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Cephalalgia : an international journal of headache

ISSN 1468-2982

2 papers in the library · 8 citations · publishing 2025

Papers

Neurotransmitter-related functional connectivity changes in serotonin and dopamine systems after mindfulness in medication overuse headache.

Cephalalgia : an international journal of headache June 1, 2025 Davide Fedeli, Giuseppe Ciullo, Greta Demichelis et al. 7 citations

In people with chronic migraine and medication overuse headache, adding mindfulness practice to standard treatment was associated with increased functional connectivity in brain networks linked to serotonin and dopamine systems. After one year, those who practiced mindfulness showed greater serotonin-related connectivity in the caudate and accumbens nuclei, and greater dopamine-related connectivity in the right insular cortex, compared to those receiving standard treatment alone. These brain regions are involved in emotional, cognitive, and sensory processing of pain and addiction. The findings suggest that mindfulness may influence serotonin and dopamine systems, potentially contributing to its beneficial effects in chronic pain management.

Philosophical aspects of migraine: Headache treatment is a human-to-human service.

Cephalalgia : an international journal of headache May 1, 2025 Mark J Emmenegger, Andreas R Gantenbein 1 citation

Migraine is a complex neurobiological disorder with profound mental, emotional, and existential dimensions, yet its philosophical aspects are underexplored. This review examines migraine through a philosophical lens, addressing pain, suffering, consciousness, and communication. It contrasts perspectives of neuroscientists, who see migraine as neurological dysfunction; patients, who experience it as a personal affliction; and clinicians, who bridge these views. Philosophical reflections from Nietzsche, Sartre, and Camus provide a framework for understanding subjective pain and its meaning. The work advocates for a holistic, patient-centered approach that integrates physical, emotional, cultural, and existential dimensions to inspire more empathetic and effective migraine care.