Research: ADAMS and COLLEAGUES

Listed in Issue 234

Abstract

ADAMS and COLLEAGUES, (1)Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia. jon.adams@uts.edu.au conducted a review of the literature evaluating the research findings on the use of complementary and alternative medicine (CAM)  among patients with headache and migraine.

Background

An evidence base for complementary and alternative medicine (CAM) consumption within general populations is emerging. However, research data on CAM use for headache disorders remain poorly documented. This paper, constituting the first critical review of literature on this topic, provides a synopsis and evaluation of the research findings on CAM use among patients with headache and migraine.

Methodology

A comprehensive search of literature from 2000 to 2011 in CINAHL, MEDLINE, AMED, and Health Sources was conducted. The search was confined to peer-reviewed articles published in English reporting empirical research findings of CAM use among people with primary headache or migraine.

Results

The review highlights a substantial level of CAM use among people with headache and migraine. There is also evidence of many headache and migraine sufferers using CAM concurrent to their conventional medicine use. Overall, the existing studies have been methodologically weak and there is a need for further rigorous research employing mixed method designs and utilizing large national samples.

Conclusion

The critical review highlights the substantial prevalence of CAM use among people with headache and migraine as a significant health care delivery issue, and health care professionals should be prepared to inquire and discuss possible CAM use with their patients during consultations. Health care providers should also pay attention to the possible adverse effects of CAM or interactions between CAM and conventional medical treatments among headache and migraine patients.

References

Adams J(1), Barbery G, Lui CW. Complementary and alternative medicine use for headache and migraine: a critical  review of the literature. Headache. 53(3):459-73. doi: 10.1111/j.1526-4610.2012.02271.x. Mar 2013. Epub Oct 18 2012.

Comment

Readers should please note the critical attitude of the researchers, particularly in their advice to health care professionals to note and discuss the possible adverse effects of complementary and alternative medicine upon patients suffering with headache and migraine.

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