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1.
《Postgraduate medicine》2013,125(5):18-26
AbstractObjectives: Primary headache syndromes (eg, migraine and tension-type headache [TTH]) and attention-deficit/hyperactivity disorder (ADHD) are prevalent in childhood and may cause impairment in social and academic functioning. We tested if ADHD or its symptoms are associated with specific headache syndromes or with headache frequency. Study design: Cross-sectional epidemiological study with direct interviews to parents and teachers using validated and standardized questionnaires. Setting: Populational study. Participants: Children aged 5 to 11 years (n = 1856). Outcome measures: Prevalence of ADHD as a function of headache status in crude and adjusted analyses. Results: The prevalence of migraine was 3.76%. Infrequent episodic TTH occurred in 2.3% of the sample, and frequent episodic TTH occurred in 1.6%. The prevalence of ADHD was 6.1%. The prevalence of ADHD was not significantly different by headache category. For hyperactivity-impulsivity symptoms, the prevalence was 8.1% in children without headache, 23.7% in children with migraine (relative risk [RR], 2.6; 95% confidence interval [CI], 1.6–4.2), and 18.4% in children with probable migraine (RR, 2.1; 95% CI, 1.4–3.2). For inattention, no significant differences were seen. In multivariate analyses, ADHD or inattention symptoms were not predicted by headache subtypes or headache frequency. Hyperactivity-impulsivity symptoms were significantly associated with any headache (P < 0.01), TTH (P < 0.01), or migraine (P < 0.001). Conclusion: Migraine and TTH are not comorbid to ADHD overall, but are comorbid to hyperactive-impulsive behavior. Providers and educators should be aware of the association. 相似文献
2.
Russell MB 《The journal of headache and pain》2005,6(6):441-447
The aim of this study was to evaluate the one–year prevalence of tension–type headache in the general population. Three thousand
men and one thousand women aged 40 years from the Danish population were included. They received a mailed questionnaire and
the response rate was 87%. The selfreported one–year prevalence of tension– type headache was 84.7%. The one–year prevalence
of infrequent episodic, frequent episodic and chronic tension–type headache was 48.2%, 33.8% and 2.3%, respectively. No tension–type
headache and infrequent episodic tension–type headache was significantly more frequent in men than women (p<0.0005 and p=0.004), while frequent and chronic tension–type headache was significantly more frequent in women than men (p<0.0005 and p<0.0005). No tension– type headache and infrequent tension–type headache was significantly more frequent among those without
than with self–reported migraine (no headache, men, p<0.0005 and women, p=0.002 and infrequent, men, p<0.0005 and women, p<0.0005), while episodic frequent and chronic tension–type headache was significantly more frequent among those with than
those without self–reported migraine, with the exception of chronic tension–type in women (frequent episodic, men, p<0.0005 and women, p<0.0005 and chronic, men, p<0.0005 and women, p=0.08). Women are more prone to tensiontype headache than men and they have it more frequently than men. Self–reported migraine
increases the risk for frequent episodic and chronic tension–type headache. 相似文献
3.
Queiroz LP Peres MF Piovesan EJ Kowacs F Ciciarelli MC Souza JA Zukerman E 《Headache》2009,49(1):71-78
Objectives.— To estimate the 1-year prevalence of tension-type headache (TTH) and the degree of the association of TTH with some sociodemographic characteristics of a representative sample of the adult population of Brazil.
Methods.— This was an observational, cross-sectional, population-based study. We conducted telephone interviews on 3848 people, aged 18-79 years, randomly selected from the 27 states of Brazil. Trained lay interviewers administered the structured questionnaire. It included questions about the sociodemographic characteristics of the population, as well as questions about headache. The degree of the association was calculated through prevalence ratios, adjusted with Poisson regression by gender, age, years of education, marital status, household income, job status, body mass index (BMI), and physical exercise.
Results.— The estimated 1-year gender- and-age-adjusted prevalence of TTH was 13.0% (95% CI: 11.8-14.2%); 15.4% in males and 9.5% in females. The prevalence of probable TTH was 22.6% (95% CI: 21.1-24.1%). Most (86.2%) subjects reported episodic TTH; 6.4% had chronic TTH. The prevalence was higher at 18-29 years of age (16.2%). TTH was 1.6 times more prevalent in men, and 1.54 times more in subjects with more than 11 years of education. There was no significant association of TTH with marital or job status, household income, BMI, and physical activity.
Conclusion.— This is the first nationwide epidemiological study of TTH in Brazil. The overall prevalence of TTH in Brazil is low, at 13%. TTH is significantly more prevalent in males and subjects with higher education level. 相似文献
Methods.— This was an observational, cross-sectional, population-based study. We conducted telephone interviews on 3848 people, aged 18-79 years, randomly selected from the 27 states of Brazil. Trained lay interviewers administered the structured questionnaire. It included questions about the sociodemographic characteristics of the population, as well as questions about headache. The degree of the association was calculated through prevalence ratios, adjusted with Poisson regression by gender, age, years of education, marital status, household income, job status, body mass index (BMI), and physical exercise.
Results.— The estimated 1-year gender- and-age-adjusted prevalence of TTH was 13.0% (95% CI: 11.8-14.2%); 15.4% in males and 9.5% in females. The prevalence of probable TTH was 22.6% (95% CI: 21.1-24.1%). Most (86.2%) subjects reported episodic TTH; 6.4% had chronic TTH. The prevalence was higher at 18-29 years of age (16.2%). TTH was 1.6 times more prevalent in men, and 1.54 times more in subjects with more than 11 years of education. There was no significant association of TTH with marital or job status, household income, BMI, and physical activity.
Conclusion.— This is the first nationwide epidemiological study of TTH in Brazil. The overall prevalence of TTH in Brazil is low, at 13%. TTH is significantly more prevalent in males and subjects with higher education level. 相似文献
4.
Bellei E Cuoghi A Monari E Bergamini S Fantoni LI Zappaterra M Guerzoni S Bazzocchi A Tomasi A Pini LA 《The journal of headache and pain》2012,13(1):45-52
Medication-overuse headache (MOH) is a chronic disorder associated with overuse of analgesic drugs, triptans, non-steroidal
anti-inflammatory drugs (NSAIDs) or other acute headache compounds. Various epidemiologic investigations proved that different
drug types could cause nephrotoxicity, particularly in chronic patients. The aim of the present work was to analyze, by a
proteomic approach, the urinary protein profiles of MOH patients focusing on daily use of NSAIDs, mixtures and triptans that
could reasonably be related to potential renal damage. We selected 43 MOH patients overusing triptans (n = 18), NSAIDs (n = 11), and mixtures (n = 14), for 2–30 years with a mean daily analgesic intake of 1.5 ± 0.9 doses, and a control group composed of 16 healthy volunteers.
Urine proteins were analyzed by mono-dimensional gel electrophoresis and identified by mass spectrometry analysis. Comparing
the proteomic profiles of patients and controls, we found a significantly different protein expression, especially in the
NSAIDs group, in which seven proteins resulted over-secreted from kidney (OR = 49, 95% CI 2.53–948.67 vs. controls; OR = 11.6,
95% CI 0.92–147.57 vs. triptans and mixtures groups). Six of these proteins (uromodulin, α-1-microglobulin, zinc-α-2-glycoprotein,
cystatin C, Ig-kappa-chain, and inter-α-trypsin heavy chain H4) were strongly correlated with various forms of kidney disorders.
Otherwise, in mixtures and in triptans abusers, only three proteins were potentially associated to pathological conditions
(OR = 4.2, 95% CI 0.33–53.12, vs. controls). In conclusion, this preliminary proteomic study allowed us to define the urinary
protein pattern of MOH patients that is related to the abused drug. According with the obtained results, we believe that the
risk of nephrotoxicity should be considered particularly in MOH patients who abuse of NSAIDs. 相似文献
5.
Kukava M Dzagnidze A Janelidze M Mirvelashvili E Djibuti M Fritsche G Jensen R Stovner LJ Steiner TJ Katsarava Z 《The journal of headache and pain》2007,8(6):321-324
In a pilot phase of a survey of the prevalence of primary headache disorders in the Republic of Georgia, we validated a Georgian
language questionnaire for migraine (MIG), tension-type headache (TTH), MIG+TTH and trigeminal autonomic cephalalgias (TAC).
A population-based sample of 186 people with headache completed the questionnaire and were blindly examined by one of two
headache experts. The questionnaire diagnoses were: MIG 49, TTH 76, MIG+TTH 45 and TAC 16. The physicians’ diagnoses were:
MIG 59, TTH 77, MIG+TTH 34, TAC 2 and “symptomatic headache” in 14 subjects. Sensitivity and specificity for MIG were 0.75
and 0.96, for TTH 0.79 and 0.86, and for MIG+TTH 0.61 and 0.84 respectively. Of 16 TAC diagnoses, the physicians confirmed
cluster headache in two patients only. The questionnaire can be utilised to investigate the prevalence of MIG and of TTH.
It offers preliminary screening only for TAC, which should be confirmed during a face to face examination.
This is a “Springer Open Choice” article. Unrestricted non-commercial use, distribution, and reproduction in any medium is
permitted, provided the original author and source are credited.
An erratum to this article can be found at 相似文献
6.
Ravi Gupta Tanzeel Ahmed Basudeb Banerjee Manjeet Bhatia 《The journal of headache and pain》2009,10(3):161-166
Calcitonin gene-related peptide (CGRP) is known to increase during acute attack of migraine and tension type headache (TTH).
However, its concentration during inter-ictal period is not known. This may help us to understand the pathophysiology of these
headaches. The objectives of this study are to find out the concentration of CGRP in plasma during inter-ictal period among
migraineurs and TTH and to compare it with control group through cross-sectional study from headache clinic of a tertiary
centre. Study sample comprised of three groups: migraineurs, TTH subjects as well as a healthy control group. Fifty subjects
in each group were included after screening for the respective inclusion criteria and exclusion criteria. None of the subjects
was blood relatives of other subject. Their venous blood was drawn and plasma was separated to be kept at −70°C. CGRP was
analysed with commercially available ELISA kit. Data were analysed with the help of SPSS V 11.0 for Windows. Chi-square, independent
sample t test and one-way ANOVA with post hoc Tukey and univariate regression were performed. Plasma CGRP concentration was not different
among three diagnostic groups (F = 0.78; P = 0.49). Similarly, plasma CGRP concentration was not different among episodic TTH and chronic TTH groups (t = 0.32; P = 0.97) and comparison of episodic and chronic migraine groups also revealed similar results in this study (1.14 vs. 0.94 ng/ml;
P = 0.23). The presence of aura did not affect the inter-ictal CGRP levels among migraineurs (F = 0.16; P = 0.85). In conclusion, this study suggests that migraine and TTH could be episodic disorders and subjects have comparable
CGRP levels during inter-ictal period. 相似文献
7.
Girish N. Rao Girish B. Kulkarni Gopalkrishna Gururaj Kavita Rajesh D. Kumaraswamy Subbakrishna Timothy J. Steiner Lars J. Stovner 《The journal of headache and pain》2012,13(7):543-550
Primary headache disorders are a major public-health problem globally and, possibly more so, in low- and middle-income countries. No methodologically sound studies of prevalence and burden of headache in the adult Indian population have been published previously. The present study was a door-to-door cold-calling survey in urban and rural areas in and around Bangalore, Karnataka State. From 2,714 households contacted, 2,514 biologically unrelated individuals were eligible for the survey and 2,329 (92.9 %) participated (1,103 [48 %] rural; 1,226 [52 %] urban; 1,141 [49 %] male; 1,188 [51 %] female; mean age 38.0 years). The focus was on primary headache (migraine and tension-type headache [TTH]) and medication-overuse headache. A structured questionnaire administered by trained lay interviewers was the instrument both for diagnosis (algorithmically determined from responses) and burden estimation. The screening question enquired into headache in the last year. The validation study compared questionnaire-based diagnoses with those obtained soon after through personal interview by a neurologist in a random sub-sample of participants (n = 381; 16 %). It showed high values (>80 %) for sensitivity, specificity and predictive values for any headache, and for specificity and negative predictive value for migraine and TTH. Kappa values for diagnostic agreement were good for any headache (0.69 [95 % CI 0.61–0.76]), moderate (0.46 [0.35–0.56]) for migraine and fair (0.39 [0.29–0.49]) for TTH.The survey methodology, including identification of and access to participants, proved feasible. The questionnaire proved effective in the survey population. The study will give reliable estimates of the prevalence and burden of headache, and of migraine and TTH specifically, in urban and rural Karnataka. 相似文献
8.
Objective: To describe the importance of tension-type headache (TTH) in Santiago, Chile, by analyzing its prevalence, clinical features, and impact by age, gender, and socioeconomic status, using widely accepted international diagnostic criteria. Methods: In 1993, a representative sample of 1540 adults (older than 14) of the province of Santiago were interviewed using a standard questionnaire. A total of 1385 (89.9% response rate) subjects responded to the survey. Initially, a designated member of each household responded to the questionnaire. Subsequently, each household member with headache was asked to respond to questions about the severity, frequency, location, duration, associated symptoms, and impact in work and social activities of their most frequent headaches. TTH diagnoses were determined in accordance with the International Headache Society criteria of 1988. Results: Total prevalence was found to be 26.9% (95% CI: 24.6–29.3%); 35.2% in females (95% CI: 31.7–38.8%) and 18.1% in males (95% CI: 15.2–21.3%). The prevalence of episodic TTH was 24.3% (95% CI: 22.1–26.7%) and of chronic TTH 2.6% (95% CI: 1.8–3.6%). Overall, and by subtype, prevalence was significantly higher in females (ratio 1:9). There was no significant variation in prevalence by socioeconomic or age group except in chronic TTH, in which there was an increase with age. Conclusions: TTH is a prevalent condition in a sample of adults of Santiago, similar to that reported in previous studies using similar methodologies. Overall, TTH represents 72.3% of all recurrent headaches. 相似文献
9.
Min-Suk Yoon Aubrey Manack Sara Schramm Guenther Fritsche Mark Obermann Hans-Christoph Diener Susanne Moebus Zaza Katsarava 《Pain》2013
The objective of this study was to evaluate the association between low and frequent low back pain and chronic migraine (CM) and chronic tension-type headache (CTTH) in a large, German population-based sample. Headaches were diagnosed according to International Classification of Headache Disorders-2 criteria and categorized according to frequency (episodic 1–14 days/month or chronic ?15 days/month) and headache type (migraine or TTH). We defined frequent low back pain as self-reported low back pain on ?15 days/month. We calculated odds ratios and 95% confidence intervals (CI) using logistic regression analyses, adjusting for sociodemographic covariates. There were 5605 respondents who reported headache in the previous year, of whom 255 (4.5%) had Chronic Headache. Migraine was diagnosed in 2933 respondents, of whom 182 (6.2%) had CM. TTH was diagnosed in 1253 respondents, of whom 50 (4.0%) had CTTH. Among 9944 respondents, 6030 reported low back pain, of whom 1267 (21.0%) reported frequent low back pain. In adjusted models, the odds of having frequent low back pain were between 2.1 (95% CI 1.7-2.6) and 2.7 (95% CI 2.3-3.2) times higher in all episodic headache subtypes when compared to No Headache. The odds of having frequent low back pain were between 13.7 (95% CI 7.4-25.3) and 18.3 (95% CI 11.9-28.0) times higher in all chronic headache subtypes when compared to No Headache. Low and frequent low back pain was associated with CM and CTTH. Multiple explanations may contribute to the association of headache and back pain, including the notion that the neurobiology of chronic headache, independent of primary headache type, not only involves the trigeminal pain pathway, but is also a part of abnormal general pain processing. 相似文献
10.
Ertas M Baykan B Orhan EK Zarifoglu M Karli N Saip S Onal AE Siva A 《The journal of headache and pain》2012,13(2):147-157
Several studies have shown that the prevalence of migraine and tension-type headache (TTH) varied between different geographical
regions. Therefore, there is a need of a nationwide prevalence study for headache in our country, located between Asia and
Europe. This nationwide study was designed to estimate the 1-year prevalence of migraine and TTH and analyse the clinical
features, the impact as well as the demographic and socio-economic characteristics of the participant households in Turkey.
We planned to investigate 6,000 representative households in 21 cities of Turkey; and a total of 5,323 households (response
rate of 89%) aged between 18 and 65 years were examined for headache by 33 trained physicians at home on the basis of the
diagnostic criteria of the second edition of the International Classification of Headache Disorders (ICHD-II). The electronically
registered questionnaire was based on the headache features, the associated symptoms, demographic and socio-economic situation
and history. Of 5,323 participants (48.8% women; mean age 35.9 ± 12 years) 44.6% reported recurrent headaches during the last
1 year and 871 were diagnosed with migraine at a prevalence rate of 16.4% (8.5% in men and 24.6% in women), whereas only 270
were diagnosed with TTH at a prevalence rate of 5.1% (5.7% in men and 4.5% in women). The 1-year prevalence of probable migraine
was 12.4% and probable TTH was 9.5% additionally. The rate of migraine with aura among migraineurs was 21.5%. The prevalence
of migraine was highest among 35–40-year-old women while there were no differences in age groups among men and in TTH overall.
More than 2/3 of migraineurs had ever consulted a physician whereas only 1/3 of patients with TTH had ever consulted a physician.
For women, the migraine prevalence was higher among the ones with a lower income, while among men, it did not show any change
by income. Migraine prevalence was lower in those with a lower educational status compared to those with a high educational
status. Chronic daily headache was present in 3.3% and the prevalence of medication overuse headache was 2.1% in our population.
There was an important impact of migraine with a monthly frequency of 5.9 ± 6, and an attack duration of 35.1 ± 72 h, but
only 4.9% were on prophylactic treatment. The one-year prevalence of migraine estimated as 16.4% was similar or even higher
than world-wide reported migraine prevalence figures and identical to a previous nation-wide study conducted in 1998, whereas
the TTH prevalence was much lower using the same methodology with the ICHD-II criteria. 相似文献
11.
César Fernández-de-las-Peñas Valentín Hernández-Barrera Pilar Carrasco-Garrido Cristina Alonso-Blanco Domingo Palacios-Ceña Silvia Jiménez-Sánchez Rodrigo Jiménez-García 《The journal of headache and pain》2010,11(2):97-104
The aim of this study was to estimate the prevalence of migraine in the general Spanish population and its association with
socio-demographic and lifestyle factors, self-reported health status, and co-morbidity with other conditions. We analyzed
data obtained from adults aged 16 years or older (n = 29,478) who participated in the 2006 Spanish National Health Survey (SNHS), an ongoing, home-based personal interview which
examines a nation-wide representative sample of civilian non-institutionalized population residing in main family dwellings
(household) of Spain. We analyzed socio-demographic characteristics (gender, age, marital status, educational level, occupational
status, and monetary monthly income); self-perceived health status; lifestyle habits (smoking habit, alcohol consumption,
sleep habit, physical exercise, and obesity); and presence of other concomitant diseases. The 1-year prevalence of diagnosed
migraine (n = 3,433) was 11.02% (95% CI 10.55–11.51). The prevalence was significantly higher among female (15.94%) than male (5.91%)
and showed the highest value in the 31–50 years age group (12.11%). Migraine was more common in those of lower income (AOR
1.19, 95% CI 1.01–1.41) and who sleep <8 h/day (AOR 1.18, 95% CI 1.04–1.33). Furthermore, worse health status (AOR 2.04, 95%
CI 1.76–2.36) and depression (AOR 1.82 95% CI 1.58–2.11) were related to migraine. Finally, subjects with migraine were significantly
more likely to have comorbid conditions, particularly chronic (more than 6 month of duration) neck pain (AOR 2.31, 95% CI
1.98–2.68) and asthma (AOR 1.62, 95% 1.27–2.05). The current Spanish population-based survey has shown that migraine is more
frequent in female, between 31 and 50 years and associated to a lower income, poor sleeping, worse health status, depression
and several comorbid conditions, particularly chronic neck pain and asthma. 相似文献
12.
Validation of a german language questionnaire for screening for migraine, tension-type headache, and trigeminal autonomic cephalgias 总被引:1,自引:0,他引:1
Fritsche G Hueppe M Kukava M Dzagnidze A Schuerks M Yoon MS Diener HC Katsarava Z 《Headache》2007,47(4):546-551
BACKGROUND: To develop a German language questionnaire for screening for migraine, tension-type headache, and trigeminal autonomic cephalgias. OBJECTIVE: Aim of the study was to develop a German language self-administered headache questionnaire for screening for migraine (MIG), tension-type headache (TTH), and trigeminal-autonomic cephalgias (TAC). METHODS: Questionnaire-based diagnoses were blindly compared with those of headache experts. RESULTS: Overall 278 headache patients (MIG = 97, TTH = 60, TAC = 98, MIG plus TTH = 23) as well as 42 patients with low back pain without headache and 47 healthy subjects were studied. The Cohen's kappa for 7 headache syndromes including all combination diagnoses was 0.64 (95% CI 0.58-0.70). Sensitivity and specificity for migraine were 0.73 and 0.96, for TTH 0.85 and 0.98, for TAC 0.63 and 0.99, and for MIG plus TTH 0.62 and 0.97, respectively. Ignoring all combination diagnoses, the kappa-coefficient for the monodiagnoses MIG, TTH, and TAC (193 out of 278 patients) was 0.93 (CI 0.83-1.0). The retest-reliability (4 weeks later) was 0.95. CONCLUSION: We present the first questionnaire in German language including 3 most common primary headaches for use in epidemiological research. 相似文献
13.
Siv Steinsmo Ødegård Morten Engstrøm Trond Sand Lars Jacob Stovner John-Anker Zwart Knut Hagen 《The journal of headache and pain》2010,11(3):197-206
The aim of the study was to evaluate the association between sleep disturbance and headache type and frequency, in a random sample of participants in the third Nord-Trøndelag Health Survey. The headache diagnoses were set by neurologists using the ICHD-2 criteria performing a semi structured face-to-face interview. Sleep problems were measured by the two validated instruments Karolinska Sleep Questionnaire (KSQ) and Epworth Sleepiness Scale (ESS). Among 297 participants, 77 subjects were headache-free, whereas 135 were diagnosed with tension-type headache (TTH), 51 with migraine, and 34 with other headache diagnoses. In the multivariate analyses, using logistic regression, excessive daytime sleepiness, defined as ESS ≥ 10, was three times more likely among migraineurs compared with headache-free individuals (OR = 3.3, 95% CI 1.0–10.2). Severe sleep disturbances, defined as KSQ score in the upper quartile, was five times more likely among migraineurs (OR = 5.4, 95% CI 2.0–15.5), and three times more likely for subjects with TTH (OR = 3.3, 1.4–7.3) compared with headache-free individuals. Subjects with chronic headache were 17 times more likely to have severe sleep disturbances (OR = 17.4, 95% CI 5.1–59.8), and the association was somewhat stronger for chronic migraine (OR = 38.9, 95% CI 3.1–485.3) than for chronic TTH (OR = 18.3, 95% CI 3.6–93.0). In conclusion, there was a significant association between severe sleep disturbances and primary headache disorders, most pronounced for those with chronic headache. Even though one cannot address causality in the present study design, the results indicate an increased awareness of sleep problems among patients with headache. 相似文献
14.
Limited studies have investigated the prevalence of insomnia symptoms among individuals with different headache diagnoses
and the association between insomnia and headache in subjects with comorbid anxiety and depression. A total of 310 community-dwelling
Hong Kong Chinese women aged 40–60 years completed a self-administered questionnaire on headache, sleep difficulties, mood
disturbances, and functional impairment. About 31% of the sample complained of recurrent headache unrelated to influenza and
the common cold in the past 12 months. The percentages of women diagnosed to have migraine, tension-type headache (TTH), and
headache unspecified were 8.4, 15.5 and 7.1%, respectively. The most frequent insomnia complaint was “problem waking up too
early” (29.4%), followed by “difficulty staying asleep” (28.0%) and “difficulty falling asleep” (24.4%). Women with headaches
were significantly more likely to report insomnia symptoms than those without headaches. There were no significant differences
among women with migraine, TTH, and headache unspecified in the prevalence of insomnia symptoms. Logistic regression analysis
showed that women with insomnia disorder as defined by an insomnia severity index total score ≥8 had 2.2-fold increased risk
of reporting recurrent headache, 3.2-fold increased risk of migraine, and 2.3-fold increased risk of TTH, after adjusting
for anxiety and depression. Individual insomnia symptoms were not independent predictors. The association between insomnia
and headache was stronger in subjects with more frequent headaches. Our findings suggest that insomnia and the associated
distress, but not insomnia symptoms alone, is an independent risk factor for recurrent headache in middle-aged women with
mixed anxiety, depression and sleep disturbances. 相似文献
15.
Ali Reza Moaref Peyman Petramfar Kamran Aghasadeghi Mahmood Zamirian Mohammad Bagher Sharifkazemi Shahed Rezaian Sasan Afifi Najaf Zare Gholam Reza Rezaian 《The journal of headache and pain》2009,10(6):431-434
The association of patent foramen ovale (PFO) and atrial septal aneurysm (ASA) with migraine headache attack (MHA) has been
clearly shown. The same findings have been recently demonstrated also in cluster headache. Although tension-type headaches
(TTH) are the most common kind of headache, their association with these atrial septal abnormalities has never been studied
before. The study was conducted to clarify whether there was a significant association between the presence of such atrial
septal abnormalities and tension headache, when compared with migraineurs. One hundred consecutive patients with migraine
and 100 age- and sex-matched subjects with TTH and 50 healthy volunteers with no headache were enrolled in the study and underwent
a complete transesophageal echocardiographic study with contrast injections at rest and with the Valsalva maneuver. There
was no significant difference between the age and the sex of the participants of the three groups. The overall prevalence
of PFO was 23% in patients with TTH and that of large PFOs was only 11%. The 23% prevalence of PFO in patients with TTH was
not statistically different from 16% found in our normal control group. Furthermore, we found a significantly higher prevalence
of PFO in migraineurs (50%) when compared with patients with tension headache (p < 0.001). This was also true for the collective presence of large PFOs and ASAs (35%) (p < 0.001). Although atrial septal anomalies have an association with MHA, they do not have a significant association with
TTH. 相似文献
16.
Gaul C van Doorn C Webering N Dlugaj M Katsarava Z Diener HC Fritsche G 《The journal of headache and pain》2011,12(4):475-483
This study investigated the outcome of a 5-day headache-specific multidisciplinary treatment program (MTP) and the adherence
to treatment recommendations in 295 prospectively recruited consecutive headache patients [210 migraine, 17 tension-type headache
(TTH), 68 combination headache, including 56 medication-overuse headache (MOH)]. Headache frequency decreased from 13.4 (±8.8)
to 8.8 (±8.0) days per month after 12–18 months. Forty-three percent of the participants fulfilled the primary outcome (reduction
of headache frequency of ≥50%), which was less likely in patients with combination of migraine and TTH compared to migraine
(OR = 3.136, p = 0.002) or TTH (OR = 1.029, n.s.). Increasing number of headache days per month (OR = 1.092, p ≤ 0.0001) and adherence to lifestyle modifications (OR = 1.269, p = 0.004) predicted primary outcome. 51 of 56 MOH patients were treated successfully. Thirty-five percent of the patients
were adherent to pharmacological prophylaxis, 61% to relaxation therapy, and 72% to aerobic endurance sports. MTP is effective
in headache treatment. Adherence to therapy was associated with better outcome. 相似文献
17.
18.
Lucia Albers Andreas Straube Mirjam N Landgraf Florian Heinen Rüdiger von Kries 《The journal of headache and pain》2014,15(1):36
Background
Stable headache diagnosis classification is a prerequisite for identification of headache type specific risk factors. Does the stability of a headache diagnosis over time vary between migraine and tension-type headache (TTH)? Are there differences in diagnosis stability between a probable and a definite headache diagnosis?Findings
In a sample of 783 students (ages 12 to 18 years) participating in a headache intervention study in greater Munich, the stability of headache classification according to the International Classification of Headache Disorder - third edition (beta version) (ICHD-3 beta) after a follow-up of 7 months was examined. Differences in stability of probable or definite migraine and probable or definite TTH were assessed. The stability of the headache diagnosis was assessed as predictive value of headache diagnosis with regard to confirmation of the headache type using the same diagnostic instrument 7 months later. Predictive values with 95% confidence intervals (CI) are reported.Of students with initial migraine, a diagnosis of migraine was confirmed in 65.71% of students after 7 months (95%-CI [59.40-71.64]). A clear distinction between probable (44.71%, 95%-CI [33.91-53.89]) and confirmed diagnosis (76.88% 95%-CI [69.56-83.17]) of migraine was observed. For TTH the predictive value was 62.66% (95%-CI [57.07-68.01]) overall with a lower stability for probable (46.10%, 95%-CI [37.68-54.69]) compared to the confirmed diagnosis (69.71%, 95%-CI [23.58-37.67]).Conclusion
While confirmed migraine and confirmed TTH diagnoses seem stable over time, stability of a probable diagnosis for either headache type was lower.Trial registration
The trial was registered at the German Clinical Trial Register with the ID DRKS00003308. 相似文献19.
AS Winkler B Stelzhammer K Kerschbaumsteiner M Meindl W Dent J Kaaya W Matuja & E Schmutzhard 《Cephalalgia : an international journal of headache》2009,29(12):1317-1325
The aim of the study was to assess the prevalence of headache with special attention to tension-type headache (TTH) in a rural area in northern Tanzania. A door-to-door study was performed using a standardized and validated questionnaire. A total of 7412 participants were screened. The total headache prevalence during the past year was 12.1%; the overall 1-year prevalence of TTH was 7%; 5% reported episodic TTH and 0.4% chronic TTH. Borderline cases (International Headache Society code 2.3) were described in 1.6%. The prevalence of headache was highest in the 41–50-year-old group in women and in the 61+ age group in men. This is the first account of the prevalence of TTH in a rural Tanzanian population, and shows that headache in general and, more specifically, TTH are prevalent disorders that deserve attention. However, the prevalence of primary headache seems to be lower than in Western countries. 相似文献
20.
Perozzo P Savi L Castelli L Valfrè W Lo Giudice R Gentile S Rainero I Pinessi L 《The journal of headache and pain》2005,6(5):392-399
The objective was to
evaluate the prevalence and the
characteristics of anger and emotional
distress in migraine and tension–
type headache patients. Two
hundred and one headache patients
attending the Headache Center of
the University of Turin were
selected for the study and divided
into 5 groups: (1) migraine, (2)
episodic tension–type headache, (3)
chronic tension–type headache, (4)
migraine associated with episodic
tension–type headache and (5)
migraine associated with chronic
tension–type headache. A group of
45 healthy subjects served as controls.
All the subjects completed
the State–Trait Anger Expression
Inventory, the Beck's Depression
Inventory and the Cognitive
Behavioral Assessment. Anger control
was significantly lower in all
headache patients (p<0.05) except
in migraineurs. Patients with
migraine and tension–type
headache showed a significantly
higher level of angry temperament
and angry reaction (p<0.05). In
addition, chronic tension–type
headache and migraine associated
with tension–type headache
patients reported a higher level of
anxiety (p<0.05), depression
(p<0.001), phobias (p<0.001) and
obsessive–compulsive symptoms
(p<0.01), emotional liability
(p<0.001) and psychophysiological
disorders (p<0.001). Our study
shows that chronic tension–type
headache and migraine associated
with tension–type headache
patients present a significant
impairment of anger control and
suggests a connection between
anger and the duration of headache
experience. 相似文献