Disability from post-traumatic headache is compounded by PTSD

Antonio Belli; Louise S Roper; Peter Nightingale; Zhangjie Su; Alexandra Sinclair

Abstract

Background Post-traumatic headache (PTH) occurs in up to 82% of patients with traumatic brain injury (TBI). Post-traumatic stress disorder (PTSD) occurs in 39% of those with TBI. This study evaluates whether PTSD affects PTH disability. Methods 151 consecutive patients with TBI were evaluated from a secondary care trauma centre. Headache disability was assessed using the Headache Impact Test version 6 (HIT 6) and PTSD using PTSD Check List Civilian version (PCL-C). Results In patients with chronic PTH, increased PTSD 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 −0.361, p=0.001). Conclusion Increased PTSD severity is significantly associated with increased headache disability in patients with chronic PTH. Managing PTSD in patients with chronic PTH may facilitate headache management.

Original language	English
Journal	British Medical Journal
Publication status	Published - 15 Nov 2016
Event	ABN meeting - Duration: 1 Jan 2011 → …

Access to Document

http://10.1136/jnnp-2016-315106.72Licence: None: All rights reserved

Cite this

@article{a15ad25718c44fda8daa38974611d57e,

title = "Disability from post-traumatic headache is compounded by PTSD",

abstract = " Background Post-traumatic headache (PTH) occurs in up to 82% of patients with traumatic brain injury (TBI). Post-traumatic stress disorder (PTSD) occurs in 39% of those with TBI. This study evaluates whether PTSD affects PTH disability. Methods 151 consecutive patients with TBI were evaluated from a secondary care trauma centre. Headache disability was assessed using the Headache Impact Test version 6 (HIT 6) and PTSD using PTSD Check List Civilian version (PCL-C). Results In patients with chronic PTH, increased PTSD 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 −0.361, p=0.001). Conclusion Increased PTSD severity is significantly associated with increased headache disability in patients with chronic PTH. Managing PTSD in patients with chronic PTH may facilitate headache management. ",

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

year = "2016",

month = nov,

day = "15",

language = "English",

journal = "British Medical Journal",

issn = "0959-8138",

publisher = "BMJ Publishing Group",

note = "ABN meeting ; Conference date: 01-01-2011",

}

TY - JOUR

T1 - Disability from post-traumatic headache is compounded by PTSD

AU - Belli, Antonio

AU - Roper, Louise S

AU - Nightingale, Peter

AU - Su, Zhangjie

AU - Sinclair, Alexandra

PY - 2016/11/15

Y1 - 2016/11/15

N2 - Background Post-traumatic headache (PTH) occurs in up to 82% of patients with traumatic brain injury (TBI). Post-traumatic stress disorder (PTSD) occurs in 39% of those with TBI. This study evaluates whether PTSD affects PTH disability. Methods 151 consecutive patients with TBI were evaluated from a secondary care trauma centre. Headache disability was assessed using the Headache Impact Test version 6 (HIT 6) and PTSD using PTSD Check List Civilian version (PCL-C). Results In patients with chronic PTH, increased PTSD 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 −0.361, p=0.001). Conclusion Increased PTSD severity is significantly associated with increased headache disability in patients with chronic PTH. Managing PTSD in patients with chronic PTH may facilitate headache management.

AB - Background Post-traumatic headache (PTH) occurs in up to 82% of patients with traumatic brain injury (TBI). Post-traumatic stress disorder (PTSD) occurs in 39% of those with TBI. This study evaluates whether PTSD affects PTH disability. Methods 151 consecutive patients with TBI were evaluated from a secondary care trauma centre. Headache disability was assessed using the Headache Impact Test version 6 (HIT 6) and PTSD using PTSD Check List Civilian version (PCL-C). Results In patients with chronic PTH, increased PTSD 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 −0.361, p=0.001). Conclusion Increased PTSD severity is significantly associated with increased headache disability in patients with chronic PTH. Managing PTSD in patients with chronic PTH may facilitate headache management.

M3 - Abstract

SN - 0959-8138

JO - British Medical Journal

JF - British Medical Journal

T2 - ABN meeting

Y2 - 1 January 2011

ER -

Disability from post-traumatic headache is compounded by PTSD

Abstract

Access to Document

Fingerprint

Cite this