Predictors of Disability in Migraineurs Referred to a Tertiary Clinic: Neck Pain, Headache Characteristics, and Coping Behaviors

Ford, Sutapa; Calhoun, Anne H.; Kahn, Kevin A.; Mann, J. Douglas; Finkel, Alan G.

doi:10.1111/j.1526-4610.2008.00859.x

Cited by 62 publications

(52 citation statements)

References 17 publications

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“…Avoiding and catastrophizing was not restricted to chronic forms of headache in our study, which is line with many other studies describing such coping behaviour also in episodic headache (Bishop et al, 2001;Ford et al, 2008;Lefebvre et al, 1995;Kolotylo and Broome, 2000;Norton and Asmundson, 2004). Therefore the question arose, whether avoidance behaviour is indeed disadvantageous in migraine?…”

Section: Pain Coping Behavioursupporting

confidence: 92%

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Dysfunctional coping in headache: Avoidance and endurance is not associated with chronic forms of headache

Wieser

Walliser²,

Womastek

et al. 2012

European Journal of Pain

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Introduction: About 4% of the population suffer from daily or near daily headache, which in most cases evolved from an episodic type of headache. The impact of psychological factors on this process is unknown. It seems reasonable to assume, that besides somatic and social conditions psychological factors like pain-related coping and cognition play an important role, as has been shown for other pain conditions. Methods: We performed a cross sectional study on pain coping behaviour in 211 patients with migraine and tension type headache. Pain-related cognition and coping was investigated using the Kiel Pain Inventory. Prevalence of depression, medication intake and headache characteristics were analysed in regard to chronicity of headache. Results: Overall pain intensity was high in the patient sample. The level of depression increased with headache frequency. Dysfunctional coping, characterized by fear and avoidance is frequently used by headache patients. As in low back pain, also endurance is highly prevalent. Other features known to be associated with chronic headache, like depression and medication overuse, could be confirmed.

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Section: Pain Coping Behavioursupporting

confidence: 92%

“…In headache fear, avoidance anxiety and depression play an important role regarding disability for the individual patient (Hursey and Jacks, 1992;Bishop et al, 2001;Ford et al, 2008;Radat et al, 2008). Predominantly anxiety and depression have been associated with higher levels of stress and functional impact on everyday life.…”

Section: Introductionmentioning

confidence: 99%

Dysfunctional coping in headache: Avoidance and endurance is not associated with chronic forms of headache

Wieser

Walliser²,

Womastek

et al. 2012

European Journal of Pain

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“…36 A recent investigation demonstrated that avoidance or disengagement coping (both emotionfocused coping) were associated with headache intensity, vomiting, and nausea. 37 Recent work by Martin and colleagues has indeed challenged the long-held notion that avoiding headache triggers is adaptive, 38 suggesting that avoidance may actually increase sensitivity to triggers in the long term. 39 A related and growing body of literature attests to the benefits of accepting pain, pursuing activities consistent with one's values, and improving functioning/quality of life, especially when elimination of pain is not a realistic goal.…”

Section: Differences In Coping Strategiesmentioning

confidence: 99%

Psychosocial Factors of Relevance to Sex and Gender Studies in Headache

Smitherman

Ward

2011

Headache

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Sex and gender differences in humans are being increasingly recognized not only in experimental pain paradigms but also clinically. Women experience various chronic pain conditions such as headache more than men and evidence differences in pain threshold and pain tolerance experimentally. In addition to biological underpinnings, psychosocial factors such as gender and social role expectations, coping strategies, and affective variables likely contribute to observed sex- and gender-related differences in headache. The present narrative reviews and summarizes extant literature pertaining to these psychosocial factors. Gender and social role expectations and coping styles differ between men and women who experience headache and pain, in turn affecting differences in responding to pain. Epidemiologic findings that women have higher rates of headache-related disability and psychiatric comorbidity have not been replicated regularly among treatment-seeking headache samples. Awareness of these differences may stimulate further research and enhance therapeutic opportunities for headache patients.

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“…In a population study, 94% of persons with migraine reported co-existing TTH [2], and NP was found among 89.3% of persons with migraine with co-existing TTH [3]. The prognosis of migraine may worsen with co-existing TTH [4], and NP has been found to be a predictor of increased disability in persons with migraine [5]. …”

Section: Introductionmentioning

confidence: 99%

Level of physical activity, well-being, stress and self-rated health in persons with migraine and co-existing tension-type headache and neck pain

et al. 2017

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BackgroundThe prevalence of migraine with co-existing tension-type headache and neck pain is high in the general population. However, there is very little literature on the characteristics of these combined conditions. The aim of this study was to investigate a) the prevalence of migraine with co-existing tension-type headache and neck pain in a clinic-based sample, b) the level of physical activity, psychological well-being, perceived stress and self-rated health in persons with migraine and co-existing tension-type headache and neck pain compared to healthy controls, c) the perceived ability of persons with migraine and co-existing tension-type headache and neck pain to perform physical activity, and d) which among the three conditions (migraine, tension-type headache or neck pain) is rated as the most burdensome condition.MethodsThe study was conducted at a tertiary referral specialised headache centre where questionnaires on physical activity, psychological well-being, perceived stress and self-rated health were completed by 148 persons with migraine and 100 healthy controls matched by sex and average age. Semi-structured interviews were conducted to assess characteristics of migraine, tension-type headache and neck pain.ResultsOut of 148 persons with migraine, 100 (67%) suffered from co-existing tension-type headache and neck pain. Only 11% suffered from migraine only. Persons with migraine and co-existing tension-type headache and neck pain had lower level of physical activity and psychological well-being, higher level of perceived stress and poorer self-rated health compared to healthy controls. They reported reduced ability to perform physical activity owing to migraine (high degree), tension-type headache (moderate degree) and neck pain (low degree). The most burdensome condition was migraine, followed by tension-type headache and neck pain.ConclusionsMigraine with co-existing tension-type headache and neck pain was highly prevalent in a clinic-based sample. Persons with migraine and co-existing tension-type headache and neck pain may require more individually tailored interventions to increase the level of physical activity, and to improve psychological well-being, perceived stress and self-rated health.

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Predictors of Disability in Migraineurs Referred to a Tertiary Clinic: Neck Pain, Headache Characteristics, and Coping Behaviors

Abstract: These data suggest the need for prospective research exploring the causal mechanisms by which neck pain and coping response influence disability and underscores the importance of multidisciplinary approaches to headache management.

Cited by 62 publications

References 17 publications

Dysfunctional coping in headache: Avoidance and endurance is not associated with chronic forms of headache

Dysfunctional coping in headache: Avoidance and endurance is not associated with chronic forms of headache

Psychosocial Factors of Relevance to Sex and Gender Studies in Headache

Level of physical activity, well-being, stress and self-rated health in persons with migraine and co-existing tension-type headache and neck pain

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