Interaction between anxiety, depression, quality of life and clinical parameters in chronic tension-type headache

Aim. To estimate the effect of reflexotherapy and standard pharmacological therapy on quality of life in patients with chronic tension-type headache (CTTH).Materials and methods. 95 patients (16 men and 79 women) with CTTH have been taken as the object of research. All patients were divided into two clinical groups. Patients of group 1 received amitriptyline 35-70 mg/day and tolperisone 450 mg/day. Patients of group 2 were assigned to 2-4 courses of injecting reflexotherapy according to the suggested methodology. The intensity of headache was assessed on the basis of scores on the Visual Analogous Scale (VAS). The quality of life was evaluated in all the patients with the aid of the SF-36 survey.Results. In both clinical groups there was decrease in quality of life in all scales except physical function (PF). All patients positively evaluated the results of the treatment. The intensity of pain reduced to 1,7±0,78 points (p<0,05) in the 1st group and 1,65±0,79 (p<0,05) in the 2nd group. As a result of the treatment, quality of life improved significantly in all scales except social function (SF). This index didn't statistically differ in both groups (p>0,05).Conclusion. CTTH significantly affect physical and mental components of patients’ health. The results obtained from the study showed the potential use of injecting reflexotherapy as treatment for CTTH.

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Combination of tizanidine and amitriptyline in the prophylaxis of chronic tension–type headache: evaluation of efficacy and impact on quality of life

The Journal of Headache and Pain ◽

10.1007/s10194-005-0251-5 ◽

2005 ◽

Vol 7 (1) ◽

pp. 34-36 ◽

Cited By ~ 27

Author(s):

D. Bettucci ◽

L. Testa ◽

S. Calzoni ◽

P. Mantegazza ◽

M. Viana ◽

...

Keyword(s):

Quality Of Life ◽

Tension Type Headache ◽

Chronic Tension Type Headache ◽

Type Headache

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Health-related quality of life in tension-type headache: a population-based study

Scandinavian Journal of Pain ◽

10.1515/sjpain-2020-0166 ◽

2021 ◽

Vol 0 (0) ◽

Cited By ~ 1

Author(s):

Sait Ashina ◽

Dawn C. Buse ◽

Jakob B. Bjorner ◽

Lars Bendtsen ◽

Ann C. Lyngberg ◽

...

Keyword(s):

Quality Of Life ◽

Episodic Migraine ◽

Tension Type Headache ◽

Eysenck Personality Questionnaire ◽

Health Related Quality ◽

Self Rated Health ◽

Related Quality ◽

Health Related ◽

Type Headache

Abstract Objectives Tension-type headache (TTH) is the most prevalent primary headache disorder. We assessed the cross-sectional impact of TTH on health related quality of life (HRQoL) in a general population. We also examined the association of HRQoL scores with headache frequency, disability, medication overuse, poor self-rated health, psychiatric comorbidity, and pain sensitivity in individuals with TTH. Methods A sample of 547 subjects completed a headache diagnostic interview, the SF-12 to calculate physical (PCS) and mental (MCS) health component scores, depression (major depression inventory [MDI]) and neuroticism (Eysenck Personality Questionnaire) measures. We defined the following headache diagnosis categories: pure TTH, pure migraine, and coexistent headache (TTH + migraine). Cases were further classified into chronic (≥15) or episodic (<15 headache days/month). Results Using generalized linear models (GLM) adjusted for age, sex and education, both PCS-12 and MCS-12 scores varied in groups distinguished by migraine and TTH status; scores were lower for individuals with coexistent headache (TTH + migraine; n=83), followed by pure TTH (n=97) and pure migraine (n=43) compared to the no headache group (n=324) (p≤0.001). In analyses considering chronicity, PCS-12 scores were lower in chronic coexistent headache followed by pure chronic TTH (CTTH), episodic migraine +/− episodic TTH (ETTH) and pure ETTH than in the no headache group (p≤0.001). MCS-12 scores were lower in pure CTTH, followed by chronic coexistent headache, episodic migraine +/− ETTH and pure ETTH compared to the no headache group (p≤0.001). Multiple regression models showed that in TTH, lower PCS-12 scores were associated with age (p=0.04), female sex (p=0.02), and poor self-rated health (p≤0.001). Lower MCS-12 scores in TTH were associated with depression (p≤0.001). Conclusions In a population sample, TTH, and to higher degree CTTH, are associated with decreased HRQoL.

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Increased Pericranial Tenderness, Decreased Pressure Pain Threshold, and Headache Clinical Parameters in Chronic Tension-type Headache Patients

Clinical Journal of Pain ◽

10.1097/ajp.0b013e31803b3770 ◽

2007 ◽

Vol 23 (4) ◽

pp. 346-352 ◽

Cited By ~ 57

Author(s):

C??sar Fern??ndez-de-las-Pe??as ◽

Maria Luz Cuadrado ◽

Lars Arendt-Nielsen ◽

Hong-You Ge ◽

Juan A. Pareja

Keyword(s):

Pain Threshold ◽

Pressure Pain Threshold ◽

Tension Type Headache ◽

Clinical Parameters ◽

Pressure Pain ◽

Chronic Tension Type Headache ◽

Type Headache ◽

Headache Patients

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Psychophysical testing in chronic migraine and chronic tension type headache: An observational study

Cephalalgia ◽

10.1177/03331024211060315 ◽

2021 ◽

pp. 033310242110603

Author(s):

Ignacio Elizagaray-García ◽

Gabriela F Carvalho ◽

Tibor M Szikszay ◽

Waclaw M Adamczyk ◽

Gonzalo Navarro-Fernández ◽

...

Keyword(s):

Chronic Migraine ◽

Tension Type Headache ◽

Headache Frequency ◽

Chronic Tension Type Headache ◽

Psychophysical Testing ◽

Pressure Pain Thresholds ◽

Type Headache ◽

Neck Disability ◽

Painful Area

Background Clinical presentation is the key to the diagnosis of patients with migraine and tension-type headache, but features may overlap when both become chronic. Psychophysical parameters may distinguish both conditions. We aimed to compare psychophysical aspects of patients with chronic migraine, chronic tension-type headache and headache-free controls, and to determine whether these can predict headache frequency. Methods An examiner blinded to the diagnosis assessed 100 participants (chronic migraine (n = 38), chronic tension-type headache (n = 31) and controls (n = 31)). Assessed variables included painful area, pressure pain thresholds, temporal summation, cervical range of motion, neck posture, headache and neck impact, quality of life, and kinesiophobia. Comparison between groups was performed with one-way ANOVA and multiple linear regression was used to assess the headache frequency predictors. Results We found differences of both headache groups compared to controls ( p < 0.01), but not between headache groups. Neck disability was a significant predictor of headache frequency for chronic tension-type headache (adjusted R2 = 0.14; β = 0.43; p = 0.03) and chronic migraine (adjusted R2 = 0.18; β = 0.51; p < 0.01). Conclusions Chronic tension-type headache and chronic migraine showed similar psychophysical results, but were significantly worse when compared to controls. The psychophysical examination did not discriminate between headache types. The variable best explaining headache frequency for both headache types was neck disability.

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Tension Type Headache

Handbook of Research on Advancements of Artificial Intelligence in Healthcare Engineering - Advances in Healthcare Information Systems and Administration ◽

10.4018/978-1-7998-2120-5.ch017 ◽

2020 ◽

pp. 318-358 ◽

Cited By ~ 1

Author(s):

Rohit Rastogi ◽

Devendra Kumar Chaturvedi ◽

Mayank Gupta

Keyword(s):

Quality Of Life ◽

Internet Of Things ◽

Daily Life ◽

Research Work ◽

Tension Type Headache ◽

Common Type ◽

Fast Pace ◽

Type Headache ◽

Environment Stress

Development in the field of technology is growing with a fast pace, mainly the IoT (internet of things). It is an interface between machine-to-machine, machine-to-human, machine-to-infrastructure as well as machine-to-environment. Stress, especially TTH (tension type headache), is a serious problem in today's world. Now every person in this world is facing headache and stress-related problems in daily life. To measure the stress level, the authors have introduced the concept of EEG, EMG, and GSR biofeedback. In case of TTH, human is in a state in which one experiences pain like a physical weight or a tight band around one's head. TTH is different from migraine as it can be affected due to everyday activities. The most common type of primitive headache is tension type headache (TTH). The focus of the research work was to compare the impression of EMG-, GSR-, and EEG-integrated biofeedback on stress due to headache and quality of life of the subjects under consideration.

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The number of active trigger points is associated with sensory and emotional aspects of health-related quality of life in tension type headache

Scandinavian Journal of Pain ◽

10.1016/j.sjpain.2017.04.008 ◽

2017 ◽

Vol 16 (1) ◽

pp. 166-166

Author(s):

M. Palacios-Ceña ◽

K. Wang ◽

M. Castaldo ◽

S. Fuensalida-Novo ◽

C. Ordás-Bandera ◽

...

Keyword(s):

Quality Of Life ◽

Bodily Pain ◽

Trigger Points ◽

Tension Type Headache ◽

Health Related Quality ◽

Emotional Role ◽

Related Quality ◽

Health Related ◽

Type Headache

Abstract Aims Some evidence supports that referred pain elicited by active trigger points (TrPs) reproduces some features of tension type headache (TTH). Our aim was to investigate the association between the number of active TrPs and health-related quality of life TTH. Methods Patients with TTH diagnosed by experienced neurologists according to the last International Headache Classification (ICHD-III) were included. Exclusion criteria included other primary headaches, medication overuse headache, whiplash injury or fibromyalgia. TrPs were bilaterally explored within the masseter, temporalis, trapezius, sternocleidomastoid, splenius capitis, and suboccipital. Health-related quality of life was assessed with the SF-36 questionnaire including 8 domains: physical functioning, physical role, bodily pain, general health, vitality, social functioning, role-emotional, and mental health. Higher scores represent better quality of life. Spearman correlation coefficients were used to determine correlations between the active TrPs and SF-36. Results Two hundred and two patients (mean age: 45±12 years) with a headache frequency of 17±7 days/month participated. Each patient with TTH exhibited 4.7±2.9 active TrPs. The number of active TrPs showed moderate weak negative associations with bodily pain (rs: −0.216; P =0.002), emotional role (rs: -0.185; P = 0.008) and vitality (rs: –0.161; P = 0.02), but not with the remaining domains: the higher the number of active TrPs, the worse the emotional role and vitality and the higher the pain interference with daily life. These results were similar in both frequent episodic and chronic TTH. Conclusions The number of active TrPs was associated with sensory and emotional aspects of quality of life in a cohort of subjects with TTH.

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Is There a Relation between Tension-Type Headache, Temporomandibular Disorders and Sleep?

Pain Research and Treatment ◽

10.1155/2013/845684 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

N. Caspersen ◽

J. R. Hirsvang ◽

L. Kroell ◽

F. Jadidi ◽

L. Baad-Hansen ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Temporomandibular Disorders ◽

Health Impact ◽

Tension Type Headache ◽

Poor Sleep ◽

Pain Scores ◽

Type Headache ◽

First Time

Introduction. Tension-Type Headache (TTH) is the most prevalent headache often associated with impaired function and quality of life. Temporomandibular Disorders (TMD) and TTH frequently coexist; characterized by pericranial tenderness and impact on daily life. We aim to apply a standardized questionnaire for TMD to characterize and analyse an eventual relation between sleep and oral health in TTH in a controlled design. Material and Methods. 58 consecutive TTH patients and 58 healthy controls were included. The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) questionnaire, Oral Health Impact profile (OHIP) and questionnaires for sleep were applied. Results. TTH-patients had significantly higher pain scores (), decreased quality of life (), and higher total sleep scores () compared to controls. Conclusion. For the first time we have identified a clear relation between TTH and TMD symptoms, depression, anxiety, poor sleep, and impairments of oral function in carefully classified patients. These findings indicate a close, but incomplete, overlap between TTH and TMD. Their underlying pathophysiological mechanisms need further research.

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