A Multicomponent Behavorial Treatment for Pediatric Migraine

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Abstract
We evaluated the effectiveness of a behavioral program in reducing headache recurrence in children with migraine using a multiple baseline design. Treatment consisted of electromyographic (HMG) biofeedback. relaxation training, and operant pain behavior management. The children studied were randomly assigned to four groups. Each group received the same treatment over nine sessions, but groups differed in the length of baseline assessment of headache occurrence: 3. 6. 9. or 12 weeks. When treatment was introduced, the results indicated statistically significant reductions in dependent measures of headache occurrence across groups. Thirteen of the 17 children who participated in follow-up maintained treatment gains 6 and 12 months after treatment ended. These results are viewed as supporting the usefulness of behavioral treatment as an alternative to medication in the management of pedialric migraine.

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