Identification of work accommodations and interventions associated with work productivity in adults with migraine: A scoping review

Dhaem, Olivia Begasse de; Gharedaghi, Mohammad Hadi; Bain, Paul; Hettie, Gabrielle; Loder, Elizabeth; Burch, Rebecca

doi:10.1177/0333102420977852

Cited by 16 publications

(25 citation statements)

References 42 publications

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“…Despite the impact of headache on output, it has been observed that there is a lack of reliable data on headache-related work factors associated with productivity [ 73 ]. This study aims to reduce this information gap.…”

Section: Discussionmentioning

confidence: 99%

Headache in the Workplace: Analysis of Factors Influencing Headaches in Terms of Productivity and Health

Magnavita

2022

IJERPH

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Headache is a very common condition that can have a significant impact on work. This study aimed to assess the prevalence of headaches and their impact on a sample of 1076 workers from 18 small companies operating in different sectors. The workers who volunteered to participate were asked to fill in the Headache Impact Test-6 (HIT-6) and answer questions designed to assess stressful and traumatic factors potentially associated with headaches. The volunteers subsequently underwent a medical examination and tests for diagnosing metabolic syndrome. Out of the 1044 workers who completed the questionnaire (participation rate = 97%), 509 (48.8%) reported suffering from headaches. In a multivariate logistic regression model, female gender, recent bereavement, intrusive leadership, and sleep problems were significantly associated with headaches. In univariate logistic regression models, headache intensity was associated with an increased risk of anxiety (OR 1.10; CI95% 1.09; 1.12) and depression (OR 1.09; CI95% 1.08; 1.11). Headache impact was also associated with the risk of metabolic syndrome (OR 1.02; CI95% 1.00, 1.04), obesity (OR 1.02, CI95% 1.01; 1.03), and reduced HDL cholesterol (OR 1.03; CI95% 1.01; 1.04). The impact of headache calls for intervention in the workplace not only to promote a prompt diagnosis of the different forms of headaches but also to improve work organization, leadership style, and the quality of sleep.

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Section: Discussionmentioning

confidence: 99%

Headache in the Workplace: Analysis of Factors Influencing Headaches in Terms of Productivity and Health

Magnavita

2022

IJERPH

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“…Other examples are workplace accommodations to increase productivity in workers with migraine (73). Therapy delivered to groups of people with headache (focused on education, non-pharmacological treatment, psychotherapy, and self-management) show promise and may be more effective than individual delivery (74–77). There may, however, be negative effects of improving support, such as pain avoidance, over-dependence on others, and reinforcement of anxieties (78).…”

Section: Discussionmentioning

confidence: 99%

Poor social support and loneliness in chronic headache: Prevalence and effect modifiers

et al. 2021

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Objective To explore the prevalence of poor social support and loneliness among people with chronic headache, and how these might be effect modifiers in the relationships between chronic headache and stress, medication overuse, and self-rated health. Background Poor social support and loneliness are consistently linked to worse health outcomes. There are few epidemiologic studies on their effect on headache. Methods The Danish Capital Region Health Survey, a cross-sectional survey, was conducted in 2017. Participants were asked about headache, pain medication use, social support, loneliness, perceived stress, and self-rated health. Data were accessed from sociodemographic registers. Logistic regression analyses were performed to test for effect modification. Results The response rate was 52.6% (55,185 respondents) and was representative of the target population. People with chronic headache were more likely to report poor social support and loneliness compared to those without chronic headache ( p < 0.0001 for both). Odds ratios for the combination of chronic headache and poor social support were very high for stress (odds ratio 8.1), medication overuse (odds ratio 21.9), and poor self-rated health (odds ratio 10.2) compared to those without chronic headache and with good social support. Those who reported both chronic headache and loneliness had a very high odds ratio for stress (odds ratio 14.4), medication overuse (odds ratio 20.1), and poor self-rated health (odds ratio 15.9) compared to those without chronic headache and low loneliness score. When adjusted for sociodemographic factors, poor social support and loneliness were not significant effect modifiers in almost all these associations. Loneliness was a significant effect modifier in the association between chronic headache and medication overuse, but exerted greater effect among those who did not report they were lonely. Conclusion Poor social support and loneliness were prevalent among people with chronic headache. The combination of chronic headache and poor social support or loneliness showed higher odds ratios for stress, medication overuse, and poor self-rated health compared to those with good social support and low loneliness scores. The effect of loneliness in the relationship between chronic headache and medication overuse warrants further study.

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“…Similarly, failing to properly recognize actual risk factors would result in inaccurate management, and higher relapse rates. In this regard, the relatively low share of participants identifying main risk factors such as working rhythms and working hours as potential barriers to a proper management of migraine may be particularly frightening [ 34 , 35 , 36 , 40 , 41 , 42 , 43 ].…”

Section: Discussionmentioning

confidence: 99%

Managing of Migraine in the Workplaces: Knowledge, Attitudes and Practices of Italian Occupational Physicians

Riccò

Ferraro²,

Camisa

et al. 2022

Medicina

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Background and Objectives: Migraine is a debilitating disorder, whose incidence peak in the age group of 30–39 years overlaps with the peak of employment years, potentially representing a significant issue for occupational physicians (OP). The present study was performed in order to characterize their knowledge, attitudes and practices on migraine in the workplaces. Materials and Methods: A convenience sample of 242 Italian OP (mean age 47.8 ± 8.8 years, males 67.4%) participated in an internet-based survey by completing a structured questionnaire. Results: Adequate general knowledge of migraine was found in the majority of participants. Migraine was identified as a common and severe disorder by the majority of respondents (54.0% and 60.0%). Overall, 61.2% of participants acknowledged migraine as difficult to manage in the workplace, a status that made it more likely for OP understanding its potential frequency (Odds Ratio [OR] 3.672, 95% confidence interval [95%CI] 1.526–8.831), or reported previous managing of complicated cases requiring conditional fitness to work judgement (OR 4.761, 95%CI 1.781–2.726). Moreover, professionals with a qualification in occupational medicine (OR 20.326, 95%CI 2.642–156.358), acknowledging the difficult managing of migraine in the workplaces (OR 2.715, 95%CI 1.034–7.128) and having received any request of medical surveillance for migraine (OR 22.878, 95%CI 4.816–108.683), were more likely to recommend specific requirements for migraineur workers. Conclusions: Migraine was recognized as a common disorder, but also as a challenging clinical problem for OP. Participating OP exhibited a substantial understanding of migraine and its triggers, but residual false beliefs and common misunderstanding may impair the proper management of this disorder, requiring improved and specifically targeted interventions.

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Identification of work accommodations and interventions associated with work productivity in adults with migraine: A scoping review

Cited by 16 publications

References 42 publications

Headache in the Workplace: Analysis of Factors Influencing Headaches in Terms of Productivity and Health

Headache in the Workplace: Analysis of Factors Influencing Headaches in Terms of Productivity and Health

Poor social support and loneliness in chronic headache: Prevalence and effect modifiers

Managing of Migraine in the Workplaces: Knowledge, Attitudes and Practices of Italian Occupational Physicians

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