Migraine and Tension-Type Headache in Croatia: A Population-Based Survey of Precipitating Factors

Cephalalgia ◽  
2003 ◽  
Vol 23 (5) ◽  
pp. 336-343 ◽  
Author(s):  
R Zivadinov ◽  
K Willheim ◽  
D Sepic-Grahovac ◽  
A Jurjevic ◽  
M Bucuk ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sleep Disturbances ◽  
Weather Conditions ◽  
Population Based ◽  
Tension Type Headache ◽  
Precipitating Factors ◽  
Food Items ◽  
Triggering Factors ◽  
Type Headache ◽  
Population Based Survey

The careful monitoring of the trigger factors of headache could be an important step in treatment, because their avoidance may lessen the frequency and severity of attacks. Furthermore, they may provide a clue to the aetiology of headache. The aim of the present study was to estimate the prevalence of tension-type headache (TTH) and to establish the frequency of precipitating factors in subjects with migraine and TTH in the adult population of Bakar, County of the Coast and Gorski Kotar, Croatia. Another important purpose of the study was to examine the relationship of the precipitating factors with migraine and TTH, and with migraine subtypes: migraine with aura (MA) and migraine without aura (MO). We performed a population-based survey using a ‘face-to-face door-to-door’ interview method. The surveyed population consisted of 5173 residents aged between 15 and 65 years. The 3794 participants (73.3%) were screened for headache history according to the International Headache Society (IHS) criteria. Headache screen-positive responders, 2475 (65.2%), were interviewed by trained medical students with a structured detailed interview focused on the precipitating factors. The following precipitating factors in lifetime migraineurs and tension-type headachers have been assessed: stress, sleep disturbances, eating habits, menstrual cycle, oral contraceptives, food items, afferent stimulation, changes in weather conditions and temperature, frequent travelling and physical activity. A total of 720 lifetime migraineurs and 1319 tension-type headachers have been identified. The most common precipitants for both migraine and TTH were stress and frequent travelling. Stress (odds ratio (OR) 1.4, 95% confidence interval (CI) 1.17, 1.69) was associated with migraine, whereas physical activity (OR 0.72, 95% CI 0.59, 0.87) was related to TTH. Considering MA and MO, frequent travelling (OR 2.2, 95% CI 1.59, 2.99), food items (OR 2.2, 95% CI 1.35, 3.51) and changes in weather conditions and temperature (OR 1.75, 95% CI 1.27, 2.41) exhibited a significant positive association with MA. The present study demonstrated that precipitant-dependent attacks are frequent among both migraineurs and tensiontype headachers. Lifetime migraineurs experienced headache attacks preceded by triggering factors more frequently than tension-type headachers. MA was more frequently associated with precipitating factors than MO. We suggest that some triggering factors may contribute to the higher occurrence of precipitant-dependent headache attacks in susceptible individuals.

A Population-Based Analysis of the Diagnostic Criteria of the International Headache Society

Cephalalgia ◽  
1991 ◽  
Vol 11 (3) ◽  
pp. 129-134 ◽  
Author(s):  
Birthe Krogh Rasmussen ◽  
Rigmor Jensen ◽  
Jes Olesen
Keyword(s):  
Physical Activity ◽  
Diagnostic Criteria ◽  
International Headache Society ◽  
Normal Subjects ◽  
Population Based ◽  
Tension Type Headache ◽  
Headache Disorders ◽  
Specific Proposal ◽  
Accompanying Symptoms ◽  
Type Headache

In 740 representative normal subjects a diagnostic headache interview and a neurological examination provided the necessary information to classify headache disorders according to the operational diagnostic criteria of the International Headache Society (IHS). Sixteen per cent (n = 119) had migraine, 78% (n = 578) tension-type headache. In migraineurs, pain was of a pulsating quality in 78%, severe in 85%, unilateral in 62%, and aggravated by routine physical activity in 96%. Tension-type headache was of a pressing quality in 78%, mild or moderate in 99%, bilateral in 90%, and 72% had no aggravation by physical activity. The accompanying symptoms of nausea, photo- and phonophobia occurred frequently and were usually moderate or severe in migraine subjects, and if present in subjects with tension-type headache, they were usually mild. Only two subjects had unclassifiable headache. The IHS Classification is thus exhaustive. The criteria may be improved by mandatory demands to the criterion of pain intensity leaving other features of pain as supportive for the diagnosis and by including graded severity of accompanying symptoms. A specific proposal is given.

scholarly journals Impact of sex hormonal changes on tension-type headache and migraine: a cross-sectional population-based survey in 2,600 women

2012 ◽  
Vol 13 (7) ◽  
pp. 557-565 ◽  
Author(s):  
Necdet Karlı ◽  
◽  
Betül Baykan ◽  
Mustafa Ertaş ◽  
Mehmet Zarifoğlu ◽  
...  
Keyword(s):  
Population Based ◽  
Tension Type Headache ◽  
Hormonal Changes ◽  
Cross Sectional ◽  
Type Headache ◽  
Population Based Survey

Quality of life in adolescents with headache: Results from a population-based survey

Cephalalgia ◽  
2010 ◽  
Vol 30 (6) ◽  
pp. 713-721 ◽  
Author(s):  
Astrid Milde-Busch ◽  
Sabine Heinrich ◽  
Silke Thomas ◽  
Anja Kühnlein ◽  
Katja Radon ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Conditions ◽  
Population Based ◽  
Tension Type Headache ◽  
Physical Wellbeing ◽  
Type Headache ◽  
Stratified Analysis ◽  
The Impact ◽  
Population Based Survey

The aim of the investigation was to study the impact of headache on quality of life (QOL) in adolescents in a population-based sample ( N = 1047, aged between 13 and 17 years). QOL was assessed using the KINDL-R (Revidierter Kinder Lebensqualitätsfragebogen) questionnaire with its six dimensions. In order to assess potential differences in the impact on QOL according to the type of headache, a stratified analysis was performed. QOL differences compared to the ‘no headache’ group are presented with adjustment for socio-demographic confounders. Headache at least once per month was reported in 48% of the adolescents and accounted for a small but significant reduction of 2.5 points in the total KINDL-R score, which was mainly caused by a reduction in physical wellbeing by 6.8 points. Adolescents with migraine reported higher reductions in physical wellbeing and total QOL than subjects with tension-type headache (TTH). The size of the reduction in QOL scores was small but similar to that observed for other chronic conditions in adolescents. Headache prevention programs might therefore have an impact on QOL in adolescents.

A Population-Based Survey to Determine Association of Perceived Social Support and Self-Efficacy With Self-Care Among Elderly With Diabetes Mellitus (Kerman City, Iran)

2017 ◽  
Vol 85 (4) ◽  
pp. 504-517 ◽  
Author(s):  
Vahidreza Borhaninejad ◽  
Mohsen Shati ◽  
Devender Bhalla ◽  
Abedin Iranpour ◽  
Reza Fadayevatan
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Self Efficacy ◽  
Pearson Correlation ◽  
Self Care ◽  
Population Based ◽  
Foot Care ◽  
Gender And Age ◽  
Kerman City ◽  
Population Based Survey

This survey examined association between social support and self-efficacy with self-care in elderly with diabetes. A total of 374 subjects were identified in Kerman city, Iran who responded to questionnaires on self-care, social support, and self-efficacy. Data were analyzed by using SPSS. Along with customary descriptive statistics, we also determined group difference for self-care, and Pearson correlation, and prediction value of various variables by using hierarchical multiple regression. And 67.37% of subjects were classified as poor adherence to self-care; 55.9% patients reportedly had good foot care habits, while 68.4% patients were not taking adequate physical activity. There was a significant correlation between self-care with social support and self-efficacy. Independent variables accounted for 44.3% of the variance in self-care. Diabetes care programs should aim to implement (a) weekly free-of-cost mass physical activity programs, (b) mass education adapted for gender- and age-based needs, and (c) informal social cohesion and companionship among general public.

Migraine and Idiopathic Narcolepsy – A Case-Control Study

Cephalalgia ◽  
2003 ◽  
Vol 23 (8) ◽  
pp. 786-789 ◽  
Author(s):  
Stefan Evers ◽  
Keyword(s):  
Sleep Disturbances ◽  
Case Control Study ◽  
Case Control ◽  
Tension Type Headache ◽  
Control Group ◽  
Migraine Frequency ◽  
Type Headache ◽  
Control Study

In order to evaluate a possible association between migraine and idiopathic narcolepsy, we performed a multicentre case-control study on the comorbidity of narcolepsy and different headaches. In total, 96 patients with idiopathic narcolepsy were enrolled. The migraine frequency in the patients and in the control group was 21.9% and 19.8%, respectively ( P = 0.722). The migraine features did not differ significantly between both groups. However, headache fulfilling the criteria for tension-type headache was significantly more often reported by narcolepsy patients than by the control group (60.3% vs. 40.7%, P = 0.006). We conclude that there is no association between migraine and narcolepsy but that patients with narcolepsy show more unspecific headache, probably due to sleep disturbances.

Population-Based Validation of a German-Language Self-Administered Headache Questionnaire

Cephalalgia ◽  
2008 ◽  
Vol 28 (6) ◽  
pp. 605-608 ◽  
Author(s):  
M-S Yoon ◽  
M Obermann ◽  
G Fritsche ◽  
M Slomke ◽  
P Dommes ◽  
...  
Keyword(s):  
General Population ◽  
Population Sample ◽  
Population Based ◽  
Tension Type Headache ◽  
German Language ◽  
General Population Sample ◽  
Trigeminal Autonomic Cephalalgia ◽  
Screening Questionnaires ◽  
Headache Clinic ◽  
Type Headache

We validated a German-language self-administered headache questionnaire for migraine (M), tension-type headache (TTH) and trigeminal autonomic cephalalgia (TAC) in a general population sample of people with headache. Randomly selected subjects ( n = 240) diagnosed by the questionnaire as M ( n = 60), TTH ( n = 60), a combination of M and TTH (M+TTH, n = 60) and TAC ( n = 60) were invited for examination by headache specialists. One hundred and ninety-three subjects (80%) were studied. Sensitivity and specificity for M were 0.85 and 0.85, for TTH 0.6 and 0.88, for M+TTH 0.82 and 0.87, respectively. Cohen's κ was 0.6 (95% confidence interval 0.50, 0.71). Of 45 patients with TAC according to the questionnaire, physicians diagnosed cluster headache in two patients only. We conclude: (i) the questionnaire can be used to diagnose M, TTH and M+TTH, but not TAC; (ii) screening questionnaires for epidemiological research should be validated in a general population sample but not in a tertiary headache clinic.

Migraine, Tension-Type Headache, and Attention-Deficit/Hyperactivity Disorder in Childhood: A Population-Based Study

2010 ◽  
Vol 122 (5) ◽  
pp. 18-26 ◽  
Author(s):  
Marco A. Arruda ◽  
Vincenzo Guidetti ◽  
Federica Galli ◽  
Regina C. A. P. Albuquerque ◽  
Marcelo E. Bigal
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Attention Deficit ◽  
Population Based ◽  
Tension Type Headache ◽  
Population Based Study ◽  
Hyperactivity Disorder ◽  
Type Headache

scholarly journals Step-Headache: A Distinct Symptom of Migraine

2020 ◽  
Vol 11 (01) ◽  
pp. 089-094
Author(s):  
Sunil Pradhan ◽  
Animesh Das ◽  
Jayashri Ghosh
Keyword(s):  
Physical Activity ◽  
Logistic Regression ◽  
Association Analysis ◽  
Binary Logistic Regression ◽  
High Specificity ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Equal Distribution ◽  
Frequency Distributions ◽  
Type Headache

Abstract Objectives The diagnosis of migraine depends on various characteristics of headache with their associated constitutional symptoms such as nausea, vomiting, photophobia, and phonophobia. Relatively severe intensity, throbbing character, unilaterality, and aggravation with physical activity are the key features of migraine headache. We did this study to describe a new symptom (step-headache) in migraine in which some patients complained of uncomfortable or painful thump over the head with each footstep during walking or running. Materials and Methods Self-designed proforma was filled in each clinically diagnosed patient of migraine or tension-type headache in an outpatient clinic setting. The symptom designated here as step-headache was evaluated in 150 patients of migraine including 26 patients with overlapping headache and 244 patients of tension-type headache. Binary logistic regression was used for association analysis of step-headache with subgroups of migraine and with other migraine features. Statistical Analysis Frequency distributions were expressed as numbers (percentages) or mean ± standard deviation. Binary logistic regression was used for association analysis of step-headache with subgroups of migraine and with other migraine features. Results Step-headache was experienced by 97 (64.67%) migraine patients with nearly equal distribution among the two clinical subtypes (61.5% for migraine with aura and 65.3% for migraine without aura) but with high prevalence among perimenopausal onset migraine. Of all the patients who had this symptom, 77.32% experienced it during all the migraine attacks. The step-headache was differentiable from throbs of migraine and their exacerbation during physical activity by its synchrony with footsteps and its presence during nonpulsatile headaches or nonheadache phases of migraine. Sensitivity of this symptom was 64.67% while specificity was 100%. Conclusion Among primary headaches, step-headache is a less well-known but common and distinct symptom of migraine. It has good sensitivity and high specificity for migraine.

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