeutic use*; D001326:Autogenic Training; D001521:Behavior Therapy / Q000379:methods; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications / Q000188:drug therapy / Q000628:therapy*; D017366:Serotonin Receptor Agonists / Q000627:therapeutic use*; D018170:Sumatriptan / Q000627:therapeutic use*; D018781:Tension-Type Headache / Q000150:complications / Q000188:drug therapy / Q000628:therapy*; D016896:Treatment Outcome
D000700:Analgesics; D017366:Serotonin Receptor Agonists; D018170:Sumatriptan