Psychosocial Correlates and Impact of Chronic Tension‐type Headaches

Holroyd, Kenneth A.; Stensland, Michael D; Hill, Katherine; O'Donnell, F; Cordingley, Gary E.

doi:10.1046/j.1526-4610.2000.00001.x

Cited by 188 publications

(178 citation statements)

References 31 publications

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“…Thus, catastrophizing may mediate the relationship among all three conditions and lead to increasing physical and mental symptoms. As a result, a persons' perception of pain may be amplified in the context of depression and anxiety 25,26 .…”

Section: Resultsmentioning

confidence: 99%

Comorbidade de sintomas ansiosos e depressivos em pacientes com dor crônica e o impacto sobre a qualidade de vida

Castro¹,

Daltro²,

Pires-Caldas³

et al. 2011

Rev. psiquiatr. clín.

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Background: Pain is an unpleasant sensory and emotional experience. Both chronic pain and depression result in substantial disability reduced HRQoL and increased health care costs and utilization. Objectives: To evaluate the strength of the association between depressive and anxiety symptoms and chronic pain, and to investigate the impact of these symptoms on health-related quality of life (HRQoL) in chronic pain individuals. Methods: Pain was assessed by means of a Visual Analogue Scale (VAS). Depressive and anxiety symptoms were assessed by the Hospital Anxiety and Depression (HAD) scale. Quality of life was assessed by means of the SF-36. Results: Four hundred patients were studied, mean age 45.6 ± 11.4 years and 82.8% female gender. According to HAD, 70% had anxiety and 60% depression symptoms. SF-36 showed mean scores ≤ 50% for all the domains. Patients with severe pain/extreme (70.4%) had a higher frequency of anxiety than those with pain selvagem/moderada (59,5%). This was a statistically significant (p = 0.027). However, the frequency of depression did not reach statistical significance when both groups were compared p = 0.109). Discussion: Depressive/anxiety symptoms and pain together have worse clinical outcomes than each condition alone.

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Section: Resultsmentioning

confidence: 99%

Comorbidade de sintomas ansiosos e depressivos em pacientes com dor crônica e o impacto sobre a qualidade de vida

Castro¹,

Daltro²,

Pires-Caldas³

et al. 2011

Rev. psiquiatr. clín.

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“…Nonetheless, the evidence is fairly consistent that tension headache patients are more likely than healthy controls to suffer from psychiatric disorders, especially anxiety and depression. [28][29][30][31] Psychiatric disorders that may accompany migraine or tension-type headaches (especially depression) might cause dysfunction in the sexual response cycle. Maizels et al 23 have reported that the prevalence of sexual dysfunction does not differ in the presence of depression or anxiety.…”

Section: Discussionmentioning

confidence: 99%

Sexual dysfunction in women with migraine versus tension-type headaches: a comparative study

et al. 2011

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The aim of this study was to compare the incidence of sexual dysfunction between patients with tension-type headaches (T), migraines (M) and healthy controls (C) in order to investigate the relationship between sexual dysfunction and the features of headaches. The population comprised of 44 patients with M, 30 with T and 30 with C. They have completed Arizona Sexual Experiences Scale (ASEX), Visual Analog Scale. The number of sexual activities over the past 30 days and the frequency of masturbation behavior in C were considerably higher than those in the headache groups. The averages for ASEX item no. 1, 2, 3 and 4 were significantly higher in those with M versus C; and both the subscales and total scores of ASEX were also higher in those with T than C. The mean score for ASEX item no. 3 and the total ASEX score were significantly higher in T versus M. In both headache groups, no significant relationship was observed between headache features and ASEX. The present study showed that patients with either M or T do experience problems in several aspects of sexuality compared with C. Further research is essential to augment our understanding of the sexual dysfunction in this field.

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“…If one of the reasons for treatment is to decrease functional impairments, then depression as well as headache pain needs to be addressed. 7 Physicians also need to remember the high prevalence of depression in patients with headache when considering medications used to treat recurrent headaches. Several of the medications that might be considered, such as ␤-blockers, antianxiety agents, and narcotics, may possibly worsen depression.…”

Section: Discussionmentioning

confidence: 99%

“…Because the symptoms of depression are often subtle and hard to verbalize, these symptoms may be overlooked in patients who present with headache as their chief complaint. 7,8 Several instruments have been used in the primary care setting to screen for depression among adults. The most commonly used measures in outpatient settings are the Beck Depression Inventory; the Center for Epidemiologic Studies Depression Scale, Revised; the PRIME-MD Patient Health Questionnaire (PHQ-9); and the Zung Self-Rating Depression Scale.…”

Section: Reported In 2000mentioning

confidence: 99%

Prevalence of Depression Symptoms in Outpatients with a Complaint of Headache

Marlow¹,

Kegowicz²,

Starkey³

2009

The Journal of the American Board of Family Medicine

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Purpose: This case-control study was designed to determine whether adults who present to a primary care office with a chief complaint of headache have more reported symptoms of depression than adults presenting with other problems.Methods: Adult, English-speaking patients who presented to a primary care office with a chief complaint of headache were matched to adult patients of the same age and sex who presented with problems other than headache. All participants completed the PRIME-MD 9-item Patient Health Questionnaire as a screen for depression.Results: A total of 200 participants entered the study. The mean age of the participants was 43.8 years (range, 18 -87 years). Women constituted 84% of the participants. Of those patients who presented with headache, 32% had a likelihood of possible major depressive disorder compared with 12% in the patients presenting without headache.Conclusions: Almost one-third of adult patients who present to a primary care office with a complaint of headache report moderate symptoms of depression when screened compared with approximately 10% of patients presenting with a complaint other than headache. Given such a high prevalence of these symptoms, primary care physicians should screen all adult patients who present with headache for depression. It is estimated that more than 90% of adults experience at least one headache each year. Although the majority of those adults do not seek medical attention for this problem, headache is one of the top reasons for people to seek outpatient medical care. Depression is also a common disorder seen in the outpatient setting. In primary care, anywhere from 5% to 10% of outpatients have major depression.

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Psychosocial Correlates and Impact of Chronic Tension‐type Headaches

Cited by 188 publications

References 31 publications

Comorbidade de sintomas ansiosos e depressivos em pacientes com dor crônica e o impacto sobre a qualidade de vida

Comorbidade de sintomas ansiosos e depressivos em pacientes com dor crônica e o impacto sobre a qualidade de vida

Sexual dysfunction in women with migraine versus tension-type headaches: a comparative study

Prevalence of Depression Symptoms in Outpatients with a Complaint of Headache

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