Behavioral and psychological aspects of cluster headache: an overview

Schenck, Lauren A.‐M.; Andrasik, Frank

doi:10.1007/s10072-019-03831-5

Cited by 12 publications

(4 citation statements)

References 44 publications

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“…Although the relationship is not clear, alcohol consumption is one of the main factors triggering the attack during cluster periods, although not during periods in remission [29,31]. Some studies suggest that these types of habits could be related to an anxious and compulsive component of personality in patients with CH [32,33], while others have found no differences with comparison groups [34,35]. Research does consistently reveal a higher prevalence of licit and illicit drug use among people with CH compared to the general population [29,35].…”

Section: Discussionmentioning

confidence: 99%

“…Some studies suggest that these types of habits could be related to an anxious and compulsive component of personality in patients with CH [32,33], while others have found no differences with comparison groups [34,35]. Research does consistently reveal a higher prevalence of licit and illicit drug use among people with CH compared to the general population [29,35]. This supports the need for more studies to de ne the psychological comorbidities of CH and how these may affect pain coping, quality of life, and optimal treatment recommendations.…”

Section: Discussionmentioning

confidence: 99%

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Four decades of experience with cluster headache: description of a series in a University Hospital of Spain

Pascual

Madera

Pérez-Pereda

et al. 2022

Preprint

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Background: There are few published series of cluster headache. Our aim was to longitudinally describe the epidemiological and clinical features of cluster headache patients in our region since 1980.Methods: Retrospective analysis of the clinical charts of patients diagnosed as cluster headache in a Spanish tertiary hospital.Results: 153 patients were included. 137 (89,5%) were males. Mean age at the beginning of symptoms and diagnosis was 32.8 years (mean deviation 11.3) and 39.5 years (mean deviation 11.4) respectively. 128 had episodic cluster headache (92.2% males) and 25 chronic cluster headache (76% males). Mean age at the beginning was delayed in chronic cluster headache versus episodic cluster headache (37.6 vs 31.8 years; p= 0.023). Four patients (2.6%) had familial antecedents. 3 (2%) referred to visual aura. At diagnosis, 66% were smokers and 15% heavy alcohol drinkers. Median duration of cluster period and median frequency was 60 days every 2 years. 16 (10.5%) had only one cluster period during follow-up.Conclusion: Theoretical prevalence of cluster headache in our area was 0.05%. The diagnostic delay close to 7 years indicates an insufficient recognition of this entity. A late beginning and being a woman were associated with chronic cluster headache, while one out of ten patients only experienced one cluster period.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Four decades of experience with cluster headache: description of a series in a University Hospital of Spain

Pascual

Madera

Pérez-Pereda

et al. 2022

Preprint

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“…Kondisi ini dapat bersifat episodik (ECH), berlangsung selama 7 hari hingga satu tahun, diikuti oleh periode bebas rasa sakit hingga 3 bulan, atau kronis (CCH) yang bertahan selama satu tahun atau lebih tanpa henti atau memiliki periode bebas rasa sakit kurang dari 3 bulan antara episode selanjutnya. Individu dengan sakit kepala cluster sering melaporkan terlibat dalam aktivitas gelisah selama serangan sakit kepala, termasuk menggosok kepala, mondarmandir atau mengayun, atau bahkan memukul diri sendiri atau membenturkan kepala ke permukaan yang keras, seperti dinding (1). Kejadian CH yang jarang membuat sulit untuk melakukan studi besar dan terkontrol dengan baik dengan populasi ini, yang membantu menjelaskan mengapa literatur yang membahas gejala sisa psikologis yang terkait dengan kondisi tersebut tidak ekstensif.…”

Section: Pendahuluanunclassified

Pathophysiology in Cluster Headache: An Update

Octina,

Kurniawan

2023

JPHV

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Cluster headache (CH) is a rare and very painful primary headache syndrome, with an estimated population prevalence of 0.12%. This condition can be episodic (ECH), lasting from 7 days to a year. A consensus statement from the European Headache Federation defines refractory CCH as a CCH with at least three severe attacks per week, even though at least three consecutive trials of adequate preventive care have been tested and managed with both acute and preventive treatment. Inhaled oxygen and subcutaneous sumatriptan are the two most effective acute treatment options for people with CH. Several preventive medications are also available, and the most effective is verapamil. However, most of these agents are not supported by strong clinical evidence. In some patients, this option may be ineffective, particularly in those with chronic CH. Surgical procedures for chronic refractory forms of disorder should then be considered.

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“…Cluster headache (CH), despite being relatively rare (lifetime population prevalence of 0.12%) (6), is considered to be an excruciating primary headache disorder (7) and carries a signi cant burden of disability. The anxiety caused by the 'fear' of having an attack affects the planning of events, socialising, productivity and integration into activities for patients with CH (8).…”

Section: Introductionmentioning

confidence: 99%

A Patient-Focused Questionnaire Designed to Support Headache Diagnosis in General Practice

Ruttledge¹,

Broessner²,

Gendolla³

et al. 2021

Preprint

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Background: There is an unmet need for the correct diagnosis of primary headache disorders, such as migraine, in primary care. Misdiagnosis is associated with suboptimal management of patients, and it is now widely accepted internationally that better diagnostic support is needed for general practitioners (GPs). In this study, we describe the development of a short, patient-directed questionnaire and supporting documents that aim to help with the diagnosis of headache disorders in primary care. We have also prepared patient feedback material and collected preliminary input from patients, but the main aim of this report is to invite comment and debate on the use of the questionnaire in real-life clinical practice.Methods: This questionnaire was developed over 18 months using the clinical experience of the authors, current literature review and the International Classification of Headache Disorders (ICHD), 3rd edition, for migraine, tension-type headache, cluster headache and medication-overuse headache. The questionnaire and two supporting documents will hopefully assist the GP to make a correct diagnosis. A patient survey was used to gather feedback from a small number of patients, and based on these comments, the questionnaire and the supporting documents were modified and updated.Results: Feedback gathering was attempted in Austria, Germany, Switzerland, Ireland and Spain, but was only possible in Austria due to the COVID-19 pandemic restrictions. From the 18 patients who participated, 17 responded about how easy or difficult the questionnaire was to complete, with 14/17 (82%) being able to complete the questionnaire easily on their own. Overall, the patients found the questionnaire averagely helpful in reminding them of and communicating their headache triggers, symptoms and behaviour changes; on a scale of 1–5, with 1 being very helpful and 5 being not helpful at all, the mean scores were 2.8 and 2.7 (n=18), respectively. Conclusions: This questionnaire and associated documents were developed with a view to helping GPs to make an accurate headache diagnosis quickly in primary care. Following feedback from patients, updates have been made, including changes to reduce the time it takes to complete the questionnaire. Next steps include wider validation and feedback from primary care physicians.

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Behavioral and psychological aspects of cluster headache: an overview

Cited by 12 publications

References 44 publications

Four decades of experience with cluster headache: description of a series in a University Hospital of Spain

Four decades of experience with cluster headache: description of a series in a University Hospital of Spain

Pathophysiology in Cluster Headache: An Update

A Patient-Focused Questionnaire Designed to Support Headache Diagnosis in General Practice

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