Disability from posttraumatic headache is compounded by coexisting posttraumatic stress disorder
Research output: Contribution to journal › Article › peer-review
Colleges, School and Institutes
- a Institute of Metabolism and Systems Research, College of Medical and Dental Sciences , University of Birmingham , Birmingham , UK.
- Wolfson Computer Laboratory, University Hospital Birmingham NHS Foundation Trust.
- a Institute of Inflammation and Ageing , College of Medical and Dental Sciences , University of Birmingham , Birmingham , UK.
BACKGROUND: Posttraumatic headache (PTH) occurs in up to 82% of patients with traumatic brain injury (TBI). Posttraumatic stress disorder (PTSD) occurs in 39% of those with PTH. This study evaluates whether PTSD affects PTH disability.
METHODS: Eighty-six patients with TBI were prospectively evaluated in a secondary care trauma center. Headache disability was assessed using the Headache Impact Test version 6 and signs indicative of PTSD using the PTSD Check List Civilian version.
RESULTS: Increased PTSD-type symptoms were significantly associated with increased headache disability (p<0.001), as were employment status and loss of consciousness (p=0.049 and 0.016, respectively). Age was negatively correlated with headache disability (Spearman's correlation rho=0.361, p=0.001).
CONCLUSION: Increased severity of PTSD-type symptoms is significantly associated with increased headache disability in patients with chronic PTH. Managing PTSD symptoms in patients with chronic PTH may facilitate headache management.
|Number of pages||6|
|Journal||Journal of Pain Research|
|Publication status||Published - 21 Aug 2017|
- chronic headache, traumatic brain injury, neurotrauma