The burden of headache is associated to pain interference, depression and headache duration in chronic tension type headache: a 1-year longitudinal study

The Journal of Headache and Pain

Research Article

Kelun Wang¹  Lars Arendt-Nielsen¹  Matteo Castaldo²  Stella Fuensalida-Novo³  Maria Palacios-Ceña⁴  César Fernández-de-las-Peñas⁴  Juan J. Fernández-Muñoz⁵  Antonella Catena⁶ 

[1] Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark;Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark;Master in Sport Physiotherapy, University of Siena, Siena, Italy;Poliambulatorio Fisiocenter, Collecchio, (Parma), Italy;Department Physical Therapy, Occupational Therapy, Rehabilitation, and Physical Medicine, Facultad de Ciencias de la Salud, University Rey Juan Carlos, Avenida de Atenas s/n, 28922 Alcorcón, Madrid, Spain;Department Physical Therapy, Occupational Therapy, Rehabilitation, and Physical Medicine, Facultad de Ciencias de la Salud, University Rey Juan Carlos, Avenida de Atenas s/n, 28922 Alcorcón, Madrid, Spain;Center for Sensory-Motor Interaction (SMI), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark;Department of Psychology, Universidad Rey Juan Carlos, Alcorcón, Spain;Poliambulatorio Fisiocenter, Collecchio, (Parma), Italy;

关键词: Tension type headache;    Burden;    Depression;    Emotional;    Pain;   

DOI  :  10.1186/s10194-017-0829-8

 received in 2017-11-20, accepted in 2017-12-18,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundTo investigate variables associated at one year (longitudinal design) with the physical or emotional component of burden in chronic tension type headache (CTTH).MethodsOne hundred and thirty (n = 130) individuals with CTTH participated in this longitudinal study. Clinical features were collected with a 4-weeks headache diary at baseline and 1-year follow-up. The burden of headache was assessed at baseline and one -year follow-up with the Headache Disability Inventory (HDI), physical (HDI-P) or emotional (HDI-E) component. Sleep quality (Pittsburgh Sleep Quality Index), anxiety and depression (Hospital Anxiety and Depression Scale-HADS), and quality of life (SF-36) were also assessed at baseline. Hierarchical regression analyses were conducted to determine the associations between the baseline variables and the headache burden at 1-year. Simple mediation models were also applied to determine the potential mediation effect of any intermediary variable.ResultsRegression analyses revealed that baseline pain interference and depression explained 32% of the variance in the emotional burden of headache, whereas baseline emotional burden of the headache, pain interference, and headache duration explained 51% of the variance in the physical burden of headache (P < .01) at 1-year. The mediation models observed that the effect of baseline pain interference on emotional burden of headache at 1-year was mediated through baseline depression, whereas the effect of baseline pain interference on the physical burden of headache at 1-year was mediated through baseline emotional burden of headache (both P < .05).ConclusionsThe current study found a longitudinal interaction between pain interference and depression with the burden of headache in individuals with CTTH.

【 授权许可】

CC BY   
© The Author(s). 2017