Disability from posttraumatic headache is compounded by coexisting posttraumatic stress disorder

Louise S Roper; Peter Nightingale; Zhangjie Su; James L Mitchell; Antonio Belli; Alexandra J Sinclair

doi:10.2147/JPR.S129808

Disability from posttraumatic headache is compounded by coexisting posttraumatic stress disorder

Louise S Roper, Peter Nightingale, Zhangjie Su, James L Mitchell, Antonio Belli, Alexandra J Sinclair

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9 Citations (Scopus)

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Abstract

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.

Original language	English
Pages (from-to)	1991-1996
Number of pages	6
Journal	Journal of Pain Research
Volume	10
DOIs	https://doi.org/10.2147/JPR.S129808
Publication status	Published - 21 Aug 2017

Bibliographical note

Journal of Pain Research and Dove Medical Press are the original place of publication.

Keywords

chronic headache
traumatic brain injury
neurotrauma

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10.2147/JPR.S129808Licence: Creative Commons: Attribution (CC BY)

JPR-129808-disability-from-post-traumatic-headache-is-compounded-by-co-_082117Final published version, 344 KBLicence: Creative Commons: Attribution (CC BY)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573041/Licence: Creative Commons: Attribution (CC BY)

Assessing the Therapeutic Efficacy of an 11Beta-Hydroxysteroid Dehydrogenase Type 1 Inhibitor (AZD4017) in Idiopathic Intracranial Hypertension (IIH)
Sinclair, A., Tomlinson, J. & Stewart, P.
Medical Research Council
12/08/13 → 11/08/17
Project: Research Councils

Cite this

@article{00e316cc93c645bba78c3c8928cc4d64,

title = "Disability from posttraumatic headache is compounded by coexisting posttraumatic stress disorder",

abstract = "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.",

keywords = "chronic headache, traumatic brain injury, neurotrauma",

author = "Roper, {Louise S} and Peter Nightingale and Zhangjie Su and Mitchell, {James L} and Antonio Belli and Sinclair, {Alexandra J}",

note = "Journal of Pain Research and Dove Medical Press are the original place of publication.",

year = "2017",

month = aug,

day = "21",

doi = "10.2147/JPR.S129808",

language = "English",

volume = "10",

pages = "1991--1996",

journal = "Journal of Pain Research",

issn = "1178-7090",

publisher = "Dove Medical Press",

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TY - JOUR

T1 - Disability from posttraumatic headache is compounded by coexisting posttraumatic stress disorder

AU - Roper, Louise S

AU - Nightingale, Peter

AU - Su, Zhangjie

AU - Mitchell, James L

AU - Belli, Antonio

AU - Sinclair, Alexandra J

N1 - Journal of Pain Research and Dove Medical Press are the original place of publication.

PY - 2017/8/21

Y1 - 2017/8/21

N2 - 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.

AB - 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.

KW - chronic headache

KW - traumatic brain injury

KW - neurotrauma

U2 - 10.2147/JPR.S129808

DO - 10.2147/JPR.S129808

M3 - Article

C2 - 28860853

SN - 1178-7090

VL - 10

SP - 1991

EP - 1996

JO - Journal of Pain Research

JF - Journal of Pain Research

ER -

Disability from posttraumatic headache is compounded by coexisting posttraumatic stress disorder

Abstract

Bibliographical note

Keywords

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Projects

Assessing the Therapeutic Efficacy of an 11Beta-Hydroxysteroid Dehydrogenase Type 1 Inhibitor (AZD4017) in Idiopathic Intracranial Hypertension (IIH)

Cite this