The epidemiology of headache disorders: a face-to-face interview of participants in HUNT4

Hagen, Knut; Åsberg, Arne; Uhlig, Benjamin Langsæter; Tronvik, Erling; Brenner, Eiliv; Stjern, Marit; Helde, Grethe; Gravdahl, Gøril Bruvik; Sand, Trond

doi:10.1186/s10194-018-0854-2

Cited by 45 publications

(39 citation statements)

References 24 publications

(30 reference statements)

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“…", and those who responded "yes" answered 13 additional questions. In the present study slight modifications of the criteria of the International Classification of Headache Disorders, third edition (ICHD 3) [17] was used for diagnosing migraine, probable migraine, tension-type headache (TTH) or medication overuse headache (MOH) (see below) [18]. The diagnoses were mutually exclusive.…”

Section: Headache Diagnosesmentioning

confidence: 99%

Time trends of major headache diagnoses and predictive factors. Data from three Nord-Trøndelag health surveys

2020

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Aims:The primary aim of this study was to investigate time trends of major headache diagnoses using crosssectional data from two population-based health surveys. In addition, we aimed to perform a longitudinal assessment of baseline characteristics and subsequent risk for having headache at 22-years' follow-up among those participating in three health surveys.Methods: were used. The 1-year prevalence time trends of major headache diagnoses were estimated among 41,460 participants in HUNT4 and among 39,697 participants in HUNT3, two surveys with identical headache questions. 16,118 persons participated in all three surveys, and among these, a Poisson regression was used to evaluate health-related baseline information in HUNT2 and the risk ratios (RRs) with 95% confidence interval (CIs) of consistently reporting headache during follow-up.Results: Compared with the 1-year prevalence in HUNT3, a higher proportion of participants in HUNT4 had tension-type headache (20.7% vs. 15.9%, p < 0.001), whereas a lower 1-year prevalence was found for migraine (11.1% vs. 12.0%, p < 0.001) and medication overuse headache (MOH) (0.3% vs. 1.0%, p < 0.001). Participants in the age group 20-39 years at baseline nearly three times increased risk (RR = 2.8, 95% CI 2.5-3.1) of reporting headache in HUNT2, HUNT3 and HUNT4 than persons aged 50 years or more. Female sex, occurrence of chronic musculoskeletal complaints and high score of depression or anxiety at baseline doubled the risk of having headache in all three surveys. Conclusions: The 1-year prevalence of migraine and MOH was lower in HUNT4 than in HUNT3. Young age, female sex, and occurrence of musculoskeletal complaints and high score of anxiety and/or depression were all associated with substantially increased risk of reporting headache in all three surveys.

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Section: Headache Diagnosesmentioning

confidence: 99%

Time trends of major headache diagnoses and predictive factors. Data from three Nord-Trøndelag health surveys

2020

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“…Targeting female patients in our study limits the generalizability, although this choice was supported by epidemiological studies indicating that CeH and TMD are common conditions with a female preponderance . In addition, nociceptive thresholds for mechanical stimuli are generally lower, and joint mobility generally higher in female patients …”

Section: Discussionmentioning

confidence: 96%

Preclinical Signs of a Temporomandibular Disorder in Female Patients With Episodic Cervicogenic Headache Versus Asymptomatic Controls: A Cross‐Sectional Study

Mingels

Dankaerts

Granitzer

2019

PM&R

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Background: The International Classification of Headache Disorders, 3rd Edition, accepted "headache attributed to temporomandibular disorders" as a valid headache. The neurophysiologic interplay between cervical structures and the temporomandibular joint, however, might also suggest that a temporomandibular disorder could develop in patients with cervicogenic headache. Objective: To compare the presence of preclinical temporomandibular signs between female patients with episodic cervicogenic headache and a control group. Design: Case-controlled cross-sectional design. Setting: Institutional setting: Hasselt University. Participants: Twenty-two women (mean age AE SD: 20.7 AE 2.5 years) with episodic cervicogenic headache, without temporomandibular signs and 22 matched (gender, age, level of education, occupation) asymptomatic controls (21 AE 2.3 years). Methods: (Un)assisted temporomandibular range of motion, pressure pain thresholds, painful palpations were examined and the level of perceived stress was measured. Main Outcome Measurements: Temporomandibular range of motion (mm), pressure pain thresholds (kPa/cm²), painful palpations (yes/no), and level of perceived stress (Perceived Stress Scale). Results: Maximal mouth-opening was significantly smaller in the headache group (P <.05; effect size [ES] −0.45). Palpation of the masseter resulted in significantly more positive pain responses in the headache group at the left (P = .009; ES ∞) and right (P = .002;ES 17.5) origin, left (P = .004; ES 14.54) and right (P = .03; ES 5.71) body and left (P < .001; ES 12) insertion. Significantly lower pressure pain thresholds on the left and right anterior (P = .03; ES −0.33 resp. P = .02; ES −0.35), central (P = .003; ES 1.02 resp. P = .02; ES 0.79) and right posterior (P = .03; ES 0.62) temporalis and right tibialis anterior (P = .03; ES −0.33) were measured in the headache group. The level of perceived stress was significantly higher (P = .02) in the headache group. Conclusions: Patients with episodic cervicogenic headache present with signs of a preclinical temporomandibular disorder and sensitization. The smaller range of motion, lower pressure pain thresholds, and higher levels of stress accentuate the multidimensionality of the problem.

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“…Chronic migraines with low prevalence produce an extremely high disability [27]. The peak of prevalence of the most frequent primary headaches is in the very period that encompasses occupationally and reproductively active years [28][29][30][31][32]. In a Dutch study with 1781 employees who received a questionnaire, of the 1082 who responded (60.8%), the prevalence of headaches was 53.3%, with 39.8% of participants having at least one type of headache [7].…”

Section: Discussionmentioning

confidence: 99%

“…Numerous studies demonstrated that headaches adversely affect various aspects of the sufferer's life [25][26][27][28][29][30]. Trying to understand how a headache influenced work efficiency in our subjects, we asked them how a headache affects their work by offering several answers and allowing them to specify some other effects of their headaches.…”

Section: Discussionmentioning

confidence: 99%

Impact of Individual Headache Types on the Work and Work Efficiency of Headache Sufferers

Simić

Rabi-Zikic

Villar

et al. 2020

IJERPH

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Background: Headaches have not only medical but also great socioeconomic significance, therefore, it is necessary to evaluate the overall impact of headaches on a patient’s life, including their work and work efficiency. The aim of this study was to determine the impact of individual headache types on work and work efficiency. Methods: This research was designed as a cross-sectional study performed by administering a questionnaire among employees. The questionnaire consisted of general questions, questions about headache features, and questions about the impact of headaches on work. Results: Monthly absence from work was mostly represented by migraine sufferers (7.1%), significantly more than with sufferers with tension-type headaches (2.23%; p = 0.019) and other headache types (2.15%; p = 0.025). Migraine sufferers (30.2%) worked in spite of a headache for more than 25 h, which was more frequent than with sufferers from tension-type and other-type headaches (13.4%). On average, headache sufferers reported work efficiency ranging from 66% to 90%. With regard to individual headache types, this range was significantly more frequent in subjects with tension-type headaches, whereas 91–100% efficiency was significantly more frequent in subjects with other headache types. Lower efficiency, i.e., 0–40% and 41–65%, was significantly more frequent with migraine sufferers. Conclusions: Headaches, especially migraines, significantly affect the work and work efficiency of headache sufferers by reducing their productivity. Loss is greater due to reduced efficiency than due to absenteeism.

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The epidemiology of headache disorders: a face-to-face interview of participants in HUNT4

Cited by 45 publications

References 24 publications

Time trends of major headache diagnoses and predictive factors. Data from three Nord-Trøndelag health surveys

Time trends of major headache diagnoses and predictive factors. Data from three Nord-Trøndelag health surveys

Preclinical Signs of a Temporomandibular Disorder in Female Patients With Episodic Cervicogenic Headache Versus Asymptomatic Controls: A Cross‐Sectional Study

Impact of Individual Headache Types on the Work and Work Efficiency of Headache Sufferers

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