scholarly journals Tension-type headache and sleep apnea in the general population

2010 ◽  
Vol 12 (1) ◽  
pp. 63-69 ◽  
Author(s):  
Håvard Anton Kristiansen ◽  
Kari Jorunn Kværner ◽  
Harriet Akre ◽  
Britt Øverland ◽  
Michael Bjørn Russell
Keyword(s):  
Sleep Apnea ◽  
General Population ◽  
Tension Type Headache ◽  
Type Headache

Headache in sleep apnea syndrome: Epidemiology and pathophysiology

Cephalalgia ◽  
2014 ◽  
Vol 34 (10) ◽  
pp. 752-755 ◽  
Author(s):  
Michael B Russell ◽  
Håvard A Kristiansen ◽  
Kari J Kværner
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
General Population ◽  
Oxygen Saturation ◽  
Sleep Apnea Syndrome ◽  
Tension Type Headache ◽  
Obstructive Sleep ◽  
Morning Headache ◽  
Apnea Syndrome ◽  
Type Headache

This review investigates the relation between obstructive sleep apnea and sleep apnea headache, migraine and tension-type headache. Focus is made on studies from the general population with interviews conducted by a physician and obstructive sleep apnea confirmed by polysomnography. Obstructive sleep apnea syndrome is observed in 3% of the middle-aged population. The prevalence of sleep apnea headache in this population is 12%–18%, while morning headache with similar symptomatology as sleep apnea headache occur in 5%–8% of the general population. People with sleep apnea headache did have significantly more minutes below 90% oxygen saturation (23.1 min vs. 1.9 min, p = 0.002), higher level of average oxygen desaturation (5.9% vs. 4.5%, p < 0.001) and lower average of the lowest oxygen saturation (80.9% vs. 88.5%, p < 0.001) than people with morning headache. A comparison of those with obstructive sleep apnea with or without sleep apnea headache showed no significant differences. Thus, oxygen desaturation alone cannot explain the pathophysiology of sleep apnea headache. Obstructive sleep apnea and migraine, and obstructive sleep apnea and tension-type headache are not related in the general population. The cause of sleep apnea headache remains to be elucidated.

Population-Based Validation of a German-Language Self-Administered Headache Questionnaire

Cephalalgia ◽  
2008 ◽  
Vol 28 (6) ◽  
pp. 605-608 ◽  
Author(s):  
M-S Yoon ◽  
M Obermann ◽  
G Fritsche ◽  
M Slomke ◽  
P Dommes ◽  
...  
Keyword(s):  
General Population ◽  
Population Sample ◽  
Population Based ◽  
Tension Type Headache ◽  
German Language ◽  
General Population Sample ◽  
Trigeminal Autonomic Cephalalgia ◽  
Screening Questionnaires ◽  
Headache Clinic ◽  
Type Headache

We validated a German-language self-administered headache questionnaire for migraine (M), tension-type headache (TTH) and trigeminal autonomic cephalalgia (TAC) in a general population sample of people with headache. Randomly selected subjects ( n = 240) diagnosed by the questionnaire as M ( n = 60), TTH ( n = 60), a combination of M and TTH (M+TTH, n = 60) and TAC ( n = 60) were invited for examination by headache specialists. One hundred and ninety-three subjects (80%) were studied. Sensitivity and specificity for M were 0.85 and 0.85, for TTH 0.6 and 0.88, for M+TTH 0.82 and 0.87, respectively. Cohen's κ was 0.6 (95% confidence interval 0.50, 0.71). Of 45 patients with TAC according to the questionnaire, physicians diagnosed cluster headache in two patients only. We conclude: (i) the questionnaire can be used to diagnose M, TTH and M+TTH, but not TAC; (ii) screening questionnaires for epidemiological research should be validated in a general population sample but not in a tertiary headache clinic.

Interrelations Between Migraine and Tension-Type Headache in the General Population

1992 ◽  
Vol 49 (9) ◽  
pp. 914-918 ◽  
Author(s):  
B. K. Rasmussen ◽  
R. Jensen ◽  
M. Schroll ◽  
J. Olesen
Keyword(s):  
General Population ◽  
Tension Type Headache ◽  
Type Headache

Interrelation of Chronic Tension-Type Headache With and Without Medication Overuse and Migraine in the General Population: The Akershus Study of Chronic Headache

Cephalalgia ◽  
2009 ◽  
Vol 29 (3) ◽  
pp. 331-337 ◽  
Author(s):  
K Aaseth ◽  
RB Grande ◽  
C Lundqvist ◽  
MB Russell
Keyword(s):  
General Population ◽  
Chronic Headache ◽  
Medication Overuse ◽  
Age At Onset ◽  
Tension Type Headache ◽  
Chronic Tension Type Headache ◽  
Increased Risk ◽  
Type Headache ◽  
Complex Matter

We studied the interrelation of chronic tension-type headache with and without medication overuse (CTTH) and migraine in a random sample of 30 000 persons aged 30–44 years. They received a mailed questionnaire. Those with a possible chronic headache were interviewed by neurological residents. The International Classification of Headache Disorders was used. A total of 386 persons had CTTH. Compared with the general population, men had a 2.8-fold and women a 2.4-fold significantly increased risk of migraine without aura (MO). The risk of migraine with aura (MA) was not increased. The mean age at onset of CTTH was significantly higher in those with than in those without co-occurrence of MO. Bilateral MO attacks were significantly more frequent in those with age at onset of CTTH prior to age at onset of MO compared with those with age at onset in reverse order. CTTH and MO are interrelated, possibly in a complex matter. In contrast, CTTH and MA are not interrelated.

Headache and schizophrenia – A cross-sectional cohort study on prevalence, characteristics and management

2016 ◽  
Vol 33 (S1) ◽  
pp. S576-S576
Author(s):  
J. Connaughton ◽  
B. Wand
Keyword(s):  
General Population ◽  
Manual Therapy ◽  
Best Practice ◽  
Health Workers ◽  
Cervicogenic Headache ◽  
Tension Type Headache ◽  
Cross Sectional ◽  
Headache Type ◽  
Competing Interest ◽  
Type Headache

IntroductionHeadache is the most common pain reported by people with schizophrenia. Little research has been conducted into the characteristics and management of headaches in this population.ObjectivesDetermine the prevalence, type and management of headache in people with schizophrenia.AimsIdentify if best practice treatment of headache occurs and if changes are required to assure people receive appropriate management.MethodsOne hundred consecutive people with schizophrenia and schizoaffective disorder completed an extensive, reliable and valid headache questionnaire. Based on the questionnaire responses two clinicians independently classified each person's headache as either migraine headache (MH), tension type headache (TTH), cervicogenic headache (CGH) or other headache type (OH). Any discrepancies were resolved by consensus agreement.ResultsTwelve-month prevalence of headache (57%) was higher than the general population (46%) with no evidence of relationship between psychiatric clinical characteristics and presence of headache. Prevalence of CGH (5%) and MH (18%) were comparable to the general population. TTH (16%) had a lower prevalence. Nineteen percent of participant's headache was classified as OH type. No participant with MH was prescribed migraine specific medication. Only 1 of the 5 people whose headache was classified as CGH received manual therapy and none had been prescribed exercises. No people with TTH received manual therapy, exercise prescription or postural review.ConclusionsIt is recommended that education is required for patients and mental health workers about headache classification and the appropriate care pathways for different headache types.Disclosure of interestThe authors have not supplied their declaration of competing interest.

A 3-Year Follow-Up of Headache Diagnoses and Symptoms in Swedish Schoolchildren

Cephalalgia ◽  
2006 ◽  
Vol 26 (7) ◽  
pp. 809-815 ◽  
Author(s):  
K Laurell ◽  
B Larsson ◽  
P Mattsson ◽  
O Eeg-Olofsson
Keyword(s):  
General Population ◽  
Female Gender ◽  
Tension Type Headache ◽  
Annual Incidence ◽  
Childhood Headache ◽  
Average Annual Incidence ◽  
Headache Diagnosis ◽  
Type Headache

Information is sparse concerning the incidence and prognosis of headache in children from the general population, especially of tension-type headache. In this study, headache diagnoses and symptoms were reassessed in 122 out of 130 schoolchildren after 3 years. Nearly 80± of those with headache at first evaluation still reported headache at follow-up. Although the likelihood of experiencing the same headache diagnosis and symptoms was high, about one-fifth of children with tension-type headache developed migraine and vice versa. Female gender predicted migraine and frequent headache episodes predicted overall headache at follow-up. The estimated average annual incidence was 81 and 65 per 1000 children, for tension-type headache and migraine, respectively. We conclude that there is a considerable risk of developing and maintaining headache during childhood. Headache diagnoses should be reassessed regularly and treatment adjusted. Girls and children with frequent headache have a poorer prognosis and therefore intervention is particularly important in these groups.

scholarly journals Prevalence of tension-type headache in adult general population: the PACE study and review of the literature

2013 ◽  
Vol 34 (S1) ◽  
pp. 137-138 ◽  
Author(s):  
T. Ferrante ◽  
G. C. Manzoni ◽  
M. Russo ◽  
C. Camarda ◽  
A. Taga ◽  
...  
Keyword(s):  
General Population ◽  
Tension Type Headache ◽  
Review Of The Literature ◽  
Type Headache

scholarly journals Pain Sensitivity Mediates The Relationship between Stress and Headache Intensity in Chronic Tension-Type Headache

2012 ◽  
Vol 17 (6) ◽  
pp. 377-380 ◽  
Author(s):  
Stuart Cathcart ◽  
Navjot Bhullar ◽  
Maarten Immink ◽  
Chris Della Vedova ◽  
John Hayball
Keyword(s):  
General Population ◽  
Pain Sensitivity ◽  
Tension Type Headache ◽  
Nonparametric Bootstrap ◽  
Bootstrap Analysis ◽  
Chronic Tension Type Headache ◽  
Headache Intensity ◽  
Study Support ◽  
Type Headache ◽  
The Relationship

BACKGROUND: A central model for chronic tension-type headache (CTH) posits that stress contributes to headache, in part, by aggravating existing hyperalgesia in CTH sufferers. The prediction from this model that pain sensitivity mediates the relationship between stress and headache activity has not yet been examined.OBJECTIVE: To determine whether pain sensitivity mediates the relationship between stress and prospective headache activity in CTH sufferers.METHOD: Self-reported stress, pain sensitivity and prospective headache activity were measured in 53 CTH sufferers recruited from the general population. Pain sensitivity was modelled as a mediator between stress and headache activity, and tested using a nonparametric bootstrap analysis.RESULTS: Pain sensitivity significantly mediated the relationship between stress and headache intensity.CONCLUSIONS: The results of the present study support the central model for CTH, which posits that stress contributes to headache, in part, by aggravating existing hyperalgesia in CTH sufferers. Implications for the mechanisms and treatment of CTH are discussed.

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