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J R Soc Med. 1983 February; 76(2): 112–115.
PMCID: PMC1438698

Effects of referral to a specialist for headache1


Patients consulting neurological outpatient clinics for headaches that were found not to be due to a serious structural lesion were followed up one year afterwards. Considerable improvement in symptoms was found in the sample. This was only partly attributable to any medical treatment received at the clinics or subsequently from a general practitioner. Improvement was associated with previously expressed satisfaction with the clinic consultation, and a nonspecific `placebo' response is postulated.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Cohen MJ, McArthur DL, Rickles WH. Comparison of four biofeedback treatments for migraine headache: physiological and headache variables. Psychosom Med. 1980 Sep;42(5):463–480. [PubMed]
  • Fitzpatrick R, Hopkins A. Referrals to neurologists for headaches not due to structural disease. J Neurol Neurosurg Psychiatry. 1981 Dec;44(12):1061–1067. [PMC free article] [PubMed]
  • Grove JL, Butler P, Millac PA. The effect of a visit to a neurological clinic upon patients with tension headache. Practitioner. 1980 Feb;224(1340):195–196. [PubMed]
  • Mayou R. The nature of bodily symptoms. Br J Psychiatry. 1976 Jul;129:55–60. [PubMed]
  • Porter D, Leviton A, Slack WV, Graham JR. A headache chronicle: the daily recording of headaches and their correlates. J Chronic Dis. 1981;34(9-10):481–486. [PubMed]
  • Waters WE. The pontypridd headache survey. Headache. 1974 Jul;14(2):81–90. [PubMed]

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