Cochrane · systematic review · CD012295

Psychological therapies for the prevention of migraine in adults

Sharpe, L, Dudeney, J, Williams, ACDC, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Psychological therapies compared with controls for managing migraine in adults: post‐treatment outcomes

Population: adults (≥ 18 years) with migraine
6 questions
OutcomeEffectEvidenceStatus / GRADE
Migraine frequency (over four weeks)a Lower numbers = fewer migraines or fewer days with migraines
Psychological therapies vs controls
no estimate extracted4 studies · 681 participantsVery low
Downgraded: risk of bias, imprecision
Responder rate (achievement of at least 50% reduction in migraine frequency) Higher numbers mean more people responded
Psychological therapies vs controls
RR 2.21 [1.63, 2.98]4 studies · 338 participantsVery low
Downgraded: risk of bias, imprecision
Migraine intensityc Lower numbers = lower migraine intensity
Psychological therapies vs controls
no estimate extracted4 studies · 685 participantsVery low
Downgraded: risk of bias, imprecision
Moodd Lower numbers = lower reported depression, anxiety and distress symptoms
Psychological therapies vs controls
no estimate extracted4 studies · 432 participantsVery low
Downgraded: risk of bias, imprecision
Migraine‐related disabilitye Lower numbers = lower reported migraine‐related disability
Psychological therapies vs controls
no estimate extracted6 studies · 952 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events (proportion of people reporting an adverse event) Higher numbers mean more people reporting an adverse event
Psychological therapies vs controls
RR 0.16 [0, 7.85]2 studies · 208 participantsVery low
Downgraded: risk of bias, imprecision