Migraine: interactions between brain's trait and state.

Endogenous factors anxiety depression entropy exogenous factors headache stress

Journal

CNS spectrums
ISSN: 1092-8529
Titre abrégé: CNS Spectr
Pays: United States
ID NLM: 9702877

Informations de publication

Date de publication:
10 2022
Historique:
pubmed: 27 7 2021
medline: 27 10 2022
entrez: 26 7 2021
Statut: ppublish

Résumé

It is well established that migraine is a multifactorial disorder. A deep understanding of migraine should be based upon both the underlying traits and the current states affected by different physiological, psychological, and environmental factors. At this point, there is no framework fully meeting these criteria. Here, we describe a broader view of the migraine disorder defined as a dysfunctional brain state and trait interaction. In this model, we consider events that may enhance or diminish migraine responsivity based on an individual's trait and state. This could provide an expanded view for considering how migraine attacks are sometimes precipitated by "triggers" and sometimes not, how these factors only lead to migraine attacks in migraine patients, or how individuals with an increased risk for migraine do not show any symptoms at all. Summarizing recent studies and evidence that support the concept of migraine as a brain state-trait interaction can also contribute to improving patient care by highlighting the importance of precision medicine and applying measures that are able to capture how different traits and states work together to determine migraine.

Identifiants

pubmed: 34308820
doi: 10.1017/S109285292100064X
pii: S109285292100064X
pmc: PMC8688585
mid: NIHMS1716019
doi:

Types de publication

Journal Article Review Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

561-569

Subventions

Organisme : NINDS NIH HHS
ID : K24 NS064050
Pays : United States
Organisme : NIGMS NIH HHS
ID : L30 GM134514
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS056195
Pays : United States

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Auteurs

Edina Szabo (E)

Center for Pain and the Brain (PAIN Research Group), Boston, Massachusetts, USA.
Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Stephen Green (S)

Center for Pain and the Brain (PAIN Research Group), Boston, Massachusetts, USA.
Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Keerthana Deepti Karunakaran (KD)

Center for Pain and the Brain (PAIN Research Group), Boston, Massachusetts, USA.
Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Christine B Sieberg (CB)

Center for Pain and the Brain (PAIN Research Group), Boston, Massachusetts, USA.
Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Biobehavioral Pediatric Pain Lab, Department of Psychiatry and Behavioral Sciences, Boston Children's Hospital, Boston, Massachusetts, USA.
Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts, USA.

Igor Elman (I)

Center for Pain and the Brain (PAIN Research Group), Boston, Massachusetts, USA.
Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Cambridge Health Alliance, Harvard Medical School, Cambridge, Massachusetts, USA.

Rami Burstein (R)

Department of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

David Borsook (D)

Center for Pain and the Brain (PAIN Research Group), Boston, Massachusetts, USA.
Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Departments of Psychiatry and Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

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