Background. Chronic tension-type headache is the primary headache with the highest prevalence. The present study is aimed at analyzing the associations between patient self-efficacy and headache impact with pain characteristics, kinesiophobia, anxiety sensitivity, and physical activity levels in subjects with chronic tension-type headache. Materials and Methods. An observational descriptive study was carried out. A total sample of 42 participants was recruited at university environment with diagnosis of tension-type headache. Headache characteristics (frequency, intensity, and duration), physical activity levels, pain related-self-efficacy, kinesiophobia, anxiety sensitivity, and headache impact were measured. Results. The HIT-6 (
61.05
±
6.38
) score showed significant moderate positive correlations with the ASI-3 score (
17.64
±
16.22
;
r
=
0.47
) and moderate negative correlations with the self-efficacy in the domains of pain management (
31.9
±
10.28
;
r
=
−
0.43
) and coping with symptoms (
53.81
±
14.19
;
r
=
−
0.47
). ASI-3 score had a negative large correlation with self-efficacy in the domains of pain management (
r
=
−
0.59
), physical function (
53.36
±
7.99
;
r
=
−
0.55
), and coping with symptoms (
r
=
−
0.68
). Physical activity levels showed positive moderate correlations with the self-efficacy in the domain of physical function (
r
=
0.41
). Linear regression models determined that the self-efficacy and anxiety sensitivity with showed a significant relationship with the HIT-6 score (
R
2
=
0.262
;
p
=
0.008
) and with the ASI-3 score (
R
2
=
0.565
;
p
<
0.001
). In addition, no correlations were found between pain intensity, duration or frecuency with psychosocial factors, or headache impact. Conclusions. The present study showed that patients with chronic tension-type headache had a great negative impact on daily tasks and physical activity levels, which were associated with higher anxiety levels and lower self-efficacy.