Impaired Mood in Headache Clinic Patients: Associations With the Perceived Hindrance and Attainability of Personal Goals

Ciere, Yvette; Visser, Annemieke; Lebbink, John; Sanderman, Robbert; Fleer, Joke

doi:10.1111/head.12843

Cited by 6 publications

(6 citation statements)

References 64 publications

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“…Treatment options are based on the severity and frequency of headaches, with the goal to prevent attacks and treat them efficiently and effectively when they occur. Outcomes for patients treated for headache include frequency, duration, severity, need for medication, functional impairment, contact points with outpatient providers, hospitalization, and need for urgent or emergency care 2–8 . Outpatient care for patients with headache include home care, primary care, emergency department (ED) care, and specialty clinics—including dedicated headache clinics (HCs).…”

Section: Introductionmentioning

confidence: 99%

Emergency department utilization among patients who receive outpatient specialty care for headache: A retrospective cohort study analysis

et al. 2023

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Objectives: To compare clinical characteristics among outpatient headache clinic patients who do and do not self-report visiting the emergency department for headache.Background: Headache is the fourth most common reason for emergency department visits, compromising 1%-3% of visits. Limited data exist about patients who are seen in an outpatient headache clinic but still opt to frequent the emergency department. Clinical characteristics may differ between patients who self-report emergency department use and those who do not. Understanding these differences may help identify which patients are at greatest risk for emergency department overutilization. Methods: This observational cohort study included adults treated at the Cleveland Clinic Headache Center between October 12, 2015 and September 11, 2019, who completed self-reported questionnaires. Associations between self-reported emergency department utilization and demographics, clinical characteristics, and patientreported outcome measures (PROMs: Headache Impact Test [HIT-6], headache days per month, current headache/face pain, Patient Health Questionnaire-9 [PHQ-9], Patient-Reported Outcomes Measurement Information System [PROMIS] Global Health [GH]) were evaluated. Results: Of the 10,073 patients (mean age 44.7 ± 14.9, 78.1% [7872/10,073] female, 80.3% [8087/10,073] White patients) included in the study, 34.5% (3478/10,073) reported visiting the emergency department at least once during the study period. Characteristics significantly associated with self-reported emergency department utilization included younger age (odds ratio = 0.81 [95% CI = 0.78-0.85] per decade), Black patients (vs. White patients) (1.47 [1.26-1.71]), Medicaid (vs. private insurance) (1.50 [1.29-1.74]), and worse area deprivation index (1.04 [1.02-1.07]).

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Section: Introductionmentioning

confidence: 99%

Emergency department utilization among patients who receive outpatient specialty care for headache: A retrospective cohort study analysis

et al. 2023

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“…Headache is one of the most common diseases presenting to outpatient neurology clinics worldwide. 1,2 Headache disorders can lead to reduction in work productivity and affect the social life of the patients. 1 The two most common primary subtypes are tension-type headache (TTH) and migraine.…”

Section: Introductionmentioning

confidence: 99%

Personality traits in headache patients with and without dyspepsia

Tai¹,

SILVERAJU²,

CHIN³

et al. 2022

NeuroAsia

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Background & Objectives: Personality trait plays an important role in determining the various presentations of tension-type headache (TTH) and migraine. The primary objective of this study was to evaluate the types of personality traits present among patients with migraine and TTH. The secondary objective was to determine whether the patients with headache and coexisting dyspepsia had different personality traits from the patients with headache alone without dyspepsia. Methods: This was a cross-sectional study conducted in the University Malaya Medical Centre from February 2017 until March 2020. Patients who fulfilled the diagnostic criteria for migraine and TTH according to the International Headache Society (IHS) classification were recruited. The patients’ personality traits were evaluated using the Minnesota Multiphasic Personality Inventory-2-restructured Form (MMPI- 2-RF). The MMPI Personality Psychopathology-Five (PSY-5) Scales, comprising aggressiveness, psychoticism, disconstraint, neuroticism, and introversion were used. The presence of dyspepsia was diagnosed using the Leeds Dyspepsia Questionnaire. Results: There were no statistically significant differences when comparing types of personality traits between migraine and TTH patients. On univariate analysis, headache with dyspepsia was significantly associated with more neuroticism as compared to headache alone (p=0.027). On logistic regression, TTH with dyspepsia was significantly associated with neuroticism (p=0.024, OR=6.921). Psychoticism was significantly associated with chronic daily headache (p=0.001, OR=7.476). Aggression was significantly associated with male gender (p=0.018, OR= 7.580). Conclusion: Headache with coexistent dyspepsia was associated with more neuroticism as compared to headache alone. In particular, TTH with coexistent dyspepsia was significantly associated with neuroticism compared to TTH without dyspepsia.

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“…First, to investigate goal disturbance specifically related to MS, we conducted a semistructured interview based on the 'Personal Project Analysis' procedure (PPA, Little, 1983). Similar approaches have been adopted in studies on chronic pain (Ciere, Visser, Lebbink, Sanderman, & Fleer, 2016;Crombez, Lauwerier, Goubert, & Van Damme, 2016). Here, individuals with MS were required to generate three goals (one of which being an MS-related goal), and to rate these goals on various goal appraisal dimensions.…”

Section: Introductionmentioning

confidence: 99%

The relation between goal adjustment, goal disturbance, and mental well-being among persons with multiple sclerosis

Damme

Kindt

Crombez

et al. 2019

Psychology & Health

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Objective. This study investigated the role of goal adjustment, i.e., disengaging from blocked goals and reengaging into alternative goals, in mental well-being and goal disturbance in persons with Multiple Sclerosis (MS). Design.A cross-sectional design was used with self-report data from questionnaires and Personal Project Analysis (PPA).Main outcome measures. Dependent variables were mental well-being, indicated by depression/anxiety (HADS; Hospital Anxiety and Depression Scale) and mental functioning (SF-36; Short Form Health Survey), and goal disturbance, indicated by goal manageability and goal interference (PPA). Independent variables were patientreported physical impairment (SF-36) and goal disengagement and reengagement (GAS; Goal Adjustment Scale).Results. Higher goal reengagement was associated with better mental well-being, but unrelated to goal disturbance. Goal disengagement only showed a negative association with anxiety. High disengagement was associated with lower goal interference but only for those also scoring high on reengagement. Goal adjustment did not buffer the effects of physical impairment on mental well-being and goal disturbance. Contrary to expectations, higher goal reengagement increased the association between physical impairment and goal interference. Conclusion.Although goal reengagement is associated with better mental well-being in persons with MS, it might also strenghten the perceived effect of physical impairment on goal interference.

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Impaired Mood in Headache Clinic Patients: Associations With the Perceived Hindrance and Attainability of Personal Goals

Cited by 6 publications

References 64 publications

Emergency department utilization among patients who receive outpatient specialty care for headache: A retrospective cohort study analysis

Emergency department utilization among patients who receive outpatient specialty care for headache: A retrospective cohort study analysis

Personality traits in headache patients with and without dyspepsia

The relation between goal adjustment, goal disturbance, and mental well-being among persons with multiple sclerosis

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