Stress anxiety excitement and tension may all lead to a migraine attack 1 Moreover some people report reduction or relief of stress as a trigger socalled weekend or letdown headaches ID: 1009169
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1. MigraineStress as a migraine triggerStress, anxiety, excitement, and tension may all lead to a migraine attack1Moreover, some people report reduction or relief of stress as a trigger – so-called ‘weekend’, or ‘let-down’ headaches1,2Because migraine itself is stressful, stress can be self-propagating, in a vicious cycle:3 A 3-month electronic diary study followed 17 people with migraine and tracked stress levels using the PSS and SRSS:2Level of stress was not associated with migraine attacksHowever, decline in stress was associated with headache onset within 6–18 hours (OR: 1.5–1.9, p<0.05)The authors concluded that, rather than stress per se being a migraine trigger, reduced stress from one day to the next was associated with increased risk of a migraine attackSeveral lines of evidence link stress and migraine, making the management of stress using approaches such as relaxation training and BFT powerful tools in treating migraine3BFT=biofeedback therapy; OR=odds ratio; PSS=Perceived Stress Scale; SRSS=Self-Reported Stress Scale1. Migraine Trust website. https://www.migrainetrust.org/about-migraine/trigger-factors/common-triggers/ Accessed July 2020; 2. Lipton et al. Neurology 2014;82(16):1395–1401; 3. Kajal et al. Int J Cur Res Rev 2017;9(12):23–26Migraine attacks lead to more stressStress acts as a migraine trigger