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Disability from posttraumatic headache is compounded by coexisting posttraumatic stress disorder.

Louise S Roper1,2,3, Peter Nightingale4, Zhangjie Su5,6

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Posttraumatic stress disorder (PTSD) significantly worsens headache disability in patients with traumatic brain injury (TBI). Managing PTSD symptoms may improve posttraumatic headache (PTH) outcomes.

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Area of Science:

  • Neurology
  • Psychiatry
  • Trauma Care

Background:

  • Posttraumatic headache (PTH) affects up to 82% of patients with traumatic brain injury (TBI).
  • Posttraumatic stress disorder (PTSD) is prevalent in 39% of patients with PTH.
  • The relationship between PTSD and PTH disability requires further investigation.

Purpose of the Study:

  • To evaluate the impact of PTSD on headache disability in TBI patients.
  • To identify factors associated with increased headache disability post-TBI.

Main Methods:

  • Prospective evaluation of 86 TBI patients in a secondary care trauma center.
  • Headache disability assessed using the Headache Impact Test (version 6).
  • PTSD symptoms screened using the PTSD Check List (Civilian version).

Main Results:

  • Increased PTSD symptoms strongly correlated with greater headache disability (p<0.001).
  • Employment status and loss of consciousness also associated with disability (p=0.049, p=0.016).
  • Age showed a negative correlation with headache disability (rho=0.361, p=0.001).

Conclusions:

  • Higher PTSD symptom severity is linked to increased headache disability in chronic PTH.
  • Effective management of PTSD may improve PTH outcomes.
  • Addressing PTSD is crucial for comprehensive care of TBI patients with PTH.