Coping Strategies in Episodic and Chronic Tension‐type Headache

Rollnik, Jens D.; Karst, Matthias; Fink, Matthias; Dengler, Reinhard

doi:10.1046/j.1526-4610.2001.111006297.x

Cited by 31 publications

(34 citation statements)

References 21 publications

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“…In order to evaluate quality-of-life parameters, participants were asked to answer a Nottingham Health Profile (NHP) [16], an Everyday Life Questionnaire [17], and an analog scale (range 0–10 cm, 0 = ‘This is the worst time of my life’, 10 = ‘This is the best time of my life’) used in a former study [9]. …”

Section: Methodsmentioning

confidence: 99%

“…In addition, chronic TTH patients who reported shorter daily pain periods indicated a lower level of active coping with pain [8]. In a previous study from our group, we could demonstrate that patients with chronic TTH exhibited poorer quality-of-life measures, slightly more depressive symptoms, and significantly stronger avoidance behavior and endurance strategies [9]. However, there is little data about gender differences in coping with illness.…”

Section: Introductionmentioning

confidence: 96%

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Gender Differences in Coping with Tension-Type Headaches

Rollnik

Karst²,

Piepenbrock³

et al. 2003

Eur Neurol

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Objective: To study gender differences of coping with illness strategies in tension-type headaches. Method: We enrolled 89 subjects (50 women, 39 men) suffering from episodic (n = 37) and chronic (n = 52) tension-type headaches (TTH). Patients were required to answer a Freiburg Questionnaire of Coping with Illness (FQCI), a Von Zerssen Depression Scale (D-S), quality-of-life questionnaires, and a headache home diary (over 4 weeks). In addition, pressure pain thresholds (temporal muscles) and Total Tenderness Scores were obtained. Results: While pain intensity, frequency and quality-of-life parameters were basically the same for female and male episodic TTH sufferers, women scored significantly higher on the F3 subscale (distracting and encouraging) of the FQCI and tended to score higher on the F1 subscale (depressive). Among chronic TTH patients, women reported the pain to be more intense (VAS), were more depressed (D-S), and scored lower on several quality-of-life scores. Female chronic TTH sufferers scored significantly lower on the F2 subscale (active coping) and tended to score higher on F5 (denying). Conclusions: We conclude that pessimistic coping with illness strategies are more frequent in female episodic and chronic TTH sufferers. We would like to recommend special psychologic intervention in particular to female chronic TTH sufferers which would offer counseling in developing active coping skills.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Gender Differences in Coping with Tension-Type Headaches

Rollnik

Karst²,

Piepenbrock³

et al. 2003

Eur Neurol

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“…1). Stress in various forms [13][14][15][16][17][18], including daily hassles [22], major life events [23], and emotional over-reactivity, is a common precipitant for tension-type headache. Sleep disturbance, characterized by a deprivation in sleep, excessive sleep, disrupted sleep, or variations in the time of sleep onset or awakening, also is a common trigger [13,17,18].…”

Section: Managing Precipitating and Exacerbating Factorsmentioning

confidence: 99%

Psychologic and behavioral management of tension-type headache: treatment procedures

Nash

2003

Current Science Inc

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Used as an adjunct or alternative to medication treatment, psychologic and behavioral approaches to tension-type headache decrease headache frequency, affective distress, and headache-related disability. These approaches directly address the psychologic and behavioral factors that contribute to the disorder and to the individual headache episodes. There is well-established evidence of efficacy for the three broad approaches: relaxation training, electromyographic biofeedback training, and cognitive-behavioral stress management. Treatment has been difficult to access, with most care provided by behavioral specialists in tertiary care settings using clinic-based or home-based treatment protocols. Recent attempts to make treatment more accessible to a wider range of tension-type headache sufferers include using medical personnel to deliver treatment from physician practices and using existing and emerging technologies to provide care in a purely self-administered format without face-to-face contact with therapists. These attempts are promising, but remain preliminary; therefore, there is a need for further development and testing.

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“…It seems that 70% of subjects with headache experience, at sometime, depressive episodes [15] being more pronounced in those patients with higher frequency of headaches. [34,35] An unexpected finding of our study was that CTTH and FETTH individuals exhibited similar levels of anxiety. It is possible that this lack of difference is related to the high frequency of attacks that exhibited our group of FETTH patients.…”

Section: Discussionmentioning

confidence: 62%

Relationship of active trigger points with related disability and anxiety in people with tension-type headache

Palacios‐Ceña

Castaldo²,

Wang³

et al. 2017

Medicine

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To investigate the differences in the presence of trigger points (TrPs) and their association with headache-related disability and mood disorders in people with frequent episodic tension-type headache (TTH) (FETTH) and chronic TTH (CTTH). One hundred twenty-two individuals with TTH participated. Clinical features of headache (i.e., intensity, duration, and frequency) were recorded on a headache diary. Headache-related disability was assessed with the Headache Disability Inventory, trait and state anxiety levels with State-Trait Anxiety Inventory, and depression with the Hospital Anxiety and Depression Scale. TrPs were bilaterally explored in the temporalis, masseter, suboccipital, upper trapezius, splenius capitis, and sternocleidomastoid muscles. Sixty-two (51%) patients were classified as FETTH, whereas 60 (49%) were classified as CTTH. Individuals with CTTH showed higher burden of headache and depression than FETTH (P < 0.001). Subjects with FETTH showed similar number of TrPs (total number: 5.9 ± 3.1, active TrPs: 4.7 ± 2.5, and latent TrPs: 1.2 ± 1.9) than those with CTTH (total number: 5.7 ± 3.2, active TrPs: 4.2 ± 3.0, and latent TrPs: 1.5 ± 1.8). The number of active TrPs was significantly associated with the burden of headache (r = 0.189; P = 0.037) and trait anxiety (r = 0.273; P = 0.005): the higher the number of active TrPs, the greater the physical burden of headache or the more the trait anxiety level. No association with the depression was observed. The presence of active TrPs in head and neck/shoulder muscles was similar between individuals with FETTH and CTTH and associated with the physical burden of headache and trait anxiety levels independently of the subgroup of TTH.

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Coping Strategies in Episodic and Chronic Tension‐type Headache

Abstract: We conclude that disadvantageous coping with illness strategies might contribute to a transformation to chronic TTH.

Cited by 31 publications

References 21 publications

Gender Differences in Coping with Tension-Type Headaches

Gender Differences in Coping with Tension-Type Headaches

Psychologic and behavioral management of tension-type headache: treatment procedures

Relationship of active trigger points with related disability and anxiety in people with tension-type headache

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