Factors Associated With Burden of Primary Headache in a Specialty Clinic

Cassidy, Eugene; Tomkins, Esther; Hardiman, Orla; O’Keane, Veronica

doi:10.1046/j.1526-4610.2003.03106.x

Cited by 52 publications

(54 citation statements)

References 18 publications

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“…Patients with migraine often suffer from a subthreshold but clinically relevant depressive disorder [5, 6]. Other trans-nosographic conditions, described as negative affective states, have been recently investigated in these patients [7], particularly anger expression.…”

Section: Introductionmentioning

confidence: 99%

“…Recently, the dimensional approach to the study of personality in migraine patients has been preferred because it allows a more careful identification of altered traits belonging to a psychopathological continuum. Use of the Zuckerman-Khulman’s or the Eysenck Personality Questionnaire revealed that migraine without aura is characterized by high degrees of neuroticism as well as tension-type headache [6, 26, 27]. Similarly, the Minnesota Multiphasic Personality Inventory showed a personality profile characterized by high scores on the neurotic scale (hypochondria, depression, hysteria) in migraine patients [28].…”

Section: Introductionmentioning

confidence: 99%

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Anger, Depression and Personality Dimensions in Patients with Migraine without Aura

Abbate-Daga

Fassino

Giudice

et al. 2007

Psychother Psychosom

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Background: Migraine without aura causes acute and chronic pain and partially compromises patients’ social functioning and work performance. Over the past years, psychiatric comorbidities were frequently observed in these patients, together with coping difficulties and typical personality traits. The aim of this study was to identify whether migraine patients and controls share distinctive personality traits. Methods: 105 consecutive patients suffering from migraine without aura referred to the Headache Center of Turin University were enrolled in the study and compared to a control group of 79 healthy subjects. Patients and controls completed several psychometric questionnaires, including the Temperament and Character Inventory, the Beck Depression Inventory and the State-Trait Anger Expression Inventory. Results: Patients suffering from migraine show more depressive symptoms, difficult anger management with a tendency to hypercontrol, and a distinctive personality profile with high harm avoidance, high persistence and low self-directedness. When a logistic regression was performed, the only significant predictors of migraine were temperament variables. Conclusions: The results suggest that the personality traits and psychosomatic mechanisms of migraine patients may make them vulnerable to stress and less skilled in coping with pain. These traits correlate with dysregulated neurotransmitter systems which may also be part of the psychobiological components of personality, depressive disorders and migraine itself.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Anger, Depression and Personality Dimensions in Patients with Migraine without Aura

Abbate-Daga

Fassino

Giudice

et al. 2007

Psychother Psychosom

View full text Add to dashboard Cite

show abstract

“…Likewise, the association between headache and psychiatric disorders (the most common being between headache and depression and anxiety) has been extensively explored [1][2][3], as demonstrated by epidemiological and prospective studies [4][5][6][7][8][9][10][11][12]. Furthermore, subjects with a combination of anxiety disorders and major depression are more likely to have migraine compared with those with depression or anxiety only [3,13].…”

Section: Introductionmentioning

confidence: 99%

Accompanying symptoms and psychiatric comorbidity in migraine and tension-type headache patients

Mongini

Rota

Deregibus

et al. 2006

Journal of Psychosomatic Research

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Objective: Our objective was to assess the prevalence of accompanying symptoms of migraine and tension-type headache in patients with such conditions (both episodic and chronic) and in headache-free controls, and their relationship with depression and anxiety. Method: A psychological assessment (Axis I, DSM-IV) was performed, and 21 accompanying symptoms were investigated in 506 patients with episodic migraine (231), chronic migraine (102), episodic tension-type headache (83), and chronic tension-type headache (90) and in 80 controls. The relationship between symptoms, headache type, and psychiatric comorbidity was analyzed. Results: The mean number of symptoms was significantly higher in patients (n=10.3) than in controls (n=3.4). Most symptoms were significantly associated with depression and anxiety, while only some of them were significantly associated with headache, with no relevant difference among groups. Conclusion: In headache patients, psychiatric comorbidity (compared with headache type or chronicity) seems to be more strictly associated with an increased burden of accompanying symptoms. D

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“…4 Penderita TTH kronik akan mengalami depresi yang lebih berat dibandingkan dengan TTH episodik dan nyeri kepala kronik berhubungan dengan skor psikopatologi secara bermakna, tetapi arah hubungannya belum jelas. 9 Komorbiditas gangguan depresi ini berhubungan dengan intensitas nyeri kepala yang lebih berat dan menetap, penurunan kualitas hidup, prognosis yang lebih buruk, menjadi menahunnya penyakit, ketidakpatuhan pengobatan, respons pengobatan yang lebih buruk, serta biaya pengobatan yang membesar. 10 Berdasarkan survei pendahuluan, didapatkan data kunjungan penderita TTH di Instalasi Rawat Jalan Departemen Ilmu Penyakit Saraf Rumah Sakit Dr. Hasan Sadikin Bandung selama tahun 2010 sebanyak 1.302 orang.…”

Section: 2unclassified

“…Penelitian oleh Cassidy dkk. 9 mendapatkan penderita sering nyeri kepala kronik dan mengalami depresi yang lebih berat bila dibandingkan dengan nyeri kepala episodik.…”

Section: Pembahasanunclassified

Hubungan antara Gejala Gangguan Depresi dan Tension-Type Headache (TTH): Studi Eksploratif

Setiawan¹,

Sadeli²,

Sapiie³

2013

mkb

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AbstrakPrevalensi gangguan depresi semakin meningkat, termasuk yang berkomorbiditas dengan penyakit fisik. Kondisi medik yang telah lama dikaitkan dengan gangguan depresi adalah tension-type headache (TTH). Komorbiditas ini berhubungan dengan perjalanan penyakit TTH kronik. Tujuan penelitian ini untuk mengetahui gejala gangguan depresi yang paling banyak terjadi pada penderita TTH serta menganalisis hubungan antara gejala tersebut dan tipe TTH yang dialaminya. Penelitian ini merupakan studi potong lintang terhadap 32 penderita TTH yang berobat jalan ke Instalasi Rawat Jalan Departemen Ilmu Penyakit Saraf Rumah Sakit Dr. Hasan Sadikin Bandung selama bulan November hingga Desember 2011 yang didiagnosis gangguan depresi. Subjek diperiksa dengan menggunakan instrumen Hamilton Depression Rating Scale (HDRS). Analisis korelasi dilakukan antara skor gejala gangguan depresi yang paling banyak terjadi dengan tipe TTH, dilanjutkan dengan analisis multivariabel untuk mencari rasio prevalens gejala gangguan depresi yang berkorelasi dengan tipe TTH. Angka kejadian gangguan depresi pada TTH didapatkan pada 32/38 penderita, sedangkan gejala gangguan depresi yang paling banyak ditemukan adalah suasana perasaan depresif, kelelahan/berkurangnya minat, dan ansietas psikis. Suasana perasaan depresif dan kelelahan/berkurangnya minat berkorelasi positif dengan tipe TTH (r s =0,411; p=0,019 dan r s =0,379; p=0,032). Dari analisis regresi logistik, hanya suasana perasaan depresif yang meningkatkan risiko TTH kronik, yaitu sebesar 4,74 kali (IK 95% 1,24-18,02). Simpulan, suasana perasaan depresif merupakan gejala yang paling banyak terjadi dan dapat digunakan untuk penapisan dini gangguan depresi pada penderita TTH serta meningkatkan risiko TTH kronik. [MKB. 2013;45 (1) Relationship between Depressive Disorder Symptoms and the Tension-Type Headache (TTH): An Explorative Study AbstractThe prevalence rate of depressive disorders is increasing, including those having comorbidity with physical illnesses. One of the medical conditions that has been related to depressive disorder is tension-type headache (TTH). This comorbidity is related to the chronic course of TTH. This research aims to know which kind of depressive symptoms are most frequently found in TTH patients and to analyze the correlation between those symptoms and the type of TTH. This was a cross sectional study on 32 TTH patients who visited the outpatient clinic of the Neurology Department of Dr. Hasan Sadikin Hospital Bandung during the period of November to December 2011 and who were diagnosed as having depressive disorder. They were examined using Hamilton Depression Rating Scale (HDRS). We correlated the scores of depressive disorder symptoms with the type of TTH, followed by mutivariable analysis to find the prevalence ratio of depressive disorder symptoms which correlated with the type of TTH. The results showed the prevalence rate of depressive disorder in TTH was 32/38 patients while the most frequent depressive disorder symptoms of the subjects were depressive mood, f...

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Factors Associated With Burden of Primary Headache in a Specialty Clinic

Cited by 52 publications

References 18 publications

Anger, Depression and Personality Dimensions in Patients with Migraine without Aura

Anger, Depression and Personality Dimensions in Patients with Migraine without Aura

Accompanying symptoms and psychiatric comorbidity in migraine and tension-type headache patients

Hubungan antara Gejala Gangguan Depresi dan Tension-Type Headache (TTH): Studi Eksploratif

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