Depression, Automatic Thoughts, Alexithymia, and Assertiveness in Patients With Tension‐type Headache

Yücel, Başak; Kora, Kaan; Özyalçín, Süleyman; Alçalar, Nilüfer; Özdemir, Özay; Yücel, Ayşen

doi:10.1046/j.1526-4610.2002.02051.x

Cited by 80 publications

(66 citation statements)

References 31 publications

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“…Indeed, headaches have been associated with depression. 26,27 Individuals with medication overuse headaches were excluded because they could constitute a particular group that is difficult to treat and whose medication may have altered serotonin reuptake activity. Patients with a history of substance or alcohol abuse were excluded for the same reasons.…”

Section: Methodsmentioning

confidence: 99%

Prospective three-year follow up of a cohort study of 240 patients with chronic facial pain

2014

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Background: Patients often present with facial pain ascribed to sinusitis, despite normal nasal endoscopy and sinus computed tomography. Facial pain is increasingly recognised to be of neurological origin.Method: A cohort of 240 patients with chronic facial pain was followed up for 36 months at an otolaryngological practice in Malta. The types of facial pain were classified according to International Headache Classification criteria. The body mass index, occupation and educational level of patients were compared with the general population.Results: Tension-type mid-facial pain and facial migraine without aura were the most common types of chronic facial pain. The sites of pain, symptoms, treatment and outcomes for these principal pain types are discussed. Patients with mid-facial pain were treated with low-dose amitriptyline for eight weeks. After three years, nearly half of the patients were symptom free, and in a third the pain changed from being chronic to being episodic. The treatment of patients with facial migraine was more varied but the length of time until recurrence of pain was similar.Conclusion: The most effective long-term treatments for tension-type mid-facial pain and facial migraine were low-dose amitriptyline and low-dose amitriptyline and triptans, respectively.

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Section: Methodsmentioning

confidence: 99%

Prospective three-year follow up of a cohort study of 240 patients with chronic facial pain

2014

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“…In the present study, we investigated the relationship between pain location and anxiety, depression and alexithymia in strictly unilateral migraineurs. Alexithymia, substantially defined by difficulty in identifying and describing own feelings and by an externally oriented cognitive style [16], has been previously investigated in headache patients [17], in particular in those with chronic tension-type headache [18]. Recent data showed that alexithymia is more frequent in MO patients compared to healthy subjects [19].…”

Section: Discussionmentioning

confidence: 99%

Psychiatric disorders and pain location in unilateral migraineurs

et al. 2005

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To explore the relationship between the side of pain during attacks and psychopathological features in strictly unilateral migraine, we recruited 35 patients affected by migraine with and/or without aura diagnosed according to the revised ICHD-II criteria. Seventeen patients had right side-locked pain (R-SUM), 11 had left side-locked (L-SUM) and 7 had side-shifting pain (SSM). Patients were administered the Hamilton Anxiety Scale, the State and Trait Anxiety Inventory-State Anxiety, the Beck Depression Inventory and the 20-item Toronto Alexithymia Scale. Statistical analyses showed that the L-SUM group was significantly more anxious and depressed than the other two groups of patients. Our preliminary data suggest that strictly left unilateral migraine is associated with more severe anxiety and depression. This finding appears to be consistent with studies that reported a higher degree of these disorders in patients with left cerebral hemispheric damage

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“…Admite-se que doentes com CTTE apresentem sintomas de ansiedade mais intensos, enquanto aqueles com CTTC têm sintomas depressivos mais exuberantes 6,16,17 . Tanto a ansiedade quanto a depressão podem atuar em nível central como facilitadores das aferências dolorosas, participando desta forma da patogênese da dor (especialmente na CTTC) 16 .…”

Section: Discussionunclassified

“…Tanto a ansiedade quanto a depressão podem atuar em nível central como facilitadores das aferências dolorosas, participando desta forma da patogênese da dor (especialmente na CTTC) 16 .…”

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Sintomas depressivos e ansiedade em pacientes com cefaléia do tipo tensional crônica e episódica

Matta

Filho

2003

Arq. Neuro-Psiquiatr.

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RESUMO -Introdução:A cefaléia do tipo tensional (CTT), dor cefálica mais comum, tem mecanismos fisiopatológicos, epidemiologia e apresentação clínica pouco estudados. Depressão e ansiedade são comorbidades especialmente enfocadas entre seus portadores. Objetivo: Estudar a ocorrência de sintomas depressivos e ansiedade entre portadores de CTT episódica (CTTE) e crônica (CTTC). Metodologia: Cinqüenta pacientes com CTTE e cinqüenta com CTTC preencheram os inventários de depressão e de ansiedade de Beck. Somente foram considerados aqueles com escores moderado ou grave. Resultados: Entre portadores de CTTE, ansiedade e sintomas depressivos foram encontrados em 60 e 32 % dos pacientes, respectivamente. Em pacientes com CTTC, ansiedade foi detectada em 44 % e sintomas depressivos foram observados em 40 % da amostra. Conclusão: ambas as comorbidades são importantes em pacientes com CTT. Negligenciá-las significa risco de falência no tratamento, contribuindo para queda na qualidade de vida .PALAVRAS-CHAVE: cefaléia do tipo tensional episódica, cefaléia do tipo tensional crônica, depressão, ansiedade. Depressive symptoms and anxiety in patients with chronic and episodic tension-type headacheABSTRACT -Background: Tension-type headache (TTH) is recognized as the most prevalent type of headache. Despite this, there is a limited understanding of the entity's physiology, epidemiology, and clinical presentation. Anxiety and depression are recognized comorbidities present among patients with TTH. Objective: To quantify the prevalence of anxiety and depression among patients with episodic and chronic TTH. Method: fifty patients with episodic TTH and fifty patients with chronic TTH completed Beck's anxiety and depression surveys. Only patients presenting with moderate to severe scores were considered. Results: among the patients with episodic TTH, anxiety and depression were observed in 30 (60%) and 16 (32%) patients respectively. Among the patients with chronic TTH, anxiety was observed in 22 (44%) patients, and depression was observed in 20 (40%). Conclusion: both comorbidities are important among patients with episodic and chronic TTH. Neglecting this association may result in failure of symptomatic and prophylactic treatment ultimately leading to lost quality of life.

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Depression, Automatic Thoughts, Alexithymia, and Assertiveness in Patients With Tension‐type Headache

Abstract: These findings suggested that persons with tension-type headache have high depression scores and also may have difficulty with expression of their emotions. Headache frequency appears to influence the likelihood of coexisting depression.

Cited by 80 publications

References 31 publications

Prospective three-year follow up of a cohort study of 240 patients with chronic facial pain

Prospective three-year follow up of a cohort study of 240 patients with chronic facial pain

Psychiatric disorders and pain location in unilateral migraineurs

Sintomas depressivos e ansiedade em pacientes com cefaléia do tipo tensional crônica e episódica

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