Differential Emotional Precipitation of Migraine and Tension-Type Headache Attacks

Donias, Stamatis; Peioglou-Harmoussi, Sotiria; Georgiadis, George S.; Manos, Nicholas

doi:10.1046/j.1468-2982.1991.1101047.x

Cited by 14 publications

(7 citation statements)

References 17 publications

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“…An alternative explanation may be co‐occurrence with psychosocial stress, as associations both with chronic headache (Donias et al ., 1991; De Benedittis and Lorenzetti, 1992; Fernandez and Sheffield, 1996; Mitsikostas and Thomas, 1999; Puca et al ., 1999) and musculoskeletal symptoms (Grossi et al ., 1999) have been found. This confounding factor could possibly also explain the strong association between headache and symptoms localized in the abdomen/chest, because more psychiatric disturbance has been found in patients with gastrointestinal pain than amongst patients with back ache (Egan and Betrus, 1987).…”

Section: Discussionmentioning

confidence: 97%

The co‐occurrence of headache and musculoskeletal symptoms amongst 51 050 adults in Norway

Hagen¹,

Einarsen²,

Zwart³

et al. 2002

Euro J of Neurology

167

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We have evaluated the association between headache and musculoskeletal symptoms in a large cross-sectional population-based study. Between 1995 and 1997, all 92 566 adults in Nord-Trøndelag County in Norway were invited to participate in a health survey. A total of 51 050 (55%) responded to questions concerning headache and musculoskeletal symptoms. Both migraine and non-migrainous headache were strongly associated with musculoskeletal symptoms. However, frequency of headache had a higher impact than headache diagnosis on this association. Thus, the prevalence of chronic headache (headache >14 days/month) was more than four times higher (OR = 4.6; 95% CI 4.0-5.3) in the group of individuals with musculoskeletal symptoms than in those without. Individuals with neck pain were more likely to suffer from headache as compared with those with musculoskeletal symptoms in other restricted areas. In conclusion, there was a strong association between chronic headache and musculoskeletal symptoms, which may have implications for the choice of treatment.

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Section: Discussionmentioning

confidence: 97%

The co‐occurrence of headache and musculoskeletal symptoms amongst 51 050 adults in Norway

Hagen¹,

Einarsen²,

Zwart³

et al. 2002

Euro J of Neurology

167

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“…Similar results were reported by Donias et al . [20] who found that negative emotions more commonly precipitated TTH than migraine. They suggested that TTH subjects could be having different or defective cognitive schemata that process the given emotional stimuli in their own way to start the pain as compared to migraineurs.…”

Section: Discussionmentioning

confidence: 99%

Comparison of clinical characteristics of migraine and tension type headache

Gupta

Bhatia

2011

Indian J Psychiatry

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Context:Migraine and tension type headache (TTH) are two most common types of primary headaches. Though the International Classification of Headache Disorders-2 (ICHD-2) describes the diagnostic criteria, even then in clinical practice, patients may not respect these boundaries resulting in the difficulty in diagnosis of these pains.Materials and Methods:This cross-sectional study involved 50 subjects in each of the two groups – migraine and TTH – after screening for the inclusion and exclusion criteria. Diagnosis was made according to the ICHD-2 criteria. Their clinical history was taken in detail and noted in a semi-structured performa. They were examined for the presence of a number of factors like pericranial tenderness and muscle parafunction. Statistical analysis was done with the help of SPSS v 11.0. To compare the non-parametric issues, chi-square test was run and continuous variables were analyzed using independent sample t test.Results:In general, migraineurs had progressive illness (χ2=9.45; P=0.002) with increasing severity (χ2=21.86; P<0.001), frequency (χ2=8.5; P=0.04) and duration of each headache episode (χ2=4.45; P=0.03) as compared to TTH subjects. Along with the headache, they more commonly suffered orthostatic pre-syncope (χ2=19.94; P<0.001), palpitations (42%vs.18% among TTH patients; χ2=6.87; P=0.009), nausea and vomiting (68% vs. 6% in TTH; χ2=41.22; P<0.001, and 38% vs. none in TTH; χ2=23.45, P<0.001, respectively), phonophobia (χ2=44.98; P<0.001), photophobia (χ2=46.53; P<0.001), and osmophobia (χ2=15.94; P<0.001). Their pain tended to be aggravated by head bending (χ2=50.17; P<0.001) and exercise (χ2=11.41; P<0.001). Analgesics were more likely to relieve pain in migraineurs (χ2=21.16; P<0.001). In addition, post-headache lethargy was more frequent among the migraineurs (χ2=22.01; P<0.001). On the other hand, stressful situations used to trigger TTH (χ2=9.33; P=0.002) and muscle parafunction was more common in TTH patients (46% vs. 20%; χ2=7.64; P=0.006). All the cranial autonomic symptoms were more common in migraineurs as compared to TTH subjects (conjunctival injection: χ2=10.74, P=0.001; lacrimation: χ2=17.82, P<0.001; periorbital swelling: χ2=23.45, P<0.001; and nasal symptoms: χ2=6.38, P=0.01).Conclusion:A number of symptoms that are presently not included in the ICHD-2 classification may help in differe-ntiating the migraine from the TTH.

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“…Patients with migraine often suffer from a subthreshold but clinically relevant depressive disorder [5, 6]. Other trans-nosographic conditions, described as negative affective states, have been recently investigated in these patients [7], particularly anger expression. It has been suggested that anger may be involved in the etiopathogenesis of migraine [8].…”

Section: Introductionmentioning

confidence: 99%

Anger, Depression and Personality Dimensions in Patients with Migraine without Aura

Abbate-Daga

Fassino

Giudice

et al. 2007

Psychother Psychosom

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Background: Migraine without aura causes acute and chronic pain and partially compromises patients’ social functioning and work performance. Over the past years, psychiatric comorbidities were frequently observed in these patients, together with coping difficulties and typical personality traits. The aim of this study was to identify whether migraine patients and controls share distinctive personality traits. Methods: 105 consecutive patients suffering from migraine without aura referred to the Headache Center of Turin University were enrolled in the study and compared to a control group of 79 healthy subjects. Patients and controls completed several psychometric questionnaires, including the Temperament and Character Inventory, the Beck Depression Inventory and the State-Trait Anger Expression Inventory. Results: Patients suffering from migraine show more depressive symptoms, difficult anger management with a tendency to hypercontrol, and a distinctive personality profile with high harm avoidance, high persistence and low self-directedness. When a logistic regression was performed, the only significant predictors of migraine were temperament variables. Conclusions: The results suggest that the personality traits and psychosomatic mechanisms of migraine patients may make them vulnerable to stress and less skilled in coping with pain. These traits correlate with dysregulated neurotransmitter systems which may also be part of the psychobiological components of personality, depressive disorders and migraine itself.

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Differential Emotional Precipitation of Migraine and Tension-Type Headache Attacks

Cited by 14 publications

References 17 publications

The co‐occurrence of headache and musculoskeletal symptoms amongst 51 050 adults in Norway

The co‐occurrence of headache and musculoskeletal symptoms amongst 51 050 adults in Norway

Comparison of clinical characteristics of migraine and tension type headache

Anger, Depression and Personality Dimensions in Patients with Migraine without Aura

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