Posttraumatic Headache: Biopsychosocial Comparisons With Multiple Control Groups

Tatrow, Kristin; Blanchard, Edward B.; Hickling, Edward J.; Silverman, Daniel J.

doi:10.1046/j.1526-4610.2003.03133.x

Cited by 24 publications

(19 citation statements)

References 28 publications

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“…This result supports the tendency to repress and introject anger, which is consistent with the hypotheses about the role of psychosomatic mechanisms in migraine patients [16,17,18] and with the literature describing the dynamics of obsessive control typical of some of these patients [65, 66]. Since no differences emerged for the other STAXI scales, the patients’ main characteristic seems the skill in monitoring, preventing and removing anger; though this mechanism does not seem specific of migraine patients but it may also be shared by patients suffering from other types of cephalalgia [12].…”

Section: Discussionsupporting

confidence: 91%

“…Some authors have stated coping difficulties [14, 15], psychosomatic mechanisms, alexithymia [16,17,18,19,20] and a certain personality structure [21] to be typical of migraine patients. All these issues are related; for example, new trends in alexithymia research suggest that alexithymic individuals display avoidant behaviors (related to certain personality constructs and attachment patterns) and interpersonal problems with a reduced capacity to use social interactions for affect regulation (coping difficulties) [22, 23].…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 91%

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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“…One of the difficulties in examining this particular group of patients is that chronic PTH has not been studied as widely as other forms of headache [23]. This study confirmed that this population of patients with PTH often are suffering more distress than other groups of patients who have experienced trauma, but are headache-free [23].…”

Section: Psychologic Factorssupporting

confidence: 60%

Current concepts in chronic post-traumatic headache

Packard

2005

Current Science Inc

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Over the years, there has been much confusion and conflict regarding when a post-traumatic headache (PTH) should be classified as chronic. Chronic pain usually is described as pain persisting for longer than 6 months. For many years, a chronic PTH was considered to be a headache lasting longer than 2 months. Some useful definitions and criteria were published in 2003 by the International Headache Society, in the Second Edition of the Classification and Diagnostic Criteria for Headache Disorders. These criteria are reviewed and discussion follows regarding the problem of when a chronic PTH should be classified as permanent. This becomes very important in a medical-legal context. Management of chronic PTH often will require a multifactorial approach.

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“…Other risk factors for developing chronic PTHA include female gender, lower socioeconomic status, and prior history of headaches [7,8,10,11,15]. Psychiatric disorders are increased in patients with PTHA and contribute to headache chronicity, headache frequency, and headache-related disability [16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Posttraumatic Headache in Military Personnel and Veterans of the Iraq and Afghanistan Conflicts

Theeler

Erickson

2011

Curr Treat Options Neurol

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Headaches, particularly migraine, are common in US servicemembers (SMs) who are deployed to or have returned from theaters of combat operations in Iraq and Afghanistan. Concussions and exposure to explosive blasts may be a significant contributor to the increased prevalence of headaches in military veterans. Concussions, usually due to blast exposure, occur in approximately 20% of deployed SMs, and headaches are a common symptom after a deployment-related concussion. Posttraumatic headaches (PTHAs) in US SMs usually resemble migraines, and posttraumatic stress disorder (PTSD) and depression are common comorbidities. Treatment of PTHAs in SMs is based upon the treatment setting, whether the headaches are acute or chronic, the headache phenotype, and associated comorbidities. No randomized, controlled clinical trials evaluating the efficacy of therapies for PTHAs have been completed. Pharmacologic and nonpharmacologic management strategies should be selected on an individual basis. Acute therapy with NSAIDs or triptans and prophylactic therapy in acute and chronic settings using valproate, nortriptyline, amitriptyline, propranolol, topiramate, or botulinum toxin are discussed. Triptans and topiramate may be particularly effective in SMs with PTHA. Management of PTHA and other features of the posttraumatic syndrome should be multidisciplinary whenever possible.

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Posttraumatic Headache: Biopsychosocial Comparisons With Multiple Control Groups

Abstract: This study confirmed the distress seen in this understudied population of persons with headache and highlights areas of focus for proper assessment and treatment of those with headache and who have had an accident.

Cited by 24 publications

References 28 publications

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

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

Current concepts in chronic post-traumatic headache

Posttraumatic Headache in Military Personnel and Veterans of the Iraq and Afghanistan Conflicts

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