There is strong evidence that the cause of migraines (severe recurrent headaches) is not psychological but instead is purely physiological.
Given that ...
We think the cause of migraines is purely physiological (not psychological).
Why is it that ...
Several studies find that people who have migraines tend to rank higher on the psychological anxiety score?
Evaluate / Goal
If we believed that psychological anxiety caused migraines, then we'd expect people high on the anxiety scale to have more than average migraines.
We don't believe that psychological anxiety causes migraines (we believe it's purely physiological). But it's still true that people higher on the anxiety scale have a higher than average number of migraines.
Maybe it's a reverse cause situation -- knowing your body is prone to migraines makes you be more prone to psychological anxiety.
Maybe it's connected to a third factor -- there's a genetic condition that predisposes people to both migraines and anxiety.
There's also potentially a distinction they're testing between professionally-treated for migraines vs. people who have migraines but don't get professional treatment for it.