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Appraisal of Headache Trigger Patterns Using Calendars.

Dana P Turner1, Lisa R Leffert1, Timothy T Houle1

  • 1Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Headache
|December 1, 2019
PubMed
Summary
This summary is machine-generated.

Individuals can identify headache triggers using calendars, but their judgments are influenced by prior beliefs and headache frequency. This study highlights potential biases in self-reported trigger associations.

Keywords:
Bayesiancovariation assessmentdaily diary

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Area of Science:

  • Neurology
  • Behavioral Science

Background:

  • Headache sufferers frequently use daily diaries or calendars to track potential trigger patterns.
  • Identifying accurate trigger-headache associations is crucial for effective headache management.

Purpose of the Study:

  • To evaluate individuals' ability to discern the association between experimental triggers and headaches using realistic headache calendars.
  • To investigate potential biases influencing self-assessment of trigger-headache relationships.

Main Methods:

  • A cross-sectional, observational study involving 300 adults with migraine, tension-type, or cluster headache.
  • Participants rated the strength of association between 3 experimental triggers (high stress, poor sleep, cinnamon) and headaches on a 0-10 scale using provided calendars.
  • Analysis focused on correlations between presented trigger-headache data and participant ratings.

Main Results:

  • Participant ratings correlated with the degree of positive association in the calendars, with higher ratings for stronger correlations.
  • However, participants tended to overlook negative associations and were influenced by the number of headache days presented, irrespective of the actual trigger relationship.
  • Pre-existing beliefs about triggers significantly impacted participants' ratings of association.

Conclusions:

  • Laboratory findings suggest individuals can identify trigger-headache associations via calendars, but this ability is not infallible.
  • Self-assessment of trigger associations can be biased by prior beliefs and the overall frequency of headaches.
  • Awareness of these biases is important for accurate interpretation of headache diary data.