scholarly journals Clinical Patterns and Psychiatric Comorbidity of Headache: A Study from Tertiary Hospital

2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Dr. Kodali Madhavi ◽  
Dr. P.Krishna Mohan ◽  
Dr. Sai kiran Pasupula
Keyword(s):  
Psychiatric Disorders ◽  
Primary Headache ◽  
Tertiary Hospital ◽  
Tension Type Headache ◽  
Medical Disorder ◽  
Prior Consent ◽  
Co Morbidity ◽  
Icd 10 ◽  
Clinical Patterns ◽  
Type Headache

Background: Headache is the most common medical disorder with a lifetime prevalence of over 90% . Headache is commonly associated with psychiatric syndromes where psychiatrists are often consulted for the evaluation and treatment of people suffering from it. Aim: To study the clinical patterns and psychiatric co-morbidity of the patients suffering from headache attending to department of psychiatry in a general hospital. Methodology: After prior consent, Socio-demographic details and the clinical details of the headache were collected and the diagnosis of the headache was coded using ICHD. Psychiatric diagnosis was made using ICD-10 with the help of consultant. Results: Majority of the subjects (69.1%) presented with primary headache. Tension type headache (49.1%) was the most common type of headache followed by migraine (18.2%). Secondary headaches were seen in 30.9% of individuals. Conclusion: Headache is commonly co-morbid with psychiatric disorders. Early identification of psychiatric disorders helps in proper management and treatment of the individuals with headache.

Psychiatric co-morbidity among patients with primary headache

2020 ◽  
Vol 30 (2) ◽  
pp. 32-35
Author(s):  
Sifat E Syed ◽  
MSI Mullick ◽  
MA Hannan
Keyword(s):  
Psychiatric Disorder ◽  
Sampling Technique ◽  
Primary Headache ◽  
Cross Sectional Study ◽  
Tension Type Headache ◽  
Cross Sectional ◽  
Co Morbidity ◽  
Outpatient Departments ◽  
Type Headache ◽  
Headache Patients

Headache is the commonest complaint in neurology outpatient departments (OPD) and the co- existence of psychiatric disorders with headache is an established fact. This study was aimed to estimate the proportion of adult headache patients suffering from psychiatric co-morbidity and to see the possible association between headache pattern and psychiatric disorders.This cross sectional study was done among 51 sample of neurology OPD of BSMMU. International Classification of Headache Disorders (ICHD-3) was used to determine the types of headache and Mini International Neuropsychiatric Interview (MINI) was used to diagnose psychiatric disorder. Purposive sampling technique was used and data was collected using face-to-face interview from January, 2015 to June, 2015. New and old cases of primary headache of both sexes who were 15-65 years old were taken as samples. The results found that tension type headache was the commonest type of headache and total 62.7% of headache patients suffered from psychiatric disorder. Among them, 39.2% had depressive disorder and 17.6% had anxiety disorders. Logistic regression revealed that higher duration and frequency of headache was a predictor of having psychiatric comorbidity (OR= 1.7). This small study shows the need of larger research in this issue and also points out the importance of psychiatric intervention for headache patients. Bang J Psychiatry December 2016; 30(2): 32-35

scholarly journals Association of Hypothyroidism with Infrequent Tension-Type Headache

2021 ◽  
Vol 7 (1) ◽  
pp. 60-64
Author(s):  
Rafiqul Islam ◽  
Monsur Habib ◽  
Farida Khatun ◽  
Uzzwal Kumar Mallick ◽  
Md Mamnur Rashid ◽  
...  
Keyword(s):  
Subclinical Hypothyroidism ◽  
Tertiary Care ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Overt Hypothyroidism ◽  
Care Hospital ◽  
Primary Headache Disorders ◽  
Co Morbidity ◽  
Significant Difference ◽  
Type Headache

Background: Tension-type headache is a common neurological problem among general population of Bangladesh. Objective: This study was undertaken to ascertain the frequency of subclinical and over hypothyroidism in patients with infrequent TTH. Methodology: This study was conducted in a tertiary care hospital Dhaka medical college in Bangladesh. The study subjects consisted of 200 patients primary headache disorders. Thyroid function test were performed. All four sub-types of tension type headache were considered to include in the study, namely: Infrequent episodic (or infrequent), frequent episodic (or frequent), chronic sub-type and probable sub-type. Result: Forty percent (40%) patients in this study had infrequent TTH, 30% had frequent episodic TTH, 21% had chronic sub-type of TTH and 9% patients had probable sub-type of TTH. overt hypothyroidism. Among 46 patients with frequent episodic TTH 10 patients had subclinical hypothyroidism and 4 patients had overt hypothyroidism. Out of 18 patients with probable TTH 3 patients had subclinical hypothyroidism but no patient was overt hypothyroid. Out of 42 chronic TTH patients 12 had subclinical and another 12 had overt hypothyroidism. Statistically significant difference was seen among different sub-types of headache in relation to thyroid status. Conclusion: Hypothyroidism is found to be a co morbidity or precipitating factors to be development of infrequent type of tension-type headache. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 60-64

The high level of psychiatric disorders associated with migraine or tension-type headache in adolescents

2017 ◽  
Author(s):  
Gülen Güler ◽  
Kütük Meryem Ozlem ◽  
Toros Fevziye ◽  
Özge Aynur ◽  
Taşdelen Bahar
Keyword(s):  
Psychiatric Disorders ◽  
Tension Type Headache ◽  
Type Headache ◽  
High Level

Symptomatic Overlap and Therapeutic Opportunities in Primary Headache

2014 ◽  
Vol 28 (4) ◽  
pp. 413-418 ◽  
Author(s):  
Roger Cady ◽  
Sandy Yacoub Garas ◽  
Ketu Patel ◽  
Andrew Peterson ◽  
Richard Wenzel
Keyword(s):  
Screening Tool ◽  
Primary Headache ◽  
The United States ◽  
Tension Type Headache ◽  
Use Case ◽  
Diagnostic Screening ◽  
Sinus Headache ◽  
Type Headache ◽  
Uncertain Etiology ◽  
Underlying Pathology

Headache, a nearly universal experience, remains costly, disabling, and often suboptimally managed. The most common presentations in the United States are migraine, tension-type headache (TTH) and “sinus” headache, but their extensive symptomatic overlap suggests that these conditions can be approached as variations in the same underlying pathology and managed accordingly. We use case studies of patients with varying prior diagnoses (none, migraine, TTH, and sinus headache), as well as a 4-question diagnostic screening tool, to illustrate how pharmacists can use this conceptual framework to simplify identification, management, and referral of patients with primary headache conditions of uncertain etiology.

Psychopathology in children and adolescents with primary headaches: Categorical and dimensional approaches

Cephalalgia ◽  
2013 ◽  
Vol 33 (16) ◽  
pp. 1311-1318 ◽  
Author(s):  
Francesco Margari ◽  
Elisabetta Lucarelli ◽  
Francesco Craig ◽  
Maria G Petruzzelli ◽  
Paola A Lecce ◽  
...  
Keyword(s):  
Behavioral Problems ◽  
Child Psychopathology ◽  
Psychiatric Comorbidity ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Emotional And Behavioral Problems ◽  
Control Group ◽  
Primary Headaches ◽  
Healthy Children ◽  
Type Headache

Background Recurrent headache is common in childhood, but there is not a great amount of data on the associations between headaches and psychopathology in children. Objective The aim of this study is to examine the relationships between primary headaches and psychopathology in children, using both the categorical and dimensional assessment. Methods The sample consisted of 70 patients with primary headache compared to a matched sample of 50 healthy children. Psychiatric comorbidity was defined according to the diagnostic criteria of the Diagnostic and Statistical Manual of Disorders. Child psychopathology outcomes were assessed using child- and parent-reported standardized instruments. Results Internalizing and externalizing problems were significantly represented among children with headaches compared to the control group, respectively 63% and 27%, without significant differences between migraine and tension-type headache children. Moreover, a total of 26% of the children with a headache reported psychiatric comorbidity such as anxiety and mood disorders. Conclusion The dimensional approach improves accuracy in the recognition of emotional and behavioral problems compared to the categorical approach; however, the use of both of these approaches could be useful for clinical practice, treatment and research.

Peripheral Autonomic Potentials in Primary Headache and Drug-Induced Headache

Cephalalgia ◽  
1998 ◽  
Vol 18 (4) ◽  
pp. 216-221 ◽  
Author(s):  
S Evers ◽  
H Voss ◽  
B Bauer ◽  
P Sörös ◽  
I-W Husstedt
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Drug Abuse ◽  
Healthy Subjects ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Low Back ◽  
Drug Induced ◽  
Type Headache ◽  
Drug Induced Headache

Autonomic functions of different primary headache types have been investigated in several studies, most of them analyzing cardiovascular reflex mechanisms or biochemical changes. The results are contradictory; only in tension-type headache and in cluster headache has a sympathetic hypofunction been shown in a preponderance of studies. We analyzed the peripheral autonomous potentials (PAPs) in different primary headache types and in drug-induced headache and compared the results with those of healthy subjects and of patients with low back pain. Latencies of PAPs were significantly increased in all headache types but not in low back pain; amplitudes of PAPs did not show significant differences compared to healthy subjects. Patients with a long duration of drug abuse had increased PAP latencies, whereas patients with a high number of migraine attacks per year had decreased latencies. Our data suggest that sympathetic hypo-function as measured by PAP latencies is a general phenomenon in headache but not in all pain syndromes. Drug abuse leads to an increase of this hypofunction. While measuring PAPs is not an appropriate method by which to differentiate between headache disorders, it allows assessment of autonomic disturbances in primary and drug-induced headache.

scholarly journals Prevalence and impact of headache in undergraduate students in Southern Brazil

2010 ◽  
Vol 68 (6) ◽  
pp. 873-877 ◽  
Author(s):  
Asdrubal Falavigna ◽  
Alisson Roberto Teles ◽  
Maíra Cristina Velho ◽  
Viviane Maria Vedana ◽  
Roberta Castilhos da Silva ◽  
...  
Keyword(s):  
Undergraduate Students ◽  
International Headache Society ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Significant Difference ◽  
Headache Episode ◽  
Headache Type ◽  
Probable Migraine ◽  
Type Headache ◽  
The University

OBJECTIVE: To determine the prevalence, characteristics and impact of headache among university students. METHOD: The criteria established by the International Headache Society were used to define the primary headache subtypes and the Migraine Disability Assessment Questionnaire (MIDAS), to assess the disability. The students were then grouped into six categories: [1] migraine; [2] probable migraine; [3] tension-type headache; [4] probable tension-type headache; [5] non-classifiable headache; [6] no headache. RESULTS: Of all undergraduate students interviewed, 74.5% had at least one headache episode in the last three months. Regarding disability, there was a significant difference between the headache types (p<0.0001). In the post-hoc analysis, migraine was the headache type with most reported disability. CONCLUSION: Headache is a highly prevalent condition among the students at the University of Caxias do Sul. This disease may have a major impact on the students' lives and in some cases, ultimately lead to educational failure.

scholarly journals A cross-sectional study of pain severity in patients suffering from different types of primary headache in the hospital setting

2020 ◽  
Vol 8 (5) ◽  
pp. 1740
Author(s):  
Sanjay Prasad ◽  
Abhay Paliwal ◽  
Ram Ghulam Razdan
Keyword(s):  
Primary Headache ◽  
Cross Sectional Study ◽  
Tension Type Headache ◽  
Pain Severity ◽  
Sectional Study ◽  
Headache Disorders ◽  
Cross Sectional ◽  
Different Types ◽  
Type Headache ◽  
The Impact

Background: Primary headache disorders including migraine and tension-type headache (TTH) are of great importance to global public health due to its high prevalence, but very few studies have been conducted to know its prevalence and pain severity of different types of primary headache. Aim of this study was to investigate the subtypes and pain severity of different types of primary headache in hospital setting.Methods: This study is a cross-sectional study with 200 sample size. Includes patients with Primary headache in department of Psychiatry, MGMMC, Indore. Patient aged between 18-65 years, both gender. Diagnosis of headache was done clinically in accordance with International Classification of Headache disorders (ICHD- 3). Semi-structured headache questionnaire, Comparative pain scale were used for assessment of samples.Results: Among 200 patients, Tension type headache was 73.5%, Migraine was 22%, Mixed headache was in 4.5% patients. Majority of migraine and mixed headache cases had severe pain at 93.2% & 55.6% respectively. Majority of TTH cases had moderate pain in 42.2% patients.Conclusions: Study has shown assessments of severity of pain, can be used to assess the impact of Primary headache on patient’s quality of life.

Characteristics of Brain Tumour-Associated Headache

Cephalalgia ◽  
2007 ◽  
Vol 27 (8) ◽  
pp. 904-911 ◽  
Author(s):  
CJ Schankin ◽  
U Ferrari ◽  
VM Reinisch ◽  
T Birnbaum ◽  
R Goldbrunner ◽  
...  
Keyword(s):  
Brain Tumour ◽  
Univariate Analysis ◽  
Positive Family History ◽  
Primary Headache ◽  
Tension Type Headache ◽  
Moderate Intensity ◽  
Secondary Headache ◽  
History Of ◽  
Type Headache

Eighty-five brain tumour patients were examined for further characteristics of brain tumour-associated headache. The overall prevalence of headache in this population was 60%, but headache was the sole symptom in only 2%. Pain was generally dull, of moderate intensity, and not specifically localized. Nearly 40% met the criteria of tension-type headache. An alteration of the pain with the occurrence of the tumour was experienced by 82.5%, implying that the preexisting and the brain tumour headaches were different. The classic characteristics mentioned in the International Classification of Headache Disorders (worsening in the morning or during coughing) were not found; this might be explained by the patients not having elevated intracranial pressure. Univariate analysis revealed that a positive family history of headache and the presence of meningiomas are risk factors for tumour-associated headache, and the use of β-blockers is prophylactic. Pre-existing headache was the only risk factor according to logistic regression, suggesting that patients with pre-existing (primary) headache have a greater predisposition to develop secondary headache. Dull headache occurs significantly more often in patients with glioblastoma multiforme, and pulsating headache in patients with meningioma. In our study, only infratentorial tumours were associated with headache location, and predominantly with occipital but rarely frontal pain.

The need for preventive therapy in primary headaches

2011 ◽  
pp. 46-49
Author(s):  
Mario Fernando Prieto Peres ◽  
Daniel Krempel Amado ◽  
André Leite Gonçalves ◽  
Reinaldo Ribeiro ◽  
Jorge Roberto Pagura ◽  
...  
Keyword(s):  
Preventive Treatment ◽  
Primary Headache ◽  
Preventive Therapy ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Correct Treatment ◽  
Treatment Type ◽  
Geographical Regions ◽  
Probable Migraine ◽  
Type Headache

Introduction: Primary headaches are common conditions. In Brazil, the prevalence of migraine is 15.2%, tension-type headache 13% and chronic daily headache (CDH) 6.9%. Although frequent disorders a proportion of patients are undertreated. Patients patterns of headache care can trend toward acute medication only and those in need of prevention may not receive it. Objective: To estimate the rates of preventive treatment in primary headache sufferers. Methods: A telephone interview containing questions about headache and socio-demographic characteristics was applied to 3,848 people from 27 States of Brazil, in its five geographical regions. We considered MIDAS > 10 points as a marker for the need of preventive treatment. Patients were asked if they were taking any medication on a daily basis or any treatment to prevent headaches from happening. Subjects were divided into: 1. Those who responded positively for the question regarding preventive treatment regardless of the treatment type. 2. Those who responded positively for the question, but only medications or treatments studied for migraine prevention, labeled as "Correct treatment" 3. Those who responded positively for the question, but only medications or treatments from the prevention consensus (Brazilian Headache Society), labeled as "Consensus treatment" Results: In total, 12.8% of primary headache sufferers had MIDAS higher than 10, meeting criteria for prophylactic treatment, but only 8.4% of them reported it, 3.9% were using a right preventive treatment. The percentage of patients in need for prevention was 24.7% in migraine, 15.6 % in probable migraine, 5 % for tension-type headache (TTH) and 4% for probable TTH. Only 2.6% of migraineurs, 7.5% of probable migraine patients, 4.3% of tension-type headache and 0% of probable TTH received proper preventive treatment Conclusion: Primary headaches are common, debilitating conditions but a substantial proportion of those who might need prevention do not receive it. Patient education, public health initiatives in order to deliver migraine and other primary headaches treatment for the general population should be considered not only in Brazil, but worldwide.

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