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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

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Published on: June 2, 2014

Headache attributed to psychiatric disorders.

Vincenzo Guidetti1, Federica Galli, Fred Sheftell

  • 1Department of Child and Adolescent Neurology, Psychiatry and Rehabilitation, "Sapienza", University of Rome, Rome, Italy. vincenzo.guidetti@uniroma1.it

Handbook of Clinical Neurology
|September 7, 2010
PubMed
Summary
This summary is machine-generated.

The link between psychiatric disorders and headaches is recognized, leading to a new classification for headaches linked to psychiatric conditions. This research explores the evolution of understanding psychological factors in headache disorders.

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Area of Science:

  • Neurology and Psychiatry
  • Headache Medicine
  • Psychosomatic Medicine

Background:

  • The association between psychiatric illness and headache is a well-established clinical observation.
  • Psychological factors have been increasingly recognized in headache disorders since the early 1990s, termed "psychiatric comorbidity."
  • The concept of psychiatric comorbidity implies a significant association, though not necessarily causal, between primary conditions and coexisting pathologies.

Purpose of the Study:

  • To review the historical progression and current understanding of the relationship between psychiatric disorders and headaches.
  • To analyze the evolution from "migraine personality" concepts to "psychiatric comorbidity" and the new classification of "headache attributed to psychiatric disorders."
  • To discuss the implications of this association for pathophysiology, diagnosis, and treatment strategies across different headache subtypes.

Main Methods:

  • Literature review analyzing historical and contemporary research on psychiatric factors in headache.
  • Examination of the International Classification of Headache Disorders (ICHD) revisions, specifically the introduction of "headache attributed to psychiatric disorder."
  • Discussion of etiological, pathophysiological, and therapeutic aspects based on existing scientific literature.

Main Results:

  • The introduction of "headache attributed to psychiatric disorder" in ICHD-II (2004) signifies a step towards systematizing the topic.
  • Clarifying the nature of psychiatric comorbidity in headaches has significant implications for understanding disease mechanisms and guiding treatment.
  • Despite progress, many aspects regarding the etiology and pathophysiology of headache in the context of psychiatric disorders remain to be elucidated.

Conclusions:

  • The relationship between psychiatric disorders and headaches is complex and requires further investigation into causality and mechanisms.
  • Understanding psychiatric comorbidity is crucial for comprehensive headache management and improving patient outcomes.
  • Continued research is needed to refine diagnostic criteria and develop targeted treatments for headache attributed to psychiatric disorders.