The Epidemiological Enigma of Migraine

Waters, W. E.

doi:10.1093/ije/2.2.189

Cited by 94 publications

(51 citation statements)

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“…Such a protocol can be used to investigate neurologic disorders including headaches in other populations so that results can be compared. With regard to the epidemiologic study of head aches, the problems concerning the definition, diagnosis, and the relevance or significance of symptoms 'diagnostic' of migraine have been highlighted by Collomb et al [7] and by Waters [35,36]. However, the clinically vali dated epidemiologic studies so far reported show that the prevalence ratios of migraine are higher in women than in men [35], In addition, no associa tion was found between the prevalence of migraine and social class [23,36], The results of our pilot study in a rural community in Nigeria, though limited in scope, support these general conclusions.…”

Section: Discussionmentioning

confidence: 99%

Migraine Headache in a Rural Community in Nigeria: Results of a Pilot Study

Osuntokun

Schoenberg

Nottidge³

et al. 1982

Neuroepidemiology

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As part of a pilot study to determine the feasibility of a survey to detect major neurologic diseases among rural populations in developing countries, it was possible to obtain data on the prevalence of migraine in a rural Nigerian population. Using defined diagnostic criteria, a neurologist identified 62 individuals among a group of 903 as having migraine, yielding a point prevalence ratio of 69/1,000. The prevalence among females was approximately twice the figure for males. In 80%, a first-degree relative suffered from ''similar headaches''. Above age 39, the age-specific prevalence ratio declined with increasing age. The relative risk of epilepsy in those with migraine was 3. The high prevalence of migraine, comparable to reported data from Caucasian populations in developed countries, is surprising.

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Section: Discussionmentioning

confidence: 99%

Migraine Headache in a Rural Community in Nigeria: Results of a Pilot Study

Osuntokun

Schoenberg

Nottidge³

et al. 1982

Neuroepidemiology

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“…Philips, 1977); and is based on three migrainous features similar to those used by many neurologists (c.g. Waters, 1973). The three criteria were: ( 8 ) unilateral onset of headache ; (b) accompanied by nausea and/or vomiting ; and (c) sensory prodomata.…”

Section: Sdyectsmentioning

confidence: 99%

Cognitive therapy vs. self‐management training in the treatment of chronic headaches

Martin

Nathan

Milech

et al. 1989

British J Clinic Psychol

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In view of the association between chronic headaches and depression, this study compared a cognitive therapy package designed for depression with a relatively standard behavioural treatment package designed for headaches (self-management training), in terms of their effects on headaches and depressive symptoms. Fifty-five subjects suffering from chronic headaches (tension, migraine and combined) were randomly assigned to the two treatment conditions. Cognitive therapy and self-management training were equally effective at decreasing headaches and depressive symptoms on most measures. Changes in headaches and depressive symptoms were not significantly correlated in either condition, however. Greater headache improvement was associated with high pre-treatment headache activity for both conditions but, whilst self-management training was more effective for subjects low on depression, cognitive therapy was more effective for subjects high on chronicity. This suggests that the latter approach, or some variation of it, may be the treatment of choice for more chronic headache sufferers with depressive symptoms.

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“…Epidemiological [Waters, 1973] and statistical [Drummond and Lance, 1984] analyses sug gest that the diagnosis made is related to the severity and frequency of the headache. Waters [1973] found that the increasing severity of headache was associated with an increasing number of symptoms that characterised migraine, namely, unilaterality, gastro-enterological features and warning signs.…”

Section: Muscle-contraction (Tension) Headachementioning

confidence: 99%

The Classification of Headache

Fc¹

1985

Neuroepidemiology

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The definition of headache syndromes in the past have lacked precision, not only because different terms have been used for the same condition, but also because there is no general agreement on the essential characteristics of each. Since even minor variations will produce marked differences in case series purporting to be of the same disorder, it is important to get general agreement and to improve on previous classifications of headache.

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The Epidemiological Enigma of Migraine

Cited by 94 publications

References 0 publications

Migraine Headache in a Rural Community in Nigeria: Results of a Pilot Study

Migraine Headache in a Rural Community in Nigeria: Results of a Pilot Study

Cognitive therapy vs. self‐management training in the treatment of chronic headaches

The Classification of Headache

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