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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
Posttraumatic stress disorder in migraine
B Lee Peterlin1, Gretchen E Tietjen, Jan L Brandes
1Drexel University College of Medicine, Department of Neurology, Philadelphia, PA 19102, USA.
Headache
|February 28, 2009
Summary
Posttraumatic stress disorder (PTSD) is more common in chronic daily headache (CDH) sufferers than episodic migraine (EM). PTSD significantly increases headache-related disability in migraine patients.
Area of Science:
- Neurology
- Psychiatry
- Public Health
Background:
- Posttraumatic stress disorder (PTSD) affects approximately 8% of the general population.
- Emerging research indicates a higher prevalence of PTSD within headache disorder populations.
- The specific relationship between PTSD and headache-related disability remains underexplored.
Purpose of the Study:
- To determine the comparative frequency of PTSD in episodic migraine (EM) versus chronic daily headache (CDH).
- To assess the influence of PTSD on headache-related disability in migraine sufferers.
Main Methods:
- A prospective study involving 593 participants across 6 headache centers.
- Assessment of PTSD using the Life Events Checklist and the PTSD Checklist, Civilian Version (PCL-C).
- Comparison of PTSD prevalence between EM and CDH groups, and analysis of disability using the Headache Impact Test (HIT-6) and depression using PHQ-9.
Main Results:
- PTSD was more frequent in CDH (30.3%) than EM (22.4%), though this difference diminished after adjusting for demographics and depression.
- Participants with both major depression and PTSD were more likely to have CDH than EM (24.6% vs 15.79%).
- Migraineurs with PTSD experienced significantly greater headache-related disability (65.2 vs 61.7) even after adjustments.
Conclusions:
- The prevalence of PTSD among individuals with migraine (both episodic and chronic) exceeds general population estimates.
- In migraineurs with depression, PTSD is more prevalent in CDH than EM.
- PTSD is an independent predictor of increased headache-related disability in migraine patients.
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