title: Complementary and alternative medicine use among adults with migraines/severe headaches.
abstract: OBJECTIVE
  Our objective was to determine patterns, reasons for, and correlates of complementary and alternative medicine (CAM) use by US adults with migraines/severe headaches.
  
  
  BACKGROUND
  While many patients with chronic conditions use CAM, little is known about CAM use by adults with migraines/severe headaches.
  
  
  METHODS
  We compared CAM use between adults with and without self-reported migraines/severe headaches using the 2007 National Health Interview Survey (n=23,393), a national cross-sectional survey.
  
  
  RESULTS
  Adults with migraines/severe headaches used CAM more frequently than those without (49.5% vs 33.9%, P< .0001); differences persisted after adjustment (adjusted odds ratio=1.29, 95% confidence interval [1.15, 1.45]). Mind-body therapies (eg, deep breathing exercises, meditation, yoga) were used most commonly. More than 50% of adults with migraines/severe headaches reporting CAM use had not discussed it with their health care provider. Nonetheless, those with migraines/severe headaches used CAM more often than those without because of provider recommendation and because conventional treatments were perceived as ineffective or too costly. Correlates of CAM use among adults with migraines/severe headaches included anxiety, joint or low back pain, alcohol use, higher education, and living in the western USA. Only 4.5% of adults with migraines/severe headaches reported using CAM to specifically treat their migraines/severe headaches.
  
  
  CONCLUSIONS
  CAM is used more often among adults with migraines/severe headaches than those without. However, few report using CAM to specifically treat migraines/severe headaches. Mind-body therapies are used most frequently. Further research is needed to understand the effectiveness and mechanisms of CAM treatments in adults with migraines/severe headaches.
authors.affiliation: Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA. rwells@bidmc.harvard.edu
authors.forename: Rebecca Erwin
authors.initials: RE
authors.lastname: Wells
authors.forename: Suzanne M
authors.initials: SM
authors.lastname: Bertisch
authors.forename: Catherine
authors.initials: C
authors.lastname: Buettner
authors.forename: Russell S
authors.initials: RS
authors.lastname: Phillips
authors.forename: Ellen P
authors.initials: EP
authors.lastname: McCarthy
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000529:Complementary Therapies / Q000145:classification / Q000379:methods* / Q000706:statistics & numerical data*; D005260:Female; D006261:Headache / Q000453:epidemiology / Q000628:therapy*; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000453:epidemiology / Q000628:therapy*; D009316:National Institutes of Health (U.S.); D016032:Randomized Controlled Trials as Topic; D013223:Statistics as Topic; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D055815:Young Adult