scholarly journals Profiling the Extent and Location of Pain in Migraine and Cervicogenic Headache: A Cross-sectional Single-Site Observational Study

Pain Medicine ◽  
2020 ◽  
Vol 21 (12) ◽  
pp. 3512-3521
Author(s):  
Sureeporn Uthaikhup ◽  
Marco Barbero ◽  
Deborah Falla ◽  
Munlika Sremakaew ◽  
Surat Tanrprawate ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Psychological Distress ◽  
Chronic Migraine ◽  
Episodic Migraine ◽  
Cervicogenic Headache ◽  
Cross Sectional ◽  
Pain Location ◽  
Headache Type ◽  
Pain Extent

Abstract Objectives The primary aim was to quantify and compare the location and extent of pain in people with either episodic migraine, chronic migraine, or cervicogenic headache. A secondary aim was to examine the associations between pain extent and headache features, quality of life, and psychological distress for each headache type. Design A cross-sectional, single-site, observational study. Setting Headache outpatient clinic. Subjects From a sample of 390 patients, 114 patients with migraine or cervicogenic headache (48 episodic migraine, 30 chronic migraine, 36 cervicogenic headache) were eligible for the study. Methods Pain location and extent were determined using a novel approach for digital pain drawing acquisition and analysis. Headache features included intensity and history duration. Quality of life was measured using the SF-36 and psychological distress using the Hospital Anxiety and Depression Scale. Results Overall, pain was most frequently reported in the frontal and temporal regions in patients with either episodic or chronic migraine, whereas pain was most frequent in the suboccipital region in patients with cervicogenic headache. A larger pain extent was moderately correlated with higher headache intensity (rs = 0.53, P = 0.003) and poorer quality of life (rs ranged from –0.36 to –0.40, P < 0.05) in patients with chronic migraine, whereas pain extent was associated with longer headache duration in those with cervicogenic headache (rs = 0.35, P = 0.04). No correlation was found between pain extent and psychological features for any headache type (P > 0.05). Conclusions Despite some differences, there was a large symptomatic overlap between headache types, highlighting the limitations of using pain location in the differential diagnosis of headache.

Patients’ Awareness of Advanced Disease Status, Psychological Distress and Quality of Life Among Patients With Advanced Cancer: Results From the APPROACH Study, India

2021 ◽  
pp. 104990912110428
Author(s):  
Aanchal Satija ◽  
Sushma Bhatnagar ◽  
Semra Ozdemir ◽  
Eric Finkelstein ◽  
Chetna Maholtra ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Psychological Distress ◽  
Advanced Cancer ◽  
Cancer Diagnosis ◽  
Advanced Disease ◽  
Disease Status ◽  
Educational Background ◽  
Solid Cancer ◽  
Cross Sectional

Background: Prognostic disclosure to patients with advanced cancer facilitates treatment decisions and goals of care discussions. However, the perspectives of patients, families and physicians differ in this regard across different cultures. Non-disclosure of cancer diagnosis or prognosis is commonly observed in family-centric cultures such as India. Aim: To assess the prevalence of and factors associated with cancer patients’ awareness of advanced disease status; and its with quality of life and psychological distress. Methods: Patients for this cross-sectional questionnaire-based survey were recruited from oncology and palliative medicine clinics at a tertiary cancer hospital in India from January 2017 to June 2018. Patients aged ≥ 21 years, aware of cancer diagnosis and receiving oncology treatment for Stage IV solid cancer were included in the study after obtaining written informed consent. Results: Two hundred patients were enrolled, of which 146 (73%) were not aware of the stage of their malignancy and 9 (4.5%) believed that their disease was at stage I, II or III. Those who were aware of their advanced cancer stage had more years of education (9.9 years vs 8.1 years, p = .05) and had poorer spiritual wellbeing in the faith domain (adjusted difference −1.6, 95% confidence interval −3.1 to −0.1, p = .03) compared to those who were unaware. Conclusion: It is recommended that future studies may explore prognostic understanding in Indian patients according to their socio-cultural, spiritual and educational background.

scholarly journals A Prospective Observational Cohort Study on Pharmacological Habitus, Headache-Related Disability and Psychological Profile in Patients with Chronic Migraine Undergoing OnabotulinumtoxinA Prophylactic Treatment

Toxins ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 504 ◽  
Author(s):  
Gandolfi ◽  
Donisi ◽  
Marchioretto ◽  
Battista ◽  
Smania ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Psychological Distress ◽  
Coping Strategies ◽  
Chronic Migraine ◽  
Prophylactic Treatment ◽  
Moderate Intensity ◽  
Psychological Profile ◽  
Factors Affecting ◽  
Acute Medication

Chronic Migraine (CM) is a disabling neurologic condition with a severe impact on functioning and quality of life. Successful therapeutic management of patients with CM is complex, and differences in therapeutic response could be attributable to genetically determined factors, sensitivity to pharmacological treatment, psychosocial and relational factors affecting the patient’s compliance and approach on the therapeutic treatment. The aim of this prospective observational study was to explore self-efficacy, coping strategies, psychological distress and headache-related disability in a cohort of 40 patients with CM (mean age: 46.73; standard deviation 13.75) treated with OnabotulinumtoxinA and the relationship between these clinical and psychological aspects and acute medication consumption during OnabotulinumtoxinA prophylactic treatment. Patients presented an overall significant reduction in the Headache Index (HI) (p < 0.001), HI with severe intensity (p = 0.009), and total analgesic consumption (p = 0.003) after the prophylactic treatment. These results are in line with the literature. Despite this, higher nonsteroidal anti-inflammatory drugs consumption was associated with higher psychological distress, higher HI with severe and moderate intensity, and worse quality of life. Conversely, triptans consumption was correlated with HI of mild intensity, and problem-focused coping strategies. To conclude, the psychological profile, and in particular, the psychological distress and specific coping strategies might influence the self-management of acute medication.

Low cognitive reserve is associated with chronic migraine with medication overuse and poor quality of life

Cephalalgia ◽  
2014 ◽  
Vol 35 (8) ◽  
pp. 683-691 ◽  
Author(s):  
Marian Gómez-Beldarrain ◽  
Ane Anton-Ladislao ◽  
Urko Aguirre-Larracoechea ◽  
Isabel Oroz ◽  
Juan Carlos García-Moncó
Keyword(s):  
Quality Of Life ◽  
Chronic Migraine ◽  
Cognitive Reserve ◽  
Medication Overuse ◽  
Univariate Analysis ◽  
Poor Quality ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Sf 36

Objective The objective of this article is to test the hypothesis that cognitive reserve (CR) is related to migraine chronification, medication overuse and poor quality of life in migraineurs. Design/methods A cross-sectional study on patients with chronic migraine with medication overuse (CM-MOH), episodic migraine (EM), and controls, matched by sex, age and education, was carried out. CR was assessed by a specific questionnaire, and quality of life was measured by general and specific questionnaires (SF-36 and MSQoL). Migraine Disability Assessment Scale and Beck questionnaires for depression and anxiety were used. Medication dependence was evaluated by the medication-dependence questionnaire in headache (MDQ-H). Results Fifty-five individuals were enrolled: 18 CM-MOH patients (32.73%), 22 EM patients (40%) and 15 controls (27.27%). Fifty (90.91%) of them were females and aged 43.53 (7.54) years. Univariate analysis showed a significant association between the study group and CR, and all items of the SF-36, anxiety and depression questionnaires, MSQoL and MDQ-H. The lower CR and CM-MOH group were related to a worse quality of life, more anxiety and depression and the highest medication dependence scores. Multivariate analysis showed that higher CR scores were related to higher quality of life as measured by the physical and mental composite scores of the SF-36, and to lower anxiety (beta = −1.08, p = 0.001) and depression (beta = −0.56, p = 0.03) levels. Focusing on MSQoL, the increase in CR was predictive of a better quality of life (beta = 1.88, p < 0.0001). By all the models, the explained variance of the sample ranged from 39% (mental composite score) to 58% (MSQoL). Conclusions Low CR appears to be an independent factor associated with the deterioration of quality of life, the presence of anxiety and depression, and drug dependence and medication overuse in CM-MOH.

scholarly journals Severity of depressive symptoms as predictor of impairment of quality of life in chronic migraine: Comparison with episodic migraine

2008 ◽  
Vol 62 (6) ◽  
pp. 738-740 ◽  
Author(s):  
Leonides Canuet ◽  
Ryouhei Ishii ◽  
Otman Fernandez-Concepcion ◽  
Masao Iwase ◽  
Masatoshi Takeda
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Chronic Migraine ◽  
Episodic Migraine

Describing the psychosocial profile and unmet support needs of parents caring for a child with a life-limiting condition: A cross-sectional study of caregiver-reported outcomes

2020 ◽  
Vol 34 (3) ◽  
pp. 358-366 ◽  
Author(s):  
Anna Collins ◽  
Jodie Burchell ◽  
Cheryl Remedios ◽  
Kristina Thomas
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Psychological Distress ◽  
Unmet Needs ◽  
Support Needs ◽  
Cross Sectional ◽  
Paediatric Palliative Care ◽  
Practical Support ◽  
Limiting Condition

Background: There is a lack of studies examining the prevalence and severity of psychosocial distress in parents caring for a child with life-limiting condition. More research is also needed to better understand the experience, support needs and quality-of-life of this population. Aim: To describe the experience and support needs of caring for children with life-limiting conditions and examine the level of distress and quality-of-life experienced by parents. Design: Cross-sectional, prospective, quantitative study guided by an advisory group. Participants completed a survey that included demographics and self-report outcome measures of unmet support needs, appraisal of caregiving, psychological distress and quality-of-life. Bivariate correlation analyses were performed to examine for associations between measures. Setting/participants: Parents currently caring for one or more children (⩽18 years) with a life-limiting condition and registered with a paediatric palliative care service (Australia). Results: In total, 143 parents (88% female) completed the questionnaire (36% RR). Compared with population norms, participants reported low quality-of-life, high carer burden and high psychological distress. Almost half (47%) of the sample met the criteria for one or more diagnoses of clinically elevated stress, anxiety or depression. There were significant associations between the psychosocial outcome variables; carer strain and depression had the strongest correlations with quality-of-life ( r = –.63, p < .001, for both). Participants also reported multiple unmet needs related to emotional and practical support. Conclusions: This study contributes to the growing body of evidence on paediatric palliative care, specifically that parents caring for a child with a life-limiting condition report high levels of distress and burden, low quality-of-life and need more emotional and practical support targeted at their unmet needs. Paediatric palliative care services should routinely assess parent mental health and provide appropriate support.

scholarly journals Psychological distress as predictor of quality of life in men experiencing infertility: a cross-sectional survey

2010 ◽  
Vol 7 (1) ◽  
Author(s):  
Juliana L R Chachamovich ◽  
Eduardo Chachamovich ◽  
Hélène Ezer ◽  
Fernanda P Cordova ◽  
Marcelo M P Fleck ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Psychological Distress ◽  
Cross Sectional Survey ◽  
Cross Sectional

scholarly journals Psychological distress and quality of life of Malaysian infertile couples

2020 ◽  
Vol 10 (1) ◽  
pp. 61
Author(s):  
Noorfaizah Ibrahim ◽  
Salina Mohamed ◽  
Zaliha Ismail ◽  
Mohd Razali Salleh
Keyword(s):  
Quality Of Life ◽  
Psychological Distress ◽  
Intrauterine Insemination ◽  
Previous History ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Significant Variable ◽  
Cross Sectional ◽  
Infertile Couples

Background: Infertility is an intense situation experienced by couples that causes emotional discomfort and worsening of their quality of life (QoL). The husband and wives of the infertile couples may reacted differently to stress.Methods: This is a cross-sectional study involving 100 infertile couples attending fertility clinics. Cases were selected by systematic random sampling. The severity of depression, anxiety and stress was measured using the Depression, Anxiety and Stress Scale (DASS-21) and QoL was assessed with the Fertility Quality of Life (FertiQoL) questionnaire.Results: Multivariate analysis revealed that depression, anxiety and stress-related difficulties were reported at a higher level by wives (p<0.001). Total Ferti QoL scores were significantly higher in husbands (p<0.001). The female gender (wives) was the only significant variable associated with the severity of all three DASS-21 sub-scale scores (p <0.001) and considered as a high-risk factor for psychological distress. Poor Qol were significantly associated with wives (p<0.001), male cause of infertility (p=0.004), primary infertility (p=0.022) and previous history of receiving intrauterine insemination (IUI) (p =0.020).Conclusions: The wives of the infertile couples were at higher risk of developing psychological distress and had poor QoL than their husbands. The severity of the anxiety, depression and stress were adversely affected the QoL.

scholarly journals The relationship among social support, experienced stigma, psychological distress, and quality of life among tuberculosis patients in China

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Xu Chen ◽  
Jia Xu ◽  
Yunting Chen ◽  
Ruiheng Wu ◽  
Haoqiang Ji ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Psychological Distress ◽  
Structural Equation ◽  
Liaoning Province ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Mediating Role ◽  
Complex Relationships

AbstractThe complex relationships among social support, experienced stigma, psychological distress, and quality of life (QOL) among tuberculosis (TB) patients are insufficiently understood. The purpose of this study was to explore the interrelationships among social support, experienced stigma, psychological distress, and QOL and to examine whether experienced stigma and psychological distress play a mediating role. A cross-sectional survey was conducted between November 2020 and March 2021 in Dalian, Liaoning Province, Northeast China. Data were obtained from 473 TB patients using a structured questionnaire. Structural equation modelling was used to examine the hypothetical model. The research model provided a good fit to the measured data. All research hypotheses were supported: (1) social support, experienced stigma and psychological distress were associated with QOL; (2) experienced stigma fully mediated the effect of social support on psychological distress; (3) psychological distress fully mediated the effect of experienced stigma on QOL; and (4) experienced stigma and psychological distress were sequential mediators between social support and QOL. This study elucidated the pathways linking social support, experienced stigma, and psychological distress to QOL and provides an empirical basis for improving the QOL of TB patients.

Sign in / Sign up

Export Citation Format

Share Document