Clinical Correlates of Insomnia in Patients with Persistent Post-Traumatic Headache Compared with Migraine

Kim, Soo-Kyoung; Chong, Catherine D.; Dumkrieger, Gina; Ross, Katherine; Berisha, Visar; Schwedt, Todd J.

doi:10.21203/rs.2.21982/v2

Cited by 9 publications

(14 citation statements)

References 40 publications

(44 reference statements)

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“…However, the study did not include participants with mild TBI without PTH [137]. The observed association between PTH and sleep disturbances is consistent with prior studies and contributes to worse performance on memory testing [136,138]. However, there is conflicting data on a potential association between PTH and post-traumatic depression [139][140][141].…”

Section: Post-concussion Symptomssupporting

confidence: 61%

Cognitive Impairment in Primary and Secondary Headache Disorders

Dhaem

Robbins

2022

Curr Pain Headache Rep

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Purpose of ReviewTo critically evaluate the recent literature on cognitive impairment and headache. Recent Findings Neurocognitive symptoms are prevalent, debilitating, and occur often with both primary and secondary headache disorders. Summary This is a "narrative review of the current literature in PubMed on cognitive function and headache." Migraine is associated with cognitive impairment years before a migraine diagnosis. In young and middle-aged adults, migraine is associated with deficits in attention, executive function, processing speed, and memory. It is unlikely that migraine is associated with dementia. Although methodologically difficult to assess, there does not seem to be an association between tension-type headache and cognitive dysfunction. In early to midlife, cluster headache seems to be associated with executive dysfunction. Several secondary headache syndromes relevant to clinicians managing headache disorders are associated with poorer cognitive performance or distinctive cognitive patterns, including those attributed to chronic cerebral or systemic vascular disorders, trauma, and derangements of intracranial pressure and volume, including frontotemporal brain sagging syndrome.

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Section: Post-concussion Symptomssupporting

confidence: 61%

Cognitive Impairment in Primary and Secondary Headache Disorders

Dhaem

Robbins

2022

Curr Pain Headache Rep

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“…Because persistent PTH and migraine commonly have very similar symptoms, it is easy to presume that a patient has migraine without considering a diagnosis of PTH if the history of TBI is not obtained. 2,3,[39][40][41] These findings might also relate to limitations that exist when using ICHD-3 diagnostic criteria for PTH in the clinic.…”

Section: Discussionmentioning

confidence: 99%

“…1 TBI-related symptoms include headache, cognitive dysfunction, imbalance, vertigo, depression, anxiety, posttraumatic stress disorder, insomnia, oculomotor dysfunction, autonomic dysfunction, and extracranial pain. [2][3][4][5][6] Among these, headache appears to be the most common long-term consequence of TBI. 7 Further, pre-TBI headaches appear to be a risk factor for development of post-TBI headaches and for other poor outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…An estimated 69 million people per year suffer a traumatic brain injury (TBI) worldwide 1 . TBI‐related symptoms include headache, cognitive dysfunction, imbalance, vertigo, depression, anxiety, post‐traumatic stress disorder, insomnia, oculomotor dysfunction, autonomic dysfunction, and extracranial pain 2–6 . Among these, headache appears to be the most common long‐term consequence of TBI 7 .…”

Section: Introductionmentioning

confidence: 99%

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The impact of pre‐morbid headaches on headache features and long‐term health outcomes following traumatic brain injury: Insights from the American Registry for Migraine Research

et al. 2022

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Objective: To investigate the impact of having headaches prior to traumatic brain injury (TBI) on headache features and long-term patient health outcomes. Background and Methods: This was an exploratory analysis of patients with TBI who were enrolled in the American Registry for Migraine Research (ARMR), a multicenter, prospective, longitudinal patient registry composed of patients with International Classification of Headache Disorders, 3rd edition (ICHD-3)-defined headache diagnoses. The ARMR study enrolled 2,707 patients between February 1, 2016 and May 6, 2020, 565 of whom qualified for this analysis. Those with headaches prior to their TBI were compared to those without headaches prior to their TBI for ICHD-3 diagnoses, headache frequency and intensity, headache-related disability (Migraine Disability Assessment score), symptoms of anxiety (General Anxiety Disorder [GAD-7]), depression (two items from Patient Health Questionnaire-9), post-traumatic stress disorder (PTSD), cutaneous allodynia (12-item Allodynia Symptom Checklist [ASC-12]), cognitive dysfunction (Migraine Attacks Subjective Cognitive Impairments Scale [Mig-SCog]), pain interference (Patient-Reported Outcomes Measurement Information System-Pain Interference), and work productivity (Work Productivity and Activity Impairment).Results: Among 565 participants with TBI, 350 had headaches prior to their TBI. Those with pre-TBI headaches were less likely to receive a diagnosis of post-traumatic headache (PTH; 14/350 [4.0%] vs. 21/215 [9.8%], p = 0.006), even though 25.7% reported new or worsening headaches within 7 days of their TBI. Those with pre-TBI headaches had higher ASC-12 scores (2.4 ± 3.5 vs. 1.8 ± 3.4, p = 0.030), Mig-SCog scores (9.3 ± 4.7 vs. 8 ± 4.9, p = 0.004), and GAD-7 scores (6.9 ± 5.1 vs. 6.2 ± 5.4, p = 0.039), and were more likely to have a migraine diagnosis (335/350 [95.7%] vs. 192/215 [89.3%], p = 0.003). Conclusions:Those with headaches prior to TBI are less likely to receive a diagnosis of PTH. They have more severe symptoms of cutaneous allodynia, cognitive impairment,

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“…It has been shown that insomnia is associated with considerable deterioration of quality of life, higher prevalence of depressive disorder, cognitive impairment and higher risk of work absenteeism [3][4][5]. In addition, insomnia is generally associated with a variety of medical conditions, such as diabetes, heart disease, migraine and cancer [6][7][8][9], even higher risk of mortality [10]. Despite the high incidence and negative impact on the individual, insomnia remains an under-recognized condition [11].…”

Section: Introductionmentioning

confidence: 99%

Relationships of Coping Styles and Psychological Distress Among Patients with Insomnia Disorder

Cong

Chen

et al. 2020

Preprint

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Background: Insomnia appears to be one of the most frequent sleep complaints in the general population. It has significant negative impact on daily functioning. however, there has been little research that described the effect of coping style in insomnia disorder.Methods: The Simplified Coping Style Questionnaire (SCSQ) was used to evaluate 79 adult patients with insomnia disorder alongside 80 healthy controls. Additionally, sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI), and Symptom Checklist-90-Revised (SCL-90R) was utilized to determine the status of depression, anxiety and other psychological symptoms.Results: Positive coping style score was significantly lower, whereas negative coping style score and nine symptomatic dimensions of SCL-90R were significantly higher in insomnia patients than in controls. Positive coping style score was adversely related to PSQI score, obsessive-compulsive, depression, anxiety and phobic anxiety, whereas negative coping style score was positively related to PSQI score, somatization and interpersonal sensitivity. Further multiple stepwise regression analysis showed that PSQI total score was independently and positively correlated with negative coping style score.Conclusions: Insomniacs use more negative coping styles and less positive ones. Positive coping is adversely associated with insomnia symptoms and psychological distress, whereas negative coping is positively related to those symptoms.

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Clinical Correlates of Insomnia in Patients with Persistent Post-Traumatic Headache Compared with Migraine

Cited by 9 publications

References 40 publications

Cognitive Impairment in Primary and Secondary Headache Disorders

Cognitive Impairment in Primary and Secondary Headache Disorders

The impact of pre‐morbid headaches on headache features and long‐term health outcomes following traumatic brain injury: Insights from the American Registry for Migraine Research

Relationships of Coping Styles and Psychological Distress Among Patients with Insomnia Disorder

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