Psychosocial aspects of chronic daily headache

Barton-Donovan, L K.; Blanchard, Edward B.

doi:10.1007/s10194-005-0147-4

Cited by 16 publications

(22 citation statements)

References 16 publications

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“…Nash and colleagues (32,33) postulated multiple connections on how stress and headache can be inter-related: stress can contribute to the onset or expression of headache in vulnerable persons (22,34), can trigger individual headache episodes (35)(36)(37)(38)(39)(40)(41)(42), can exacerbate the progression of a headache disorder from an episodic to a chronic condition (43)(44)(45) and can independently worsen headache-related disability and quality of life in headache sufferers (31,46). Furthermore, headache episodes themselves can serve as stressors (17,47), that impact an individual's health and well-being. Since our data are cross-sectional, we are only reporting associations and do not claim causal relations.…”

Section: Discussionmentioning

confidence: 99%

Associations between stress and migraine and tension-type headache: Results from a school-based study in adolescents from grammar schools in Germany

Milde‐Busch

Blaschek²,

Heinen³

et al. 2011

Cephalalgia

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Introduction: Stress is considered the major contributor to migraine and tension-type headache in adolescents. Previous studies have focused on general stressors, whereas the aim of the present study was to investigate associations between individuals' stressful experiences and different types of headache. Methods: Adolescents from 10th and 11th grades of grammar schools filled in questionnaires. Stressful experiences were measured with the Trier Inventory of Chronic Stress. Type of headache was classified according to the International Classification of Headache Disorders. Linear regressions, adjusted for sex and grade, were calculated to estimate differences in stress scores that can be attributed to migraine, tension-type headache or miscellaneous headache. Results: A total of 1260 questionnaires were analysed. Tension-type headache, migraine and co-existing migraine plus tension-type headache were found in 48.7%, 10.2% and 19.8% of the participants. In subjects with migraine or co-existing migraine plus tension-type headache, high increases in stress scores were found in all investigated dimensions, whereas much weaker and inconsistent associations were found in subjects with tension-type headache only. Conclusions: The characteristic of migraine is more associated with stressful experiences than this is the case for tensiontype headache. This suggests that adolescent migraine patients might especially benefit from behavioural interventions regarding stress.

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Section: Discussionmentioning

confidence: 99%

Associations between stress and migraine and tension-type headache: Results from a school-based study in adolescents from grammar schools in Germany

Milde‐Busch

Blaschek²,

Heinen³

et al. 2011

Cephalalgia

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“…Deflection of mood tone interferes with the quality of life, inducing aggravation on a par with other organic variables [12]. These results necessitate more in-depth evaluation of the psychopathological tendencies of all patients who refer to a headache centre.…”

Section: Discussionmentioning

confidence: 99%

Headache and mood disorders

et al. 2005

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IntroductionThe experience of pain represents not just a sensorial process, but a complex perception involving the superior levels of the central nervous system, emotional states and higher mental processes. Besides an analgesic therapy, a global approach to pain treatment also considers, in the majority of chronic pain patients, the intercurrent situational and emotional pathogenetic elements towards a multilateral intervention model.In this study, we aimed to evaluate the occurrence of mood, anxiety and disability disorders in 300 patients affected by chronic daily headache and MOH, who were observed for a 16-month period in our centre.This symptomatology necessarily recalls the correlation between somatic and psychic aspects, mind and body, medicine and psychiatry. The acknowledged comorbidity concerning pain and mood disorders should entail the association of an antalgic therapy with an adequate treatment against depression and anxiety. Epidemiological research showed that mood disorders occurred in a great number of patients affected by headache [1].A multicenter Italian study focused attention on the high comorbidity level between mood disorders and tension-type headache, determining a psychiatric comorbidity of 85% [2]. J Headache Pain (2005) -005-0199-5 Headache and mood disorders 6:250-253 DOI 10.1007/s10194 Sergio de Filippis Emiliano Salvatori Gabriella Coloprisco Paolo MartellettiAbstract The aim of the study was to estimate the occurrence of mood, anxiety and disability disorders in 300 patients affected by chronic daily headache and MOH, who were observed for a 16-month period in our centre. We monitored the patients on an interview basis, concerning the anamnestic data collection related to the pre-morbid period, information given by relatives regarding the patient's behaviour during the day, attitudes towards others, maintenance of previous interests and enjoyments, and modifications of the biological rhythm. Several tests were conducted, underlining a significant correlation between headache and mood disorders, impairment of working activity, social and family life. The study shows that patients affected by chronic daily headache and MOH present high levels of anxiety, a depressive symptomatology associated with alexithymia. Moreover, it has been discovered that anxiety and depression facilitate the onset of headache, while patients suffering from pain persistence were more vulnerable to psychiatric problems. In consideration of these results, more exhaustive evaluations relating to the psychopathological aspects in patients affected by headache are necessary.

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“…Absolute scores in these domains were noticeably lower in CDH patients in studies in a clinical setting (15,23,41,52). Discrepancies between the scores for physical functioning and role physical were a consistent feature throughout the studies.…”

Section: Sf-36 Comparisons Of Cdh Sufferers With Healthy Peoplementioning

confidence: 92%