dc.contributor.author | Kristoffersen, Espen S | |
dc.contributor.author | Aaseth, Kjersti | |
dc.contributor.author | Grande, Ragnhild B | |
dc.contributor.author | Lundqvist, Christofer | |
dc.contributor.author | Russell, Michael B | |
dc.date.accessioned | 2018-08-21T05:02:13Z | |
dc.date.available | 2018-08-21T05:02:13Z | |
dc.date.issued | 2018 | |
dc.identifier.citation | The Journal of Headache and Pain. 2018 Aug 03;19(1):62 | |
dc.identifier.uri | http://hdl.handle.net/10852/63266 | |
dc.description.abstract | Background
Primary headaches are associated with psychological distress, neuroticism and disability. However, little is known about headache-related disability and psychological distress among people with secondary chronic headaches.
Methods
30,000 persons aged 30–44 from the general population was screened for headache by a questionnaire. The responder rate was 71%. The International Classification of Headache Disorders with supplementary definitions for chronic rhinosinusitis and cervicogenic headache were used. The Hopkins Symptom Checklist-25 assessed high psychological distress, the Migraine Disability Assessment questionnaire assessed disability, and Eysenck Personality Questionnaire assessed neuroticism.
Results
Ninety-five of the 113 eligible participants (84%) completed the self-reported questionnaire. A total of 38 people had chronic post-traumatic headache, 21 had cervicogenic headache, and 39 had headache attributed to chronic rhinosinusitis, while 9 had co-occurrence of chronic post-traumatic and cervicogenic headache. Six persons had miscellaneous secondary chronic headaches. Overall, 49% of those with secondary chronic headache reported high psychological distress, which is significantly higher than in the general population. A high level of neuroticism was significantly more common in those with secondary chronic headache than in the general population. Severe headache-related disability was reported by 69%. 92 persons were followed up after 3 years. A low headache frequency was the only significant predictor of improvement of ≥ 25% in headache days. Having post-traumatic or cervicogenic headache and not headache attributed to chronic rhinosinusitis predicted an increased risk > 25% worsening of headache days or having a severe disability at 3 years follow-up.
Conclusion
Psychological distress and neuroticism were more common among people with secondary chronic headache than in the general population. Only a high headache frequency was significantly associated with increased headache disability at baseline and a poor prognosis in the long term. | |
dc.language.iso | eng | |
dc.rights | The Author(s).; licensee BioMed Central Ltd. | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.title | Psychological distress, neuroticism and disability associated with secondary chronic headache in the general population – the Akershus study of chronic headache | |
dc.type | Journal article | |
dc.date.updated | 2018-08-21T05:02:17Z | |
dc.creator.author | Kristoffersen, Espen S | |
dc.creator.author | Aaseth, Kjersti | |
dc.creator.author | Grande, Ragnhild B | |
dc.creator.author | Lundqvist, Christofer | |
dc.creator.author | Russell, Michael B | |
dc.identifier.cristin | 1602386 | |
dc.identifier.doi | https://doi.org/10.1186/s10194-018-0894-7 | |
dc.identifier.urn | URN:NBN:no-65822 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/63266/1/10194_2018_Article_894.pdf | |
dc.type.version | PublishedVersion | |
cristin.articleid | 62 | |