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Unusual Days Raise Near-Term Migraine Risk, JAMA Study Finds

Researchers say measuring disruptions to a person's routine could sharpen short-term migraine forecasts.

Overview

  • High surprisal events were linked to a 56% higher migraine risk within 12 hours and an 88% increase within 24 hours, according to the JAMA Network Open report.
  • Harvard and Massachusetts General Hospital researchers followed 109 adults with migraine from April 2021 to December 2024 using twice-daily electronic diaries.
  • The team calculated a personalized surprisal score that captures how atypical a day's experiences are compared with an individual's usual patterns.
  • Reported disruptions included excess food or alcohol, staying up late, stressful incidents, and unexpected good or bad news.
  • The authors and outside experts suggest building surprisal into forecasting tools to personalize prevention, while noting limits such as self-reported data, a modest and mostly female sample, and the need for objective tracking and broader validation.