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Posttraumatic headache: biopsychosocial comparisons with multiple control groups.

Kristin Tatrow1, Edward B Blanchard, Edward J Hickling

  • 1Program for Cancer Prevention and Control, Ruttenberg Cancer Center, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1130, New York, NY 10029-6574, USA.

Headache
|August 2, 2003
PubMed
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Individuals with posttraumatic headache experience significant somatic, psychological, and cognitive distress compared to other groups. This study highlights the need for targeted assessment and treatment for this understudied population after accidents.

Area of Science:

  • Neurology
  • Psychiatry
  • Trauma Studies

Background:

  • Posttraumatic headache (PTH) is understudied compared to other headache types.
  • Previous research indicates psychological distress in PTH patients, but comparisons with trauma survivors without headaches are lacking.

Purpose of the Study:

  • To compare somatic, psychological, and cognitive functioning in individuals with posttraumatic headache against multiple control groups.
  • To identify specific areas of dysfunction in posttraumatic headache patients for improved clinical assessment and treatment.

Main Methods:

  • A study involving 19 subjects with posttraumatic headache and 16 participants in each of three comparison groups (other headache, non-headache, trauma survivor non-headache).
  • Participants completed comprehensive assessments of somatic, psychological, and cognitive functioning.

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Main Results:

  • The posttraumatic headache group showed significantly poorer functioning on measures of psychosomatic symptoms, postconcussion syndrome, axis II diagnoses, personality (MMPI), and daily hassles.
  • This group also reported higher levels of axis I psychiatric diagnoses, depression, anxiety, and anger, but similar PTSD and trauma exposure to other trauma survivors.

Conclusions:

  • This research confirms significant psychological distress in individuals with posttraumatic headache.
  • Findings underscore the necessity of focused assessment and treatment strategies for posttraumatic headache patients, particularly those with a history of accidents.