Psychiatric issues in patients with headaches

Gambini, Orsola; Islam, Lucrezia; Demartini, Benedetta; Scarone, Silvio

doi:10.1007/s10072-010-0300-y

Cited by 7 publications

(4 citation statements)

References 9 publications

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“…Secondly, comorbid disorders may be mutually aggravating. Again for example, comorbid psychiatric illnesses are risk factors for headache becoming chronic [ 29 ]. Thirdly, comorbid headache and psychiatric disorders pose significant management challenges: treatment of each may be hindered by the other, with worse outcomes likely and increased health-care liabilities [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

Comorbidities of psychiatric and headache disorders in Nepal: implications from a nationwide population-based study

et al. 2016

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BackgroundHeadache disorders, anxiety and depression – the major disorders of the brain – are highly comorbid in the western world. Whether this is so in South Asia has not been investigated, but the question is of public-health importance to countries in the region. We aimed to investigate associations, and their direction(s), between headache disorders (migraine, tension-type headache [TTH] and headache on ≥15 days/month) and psychiatric manifestations (anxiety, depression and neuroticism), and how these might affect quality of life (QoL).MethodsIn a nationwide, cross-sectional survey of the adult Nepalese population (N = 2100), trained interviewers applied: 1) a culturally-adapted version of the Headache-Attributed Restriction, Disability, Social Handicap and Impaired Participation (HARDSHIP) questionnaire to diagnose headache disorders; 2) a validated Nepali version of the Hospital Anxiety and Depression Scale (HADS) to detect anxiety (HADS-A), depression (HADS-D) and comorbid anxiety and depression (HADS-cAD); 3) a validated Nepali version of the Eysenck Personality Questionnaire Revised Short Form-Neuroticism (EPQRS-N); and 4) the World Health Organization Quality of Life 8-question scale (WHOQOL-8). Associations with headache types were analysed using logistic regression for psychiatric caseness and linear regression for neuroticism. Adjustments were made for age, gender, household consumption, habitat, altitude and use of alcohol and marijuana.ResultsHADS-A was associated with any headache (p = 0.024), most strongly headache on ≥15 days/month (AOR = 3.2) followed by migraine (AOR = 1.7). HADS-cAD was also associated with any headache (p = 0.050, more strongly among females than males [p = 0.047]) and again most strongly with headache on ≥15 days/month (AOR = 2.7), then migraine (AOR = 2.3). Likewise, neuroticism was associated with any headache (p < 0.001), most strongly with headache on ≥15 days/month (B = 1.6), followed by migraine (B = 1.3). No associations were found between HADS-D and any headache type, or between TTH and any psychiatric manifestation. Psychiatric caseness of any sort, when comorbid with migraine or TTH, aggravated the negative impact on QoL (p < 0.001).ConclusionHeadache disorders are highly comorbid with anxiety and show associations with neuroticism in Nepal, with negative consequences for QoL. These findings call for reciprocal awareness, and a holistic coordinated approach to management and in the health service. Care for common headache and common psychiatric disorders should be integrated in primary care.

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Section: Introductionmentioning

confidence: 99%

Comorbidities of psychiatric and headache disorders in Nepal: implications from a nationwide population-based study

et al. 2016

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“…3,7,14 A correlation has also been found between pain beliefs of permanence, mystery and self-blame, and psychological distress, often displayed with anxiety and depression symptoms. 9 Research on clinical psychology of headache has investigated comorbidity with psychiatric syndromes ranging from mood, anxiety, 15 and somatoform disorders 16 to problems with personality, 17,18 impulse control, eating, 19 and abuse of substances. 20 A variety of cognitive and affective factors have been linked to headache, like self-efficacy, locus of control, catastrophizing, or anger, with particular regard to impact on headache disability.…”

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confidence: 99%

Pain Beliefs and Perceptions Inventory: A Cross‐Sectional Study in Chronic and Episodic Migraine

et al. 2014

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“…Depression is an additional stressor that reinforces pain and makes it more di cult to endure both pain and life in general [5]. Quantitative studies have shown an association between migraine, depression, and anxiety, but the direction of causality is not yet established [12,13].…”

Section: Introductionmentioning

confidence: 99%

Reasons for Delayed Pain Management in Patients With Chronic Migraine: A Qualitative Study

Persson

Weineland

Gunnarsson

et al. 2021

Preprint

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Background: Chronic migraine is often perceived as complex disease and difficult to manage. People with episodic migraine run the risk of developing chronic migraine, leading to great suffering for themselves, their families, and the larger society. The management of each attack may influence the development from episodic to chronic migraine. Aim: The aim of the present study was to explore experiences and management of migraine pain in patients with chronic migraine. Methods: Ten migraine patients participated in open interviews based on functional behavioural analysis within a cognitive behavioural framework. The interviews were analysed using systematic text condensation. Results: Participants’ experiences and management of chronic migraine pain was categorized under four concepts: Migraine pain signal, Hope of false alarm, Guiding assumption, and Delayed medical management. Conclusions: Difficulty distinguishing early migraine pain from other pain signals, neglect of migraine pain signals, and assumption of pain management can lead to delays in initiating emergency medication. Potentially early response to migraine pain signals could alleviate attacks.

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Psychiatric issues in patients with headaches

Cited by 7 publications

References 9 publications

Comorbidities of psychiatric and headache disorders in Nepal: implications from a nationwide population-based study

Comorbidities of psychiatric and headache disorders in Nepal: implications from a nationwide population-based study

Pain Beliefs and Perceptions Inventory: A Cross‐Sectional Study in Chronic and Episodic Migraine

Reasons for Delayed Pain Management in Patients With Chronic Migraine: A Qualitative Study

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