Impulsivity in migraine and in medication overuse headache: A literature review
DOI:
https://doi.org/10.48208/HeadacheMed.2023.33Keywords:
Migraine disorders, Medication overuse headache, impulsivity, Impulsive behavior, ImpulsivenessAbstract
Introduction
Psychiatric symptoms and analgesic overuse may contribute to migraine chronification. Impulsivity is a common symptom in several psychiatric disorders that can potentiate substance overuse, including analgesics. Dopamine has been associated with migraine pathophysiology and impulsivity.
Objective
This review aims to assess the current knowledge about the potential association between migraine and impulsivity.
Methods
PubMed and LILACS were queried using relevant descriptors related to migraine and impulsivity.
Results
Five articles were selected; however, none revealed a significant correlation between migraine and impulsivity. This lack of correlation was verified in different migraine subtypes (with or without aura, chronic, or episodic).
Conclusion
The heterogeneity in patient grouping and diverse impulsivity assessment tools of the studies precluded definitive conclusions. The Barratt Impulsivity Scale (BIS-11) was the most frequently used tool. Given the paucity of data and the potential impact on migraine management, further studies are crucial to elucidate the potential association between migraine and impulsivity.
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Copyright (c) 2023 Bruno Pissolati Mattos Gonzaga, Renan Barros Domingues (Author)
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