Somatic Symptoms in Headache Patients: The Influence of Headache Diagnosis, Frequency, and Comorbidity

Maizels, Morris; Burchette, Raoul J.

doi:10.1111/j.1526-4610.2004.04192.x

Cited by 86 publications

(74 citation statements)

References 42 publications

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“…In fact, we detected a significant association between the majority of symptoms (all but fainting and urinary disorders) and psychiatric comorbidity (Table 3). This finding, consistent with the findings of previous authors [15] that found somatic symptoms to be more common in patients with associated depression or anxiety, clearly hints at the involvement of psychiatric comorbidity in the expression of physical complaints. Nevertheless, some symptoms appeared to be significantly related to the presence of headache as well.…”

Section: Discussionsupporting

confidence: 83%

“…In a previous study [15], somatic symptoms were demonstrated to be more common in patients with chronic migraine [CM; considered by the authors as a combined diagnostic category encompassing transformed migraine, migraine with tension-type headache (if z15 headache days/month), and new daily persistent headache] and what they referred to as chronic daily headache (if z15 headache days/month but not fulfilling criteria for CM). The symptoms were more common in the presence of a higher frequency of severe headaches, and with depression or anxiety, diagnosed on the basis of clinical impression or self-report [15]. However, the authors could not distinguish any specific pattern of symptoms between migraine and tension-type headache, and diagnoses of psychiatric comorbidities were made clinically rather than by a standardized interview.…”

Section: Introductionmentioning

confidence: 99%

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Accompanying symptoms and psychiatric comorbidity in migraine and tension-type headache patients

Mongini

Rota

Deregibus

et al. 2006

Journal of Psychosomatic Research

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Objective: Our objective was to assess the prevalence of accompanying symptoms of migraine and tension-type headache in patients with such conditions (both episodic and chronic) and in headache-free controls, and their relationship with depression and anxiety. Method: A psychological assessment (Axis I, DSM-IV) was performed, and 21 accompanying symptoms were investigated in 506 patients with episodic migraine (231), chronic migraine (102), episodic tension-type headache (83), and chronic tension-type headache (90) and in 80 controls. The relationship between symptoms, headache type, and psychiatric comorbidity was analyzed. Results: The mean number of symptoms was significantly higher in patients (n=10.3) than in controls (n=3.4). Most symptoms were significantly associated with depression and anxiety, while only some of them were significantly associated with headache, with no relevant difference among groups. Conclusion: In headache patients, psychiatric comorbidity (compared with headache type or chronicity) seems to be more strictly associated with an increased burden of accompanying symptoms. D

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Accompanying symptoms and psychiatric comorbidity in migraine and tension-type headache patients

Mongini

Rota

Deregibus

et al. 2006

Journal of Psychosomatic Research

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“…In previous studies, the relationship between sexuality and these aforementioned characteristics have not been examined sufficiently. The findings of Maizels et al 23 suggest that the prevalence of sexuality problems among migraine patients does not differ between those with more (number of attacks 42 days per week) and less frequent attacks. Similarly, in our study, we detected no relationship between the affected domains of sexuality and headache frequency, severity or duration.…”

Section: Discussionmentioning

confidence: 91%

“…[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. Although the aim of our study was not to reveal the causes of sexual difficulties, the fact that we did not examine situations that might cause such problems (such as Sexual dysfunction in women E Bestepe et al depression and anxiety) is one limitation of our study.…”

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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“…Maizels and Burchette (19) suggested that the frequency of sexual problems in migraine patients did not vary with migraine attack frequency. Similarly, Bestepe et al (20) in their study did not detect a correlation between sexuality and intensity, frequency and duration of headache.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Sexual Dysfunction in Female Patients with Tension-Type Headache

Odabaş¹

2017

Istanbul Med J

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Sex and sexual problems are seen as taboo and they are not sufficiently handled in many communities. It has been displayed in a limited number of studies that primary headaches like chronic pains are also substantially related with sexual dysfunction. It is considered that particularly tension headache (THA) and sexual dysfunction are in correlation with each other to a great extent. Likewise, many psychiatric disorders, notably depression accompany THA and this comorbidity further increases sexual dysfunction.In this study, it was aimed to investigate the importance given to sex, the tendency of depression that accompanies it, and in what level they affect sexual functions in female patients with THA. MethodNinety female patients followed with THA diagnosis were included in the study. Ninety healthy women without any chronic disease history were included in the control group. In order to conduct the study, ethics committee approval was taken from Selçuk University. The patients who accepted to participate to the study were informed and their signed consents were taken.1. All of the patients included in the study carried the clinical features of THA and were followed by us: 2. The patients having systemic diseases at the level that may affect their daily life quality 3. The patients having major psychiatric disease historyThe patients who could not cooperate with the tests were not included in the study.Medical histories of the participants were recorded and physical examinations were performed. Age, body mass index, marriage duration, number of pregnancies, family type, education level, monthly income, and economic statuses of the patients with THA and the control group were evaluated. Furthermore, the number of sexual intercourses per week, the importance of sexual life, and female sexual function index (FSFI) and Beck depression index (BDI) values of both groups were studied. Evaluation of Sexual Dysfunction in Female Patients with Tension-Type HeadacheObjective: Evaluation of sexual disfunction in female with tension type headache patients.Methods: In total, 90 female patients with tension type-headache were included in the patient group; furthermore, there were 90 healthy controls (control group). Sexual functions of patients were evaluated using the female sexual function index (FSFI) and their depression levels were measured using by Beck Depression Index (BDI). The controls were also evaluated using the FSFI and BDI. The patient and control groups appealed to evaluate the importance of sexual activities with a decimal analog scale. Results:The total FSFI's were more decreased when compared with control group in all subgroups. BDI's were significantly higher in the patient group than in the control group. Further, in the patient group, the decimal analog scale values analzing the importance of sexual activities was significantly lower. Conclusion:Tension type headache is closely associated with depresive predisposition in patients and it markedly influence sexual activities negatively.

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Somatic Symptoms in Headache Patients: The Influence of Headache Diagnosis, Frequency, and Comorbidity

Cited by 86 publications

References 42 publications

Accompanying symptoms and psychiatric comorbidity in migraine and tension-type headache patients

Accompanying symptoms and psychiatric comorbidity in migraine and tension-type headache patients

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

Evaluation of Sexual Dysfunction in Female Patients with Tension-Type Headache

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