Factors Associated With Medication‐Overuse Headache in Patients Seeking Treatment for Primary Headache

Peck, Kelly R.; Roland, Malcolm; Smitherman, Todd A.

doi:10.1111/head.13294

Cited by 9 publications

(9 citation statements)

References 38 publications

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“…Medication overuse contributes to the development of chronic migraine and MOH . Psychological factors include depression and anxiety, fear of the next migraine attack, behavioral factors, and a psychological dependence component in some patients . In the present study, we tested the hypothesis that high achievement motivation predisposes migraine patients to increased use of acute headache medication, and/or MOH, because highly achievement motivated patients might fear to perform poorly at work or during daily life because of their headache.…”

Section: Discussionmentioning

confidence: 97%

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High Achievement Motivation is Not Related to Increased Use of Acute Headache Medication in Migraine: A Cross‐sectional Observational Cohort Study

et al. 2018

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Objective To determine if migraine patients with high achievement motivation have an increased use of acute headache medication. Background It has been hypothesized that high achievement‐motivated migraine patients have an increased use of acute headache medication to be able to perform at work and during daily life, putting them at risk for medication overuse headache (MOH). Methods The Achievement Motivation Inventory and use of acute headache medication were assessed in 117 migraine patients (60 episodic, 57 chronic) at their first appointment at our tertiary headache center. Results Patients with low vs high achievement motivation were not significantly different in acute headache medication days per month (10.8 ± 6.9 vs 10.9 ± 7.8, P = .98), in acute headache medication use in the absence of headache (to prevent occurrence of headache later that day: 51.8% vs 48.2%, P = .38), in having a diagnosis of MOH (37.9 vs 23.7%, P = .12), or in reduction of acute headache medication days at 3 and 6 months follow‐up (both P > .20). Conclusions High achievement motivation in migraine patients was not associated with increased acute headache medication use or more frequent diagnosis of MOH.

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Section: Discussionmentioning

confidence: 97%

“…Psychological factors like anxiety and depression, and pain‐related behaviors also play a crucial role . Migraine and/or MOH patients often exhibit a high anticipatory anxiety with respect to the next attack . The attempt to “solve pain” by use of acute headache medication is more common in migraine patients with than without MOH .…”

Section: Introductionmentioning

confidence: 99%

High Achievement Motivation is Not Related to Increased Use of Acute Headache Medication in Migraine: A Cross‐sectional Observational Cohort Study

et al. 2018

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“…28 Headache patients with signs of medication-overuse often report high disability level, depressive and anxious symptoms, fear of pain and frequency of headache episodes. 70 Using therapeutic exercise as an approach to reduce medication use could be a way to reduce headache impact.…”

Section: Discussionmentioning

confidence: 99%

Effects of Different Therapeutic Exercise Modalities on Migraine or Tension-Type Headache: A Systematic Review and Meta-Analysis with a Replicability Analysis

Varangot‐Reille

Suso‐Martí

Romero-Palau

et al. 2022

The Journal of Pain

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…Analgesic consumption must be carefully evaluated. Frequent use of all types of pain-relieving drugs, in particular triptans, ergotamine, opioids, caffeine, meprobamate and codeine-containing products, may be associated with rebound headache, which itself is associated with greater pain-related disability 53,54. Withdrawal of treatment often leads to improvement and evolution to episodic headache.…”

Section: Practical Approach To Pain Management In Chronic Pain Of Uncmentioning

confidence: 99%

<p>Practical approach to a patient with chronic pain of uncertain etiology in primary care</p>

Salduker¹,

Allers²,

Bechan

et al. 2019

JPR

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Chronic pain of uncertain etiology often presents a challenge to both patients and their health care providers. It is a complex condition influenced by structural and physiological changes in the peripheral and central nervous systems, and it directly influences, and is modulated by, psychological well-being and personality style, mood, sleep, activity level and social circumstances. Consequently, in order to effectively treat the pain, all of these need to be evaluated and addressed. An effective management strategy takes a multidisciplinary biopsychosocial approach, with review of all current medications and identification and careful withdrawal of those that may actually be contributing to ongoing pain. The management approach is primarily nonpharmacological, with carefully considered addition of medication, beginning with pain-modulating treatments, if necessary. In this article, we present a primary care approach to the assessment and management of a patient with chronic pain where the cause cannot be identified.

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Factors Associated With Medication‐Overuse Headache in Patients Seeking Treatment for Primary Headache

Cited by 9 publications

References 38 publications

High Achievement Motivation is Not Related to Increased Use of Acute Headache Medication in Migraine: A Cross‐sectional Observational Cohort Study

High Achievement Motivation is Not Related to Increased Use of Acute Headache Medication in Migraine: A Cross‐sectional Observational Cohort Study

Effects of Different Therapeutic Exercise Modalities on Migraine or Tension-Type Headache: A Systematic Review and Meta-Analysis with a Replicability Analysis

<p>Practical approach to a patient with chronic pain of uncertain etiology in primary care</p>

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