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High Achievement Motivation is Not Related to Increased Use of Acute Headache Medication in Migraine: A Cross‐sectional Observational Cohort Study
Author(s) -
Sorgenfrei Verena,
Kropp Peter,
Straube Andreas,
Ruscheweyh Ruth
Publication year - 2018
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/head.13431
Subject(s) - medicine , migraine , observational study , acute migraine , cohort , chronic migraine , pediatrics , cohort study , physical therapy , anesthesia , alternative medicine , pathology , placebo
Objective To determine if migraine patients with high achievement motivation have an increased use of acute headache medication. Background It has been hypothesized that high achievement‐motivated migraine patients have an increased use of acute headache medication to be able to perform at work and during daily life, putting them at risk for medication overuse headache (MOH). Methods The Achievement Motivation Inventory and use of acute headache medication were assessed in 117 migraine patients (60 episodic, 57 chronic) at their first appointment at our tertiary headache center. Results Patients with low vs high achievement motivation were not significantly different in acute headache medication days per month (10.8 ± 6.9 vs 10.9 ± 7.8, P = .98), in acute headache medication use in the absence of headache (to prevent occurrence of headache later that day: 51.8% vs 48.2%, P = .38), in having a diagnosis of MOH (37.9 vs 23.7%, P = .12), or in reduction of acute headache medication days at 3 and 6 months follow‐up (both P > .20). Conclusions High achievement motivation in migraine patients was not associated with increased acute headache medication use or more frequent diagnosis of MOH.