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Headache fear

H A Saadah1

  • 1Mercy Health Center, Oklahoma City, Oklahoma 73120, USA.

The Journal of the Oklahoma State Medical Association
|May 1, 1997
PubMed
Summary

Headache fear is common in migraine patients and increases with migraine severity. Addressing this fear may help reduce medication overuse and aid in recovery.

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Area of Science:

  • Neurology
  • Psychology

Background:

  • Migraine is a prevalent neurological disorder.
  • Fear of headaches can significantly impact patient quality of life and treatment adherence.
  • Understanding the prevalence and intensity of headache fear is crucial for developing effective management strategies.

Purpose of the Study:

  • To ascertain the prevalence and intensity of headache fear in patients with episodic and intractable migraines.
  • To develop and refine a questionnaire to measure headache fear.
  • To establish a threshold score for defining significant headache fear.

Main Methods:

  • A prospective study was conducted over six months.
  • A 14-question questionnaire (max score 50) was developed with patient input.
  • Three groups were studied: 100 episodic migraine patients, 100 intractable migraine patients, and 50 controls (migraineurs who hadn't sought medical help).

Main Results:

  • Headache fear scores increased significantly across groups: controls (3/50), episodic (12/50), and intractable (19/50).
  • Defined headache fear (score ≥10) was present in 2% of controls, 49% of episodic, and 73% of intractable migraine patients.
  • Analgesic overuse correlated with higher fear scores and migraine severity, with intractable patients taking an average of 139 tablets/month.

Conclusions:

  • Headache fear is common in migraine sufferers and escalates with migraine frequency and severity.
  • This fear may contribute to medication overuse and hinder withdrawal efforts.
  • Interventions aimed at alleviating headache fear could be vital for successful analgesic withdrawal and patient recovery.

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