Psychiatric morbidity and cognitive representations of illness in chronic daily headache

Page, LA; Howard, Louise M.; Husain, Kaneez; Tong, Jie; Dowson, A.; Weinman, John; Wessely, Simon

doi:10.1016/j.jpsychores.2004.04.371

Cited by 17 publications

(14 citation statements)

References 30 publications

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“…The study also backs up previous findings that headache sufferers' illness perceptions are associated with health outcomes [5]. Of particular relevance for health care professionals is that higher control perceptions and higher consequence perceptions were associated with more doctor visits.…”

Section: Discussionsupporting

confidence: 82%

“…Research has shown that patients' illness perceptions are important in headache patients. Headache patients who believe that their condition will last a long time and that it has severe personal consequences are more likely to be depressed [5]. The most common attributions for chronic daily headache are psychological, such as stress or overwork.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Headache sufferers' drawings reflect distress, disability and illness perceptions

Broadbent¹,

Niederhoffer²,

Hague³

et al. 2009

Journal of Psychosomatic Research

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Headache sufferers' drawings reflect distress, disability and illness perceptions

Broadbent¹,

Niederhoffer²,

Hague³

et al. 2009

Journal of Psychosomatic Research

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“…). The headache sample consisted of 150 consecutive patients with chronic daily headache who were recruited from a headache clinic held at the same hospital as the chronic orofacial pain clinic – see Page et al . for further details of the recruitment of the headache sample.…”

Section: Methodsmentioning

confidence: 99%

“…Data obtained from chronic orofacial pain patients were also compared against existing data for patients with chronic daily headache in which the HADS had also been administered (published by Page et al) 35 . The headache sample consisted of 150 consecutive patients with chronic daily headache who were recruited from a headache clinic held at the same hospital as the chronic orofacial pain clinic -see Page et al 35 for further details of the recruitment of the headache sample. Of the headache patients, 116 were female, and 34 were male; their ages ranged from 18 to 70 years, with a mean age of 38.1 years.…”

Section: Methodsmentioning

confidence: 99%

Psychological morbidity in chronic orofacial pain and headaches

et al. 2012

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Aims The study aims to investigate the levels of anxiety and depression in patients experiencing orofacial pain and to explore similarities in psychological morbidity between patients experiencing chronic orofacial pain and those with chronic daily headaches. The study also aims to gain insight into the interference with functionality in chronic orofacial pain patients. Materials and methods The sample consisted of 150 new patients with chronic orofacial pain, 112 female and 38 male. Patients completed a retrospective facial pain questionnaire that included the Hospital Anxiety and Depression Scale (HADS), as well as the Brief Pain Inventory (BPI), to assess functionality interference. The chronic orofacial pain HADS were compared with HADS normative data and existing HADS data from a sample with chronic daily headache. Results Temporomandibular joint dysfunction was the most common diagnosis for chronic orofacial pain, affecting 75 patients. According to the BPI scores, patients mostly complained that the pain interfered with their enjoyment of life (49%), mood (44%) and sleep (44%), followed by general activity (39%), relationships with other people (35%) and work (34%). Both clinical HADS groups scored significantly higher than the normative group on the HADS (P < 0.001), while there were no statistical differences between the clinical groups. Conclusion Chronic orofacial pain can have a considerable detrimental effect on daily life and is associated with significantly greater levels of anxiety and depression than seen in general population samples. The levels of anxiety and depression seen in chronic orofacial pain patients were similar to the psychological morbidity found in patients with chronic daily headache.

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“…Smaller studies also have confi rmed that comorbid psychiatric disorders are associated with increased disability and reduced quality of life. Among a sample of 144 chronic daily headache (CDH) patients from the United Kingdom, those reporting high levels of depression or anxiety evidenced higher levels of functional impairment, had more pessimistic beliefs about their illness, and experienced more severe headaches than did CDH patients without high levels of depression or anxiety [25]. Higher rates of 2-week disability, increased restriction of activities, and poorer quality of life were observed in Canadian migraineurs with comorbid depression, bipolar disorder, or an anxiety disorder compared to those with none or only one of these conditions [26•].…”

Section: Prognostic Signifi Cance Of Comorbid Psychiatric Disordersmentioning

confidence: 99%

Psychiatric comorbidities and migraine chronification

Smitherman

Rains²,

Penzien³

2009

Current Science Inc

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A growing body of literature has implicated comorbid psychopathology as a potential risk factor for the chronification of migraine. Of the psychiatric disorders, depressive and anxiety disorders have been most consistently associated with the chronification of migraine. A shared dysfunction of the serotonergic system, medication overuse, and psychological factors have been proposed to mediate this relationship, although the responsible mechanisms are still largely unclear. This article overviews literature on psychiatric comorbidities and migraine chronification, considers mechanisms underlying this relationship, and notes directions for future clinical and empirical work.

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Psychiatric morbidity and cognitive representations of illness in chronic daily headache

Cited by 17 publications

References 30 publications

Headache sufferers' drawings reflect distress, disability and illness perceptions

Headache sufferers' drawings reflect distress, disability and illness perceptions

Psychological morbidity in chronic orofacial pain and headaches

Psychiatric comorbidities and migraine chronification

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