Conceptualising migraine attacks from a biopsychosocial model using qualitative and functional behavioural analysis

Abstract

AbstractObjective The aim of this study was to explore patients’ experiences and management of pain in connection with a migraine attack in episodic migraine.Design, setting and subjects This qualitative study used a semi-structured interview format based on functional behavioural analysis as commonly used in cognitive behavioural therapy. We interviewed eight participants and analysed their responses using systematic text condensation.Results Participants’ descriptions of their experiences and management of pain from episodic migraine were sorted into three description First physical sensations, Automatic reactions and Acts according to the interpretation.Conclusion From a biopsychosocial perspective, a migraine attack is much more complex than just an experience of pain. The purely biological pain prompts a number of automatic reactions leading to strategies for pain management.

Keywords

• Migraine disorders
• chronic pain
• pain management
• qualitative research
• applied behaviour analysis
• biopsychosocial model