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The burden of headache is associated to pain interference, depression and headache duration in chronic tension type headache: a 1-year longitudinal study.
- Source :
- Journal of Headache & Pain; 11/23/2017, Vol. 18 Issue 1, p1-8, 8p
- Publication Year :
- 2017
-
Abstract
- Background: To investigate variables associated at one year (longitudinal design) with the physical or emotional component of burden in chronic tension type headache (CTTH). Methods: One 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. Results: Regression 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). Conclusions: The current study found a longitudinal interaction between pain interference and depression with the burden of headache in individuals with CTTH. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 11292369
- Volume :
- 18
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Journal of Headache & Pain
- Publication Type :
- Academic Journal
- Accession number :
- 127003932
- Full Text :
- https://doi.org/10.1186/s10194-017-0829-8