The Journal of Headache and Pain

Official Journal of the "European Headache Federation" and of "Lifting The Burden - The Global Campaign against Headache"

The Journal of Headache and Pain Cover Image

Volume 15 Supplement 1

Abstracts from the 4th European Headache and Migraine Trust International Congress: EHMTIC 2014

Open Access

EHMTI-0390. The attitude of migraineurs to alternative therapies

  • E Csepany1,
  • M Toth2,
  • D Janoska3,
  • Z Nagy3,
  • E Balogh3,
  • T Gyüre4,
  • G Bozsik5 and
  • C Ertsey5
The Journal of Headache and Pain201415(Suppl 1):M4

Published: 18 September 2014


Public HealthInternal MedicineMigrainePositive AttitudeScientific Evidence


The growing interest in alternative therapies (ALTs) is a worldwide phenomenon. Headache and migraine are among the top five conditions treated with such therapies, although scientific proof of efficacy is often lacking.


To explore the attitude of Hungarian migraineurs to alternative therapies.


Questionnaire survey conducted at two headache centres. A willingness to pay approach was used to assess the importance of alternative therapies for the patients.


75 patients (mean age: 35.4±12.4 years; 70 women) were enrolled. Thirty-four (44%) had already tried at least one ALT. Ninety percent of the patients were willing to pay for ALTs recommended for their migraines, on average 19% of the Hungarian monthly net minimum wage. If scientific evidence of efficacy was lacking, 57% of the patients would pay for the ALTs (on average 14% of the net minimum wage). If the ALTs were associated with side effects, only 33% of patients would try them. Actual use and willingness to use was higher among patients with higher levels of education. If two therapies were equally effective, 65% would choose an ALT and 11% would prefer the conventional therapy (24% having no preference). If the treatments’ side effects were equal, 36% would choose the ALT and 22% the conventional treatment (p<0.001 for the differences between the two scenarios).


The majority of migraineurs had positive attitudes towards ALTs. This is probably due to ALTs being considered safer than conventional therapies. Patients with higher levels of education have a higher preference for ALTs.

No conflict of interest.

Authors’ Affiliations

János Szentágothai Neurosciences PhD School, Semmelweis University, Budapest, Hungary
Headache Service, Vaszary Kolos Hospital, Esztergom, Hungary
Faculty of Medicine, Semmelweis University, Budapest, Hungary
János Szentágothai Neurosciences PhD School, Semmelweis University, Budapest, Hungary
Department of Neurology, Semmelweis University, Budapest, Hungary


© Csepany et al; licensee Springer. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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