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

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Published on: June 2, 2014

The association between stress and headache: A longitudinal population-based study.

Sara H Schramm¹, Susanne Moebus², Nils Lehmann²

¹Institute for Medical Informatics, Biometry and Epidemiology, University Hospital of University Duisburg-Essen, Germany sara.schramm@uk-essen.de.

Cephalalgia : an International Journal of Headache

|December 7, 2014

Summary

Increased stress intensity correlates with more frequent headaches in tension-type headache (TTH) and migraine patients. This association is stronger in younger individuals across all headache types studied.

Keywords:

Stress epidemiology headache longitudinal migraine tension-type headache

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Area of Science:

Neurology
Epidemiology
Public Health

Background:

Headaches, including tension-type headache (TTH) and migraine, are prevalent neurological conditions.
Understanding the relationship between stress and headache frequency is crucial for effective management and prevention strategies.

Purpose of the Study:

To investigate the association between stress intensity and headache frequency.
To analyze this relationship across different headache subtypes: TTH, migraine, and migraine with coexisting TTH (MigTTH).

Main Methods:

A population-based sample of 5159 participants (aged 21-71) was surveyed quarterly over two years.
Log-linear regression models, using generalized estimating equations, analyzed the link between stress (visual analog scale) and headache frequency (days/month).
Analyses were stratified by headache subtype and age group, adjusting for relevant covariates.

Main Results:

An increase of 10 points in stress intensity (VAS) was associated with a 6.0% increase in monthly headache days for TTH.
Similar, though slightly lower, associations were found for migraine (4.3%) and MigTTH (4.2%).
The impact of stress on headache frequency was generally more pronounced in younger age groups.

Conclusions:

The study confirms a significant association between higher stress intensity and increased headache frequency.
These findings highlight stress as a key factor influencing headache burden across different types and age demographics.