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

Abstract

Objective: 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.