An updated brief overview on post-traumatic headache and a systematic review of the non-pharmacological interventions for its management

Mitsikostas, Dimos‐Dimitrios; Mantovani, Elisa; Litsardopoulos, Pantelis; Panagiotopoulos, Vasileios; Tamburin, Stefano

doi:10.1080/14737175.2021.1900734

Cited by 21 publications

(29 citation statements)

References 70 publications

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“…A systematic review by Argyriou and colleagues suggests that non-pharmacological approaches for PTH are promising, but the current literature has shortcomings in the methodologies, and results are inconclusive at this time. 99 Various neurostimulation devices are used in the treatment of primary headache disorders and have also been investigated for the treatment of PTH. Some studies have assessed the utility of repetitive transcranial magnetic stimulation (rTMS), a non-invasive procedure that uses magnetic pulses to stimulate the brain.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Posttraumatic Headache

et al. 2022

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Post-traumatic headache (PTH) is the most common secondary headache disorder, accounting for approximately 4% of all headache disorders. It is the most common symptom following concussion (mild traumatic brain injury) and can be debilitating for many who have persistent symptoms. With a recent increase in public awareness regarding TBI, there has been a corresponding increase PTH research. The pathophysiology of PTH remains poorly understood and the underlying mechanisms are likely multifactorial. Diagnosis of PTH is dependent on a temporal relationship to a head injury. PTH often resembles common primary headache phenotypes. Treatment of PTH utilizes known treatments for these other headache phenotypes, as there is no currently approved treatments specifically for PTH. Moving forward, further studies are needed to better define and validate the definition of PTH, understand the underlying pathophysiology, and find more specific treatments.

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Section: Accepted Manuscriptmentioning

confidence: 99%

Posttraumatic Headache

et al. 2022

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“… Manualized cognitive behavioral therapies (CBTs) offer safe, broad-spectrum treatment for PTH, but limited evidence supports their use. Indeed, the only published trial of behavioral treatment for PTH found no benefit in a civilian sample. Veterans with PTH may respond to treatment differently than civilians owing to a higher risk of comorbid PTSD symptoms, but at the time of this article, there are no published randomized clinical trials in veterans for any PTH intervention.…”

Section: Introductionmentioning

confidence: 99%

Cognitive Behavioral Therapy for Veterans With Comorbid Posttraumatic Headache and Posttraumatic Stress Disorder Symptoms

et al. 2022

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IMPORTANCEPosttraumatic headache is the most disabling complication of mild traumatic brain injury. Posttraumatic stress disorder (PTSD) symptoms are often comorbid with posttraumatic headache, and there are no established treatments for this comorbidity.OBJECTIVE To compare cognitive behavioral therapies (CBTs) for headache and PTSD with treatment per usual (TPU) for posttraumatic headache attributable to mild traumatic brain injury. DESIGN, SETTING, AND PARTICIPANTSThis was a single-site, 3-parallel group, randomized clinical trial with outcomes at posttreatment, 3-month follow-up, and 6-month follow-up.

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“…For instance, “headache” can be caused by a physical factor, e.g. brain injury [ 20 ], but can also be a manifestation of an anxiety or depressive disorder. Thus, the item “headache” can represent a narrower construct, i.e., “physical complaints”, but also a wider construct, i.e., “psychosomatic complaints”.…”

Section: Introductionmentioning

confidence: 99%

Item response theory and differential test functioning analysis of the HBSC-Symptom-Checklist across 46 countries

Heinz

Sischka

Catunda

et al. 2022

BMC Med Res Methodol

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Background The Symptom Checklist (SCL) developed by the Health Behaviour in School-aged Children (HBSC) study is a non-clinical measure of psychosomatic complaints (e.g., headache and feeling low) that has been used in numerous studies. Several studies have investigated the psychometric characteristics of this scale; however, some psychometric properties remain unclear, among them especially a) dimensionality, b) adequacy of the Graded Response Model (GRM), and c) measurement invariance across countries. Methods Data from 229,906 adolescents aged 11, 13 and 15 from 46 countries that participated in the 2018 HBSC survey were analyzed. Adolescents were selected using representative sampling and surveyed by questionnaire in the classroom. Dimensionality was investigated using exploratory graph analysis. In addition, we investigated whether the GRM provided an adequate description of the data. Reliability over the latent variable continuum and differential test functioning across countries were also examined. Results Exploratory graph analyses showed that SCL can be considered as one-dimensional in 16 countries. However, a comparison of the unidimensional with a post-hoc bifactor GRM showed that deviation from a hypothesized one-dimensional structure was negligible in most countries. Multigroup invariance analyses supported configural and metric invariance, but not scalar invariance across 32 countries. Alignment analysis showed non-invariance especially for the items irritability, feeling nervous/bad temper and feeling low. Conclusion HBSC-SCL appears to represent a consistent and reliable unidimensional instrument across most countries. This bodes well for population health analyses that rely on this scale as an early indicator of mental health status.

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An updated brief overview on post-traumatic headache and a systematic review of the non-pharmacological interventions for its management

Cited by 21 publications

References 70 publications

Posttraumatic Headache

Posttraumatic Headache

Cognitive Behavioral Therapy for Veterans With Comorbid Posttraumatic Headache and Posttraumatic Stress Disorder Symptoms

Item response theory and differential test functioning analysis of the HBSC-Symptom-Checklist across 46 countries

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