Display options
Share it on

J Pain Res. 2017 Aug 21;10:1991-1996. doi: 10.2147/JPR.S129808. eCollection 2017.

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

Journal of pain research

Louise S Roper, Peter Nightingale, Zhangjie Su, James L Mitchell, Antonio Belli, Alexandra J Sinclair

Affiliations

  1. Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham.
  2. Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners.
  3. Department of Neurology.
  4. Wolfson Computer Laboratory, University Hospital Birmingham NHS Foundation Trust.
  5. Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham.
  6. Health Research Surgical Reconstruction and Microbiology Research Centre, Birmingham, UK.

PMID: 28860853 PMCID: PMC5573041 DOI: 10.2147/JPR.S129808

Abstract

BACKGROUND: Posttraumatic headache (PTH) occurs in up to 82% of patients with traumatic brain injury (TBI). Posttraumatic stress disorder (PTSD) occurs in 39% of those with PTH. This study evaluates whether PTSD affects PTH disability.

METHODS: Eighty-six patients with TBI were prospectively evaluated in a secondary care trauma center. Headache disability was assessed using the Headache Impact Test version 6 and signs indicative of PTSD using the PTSD Check List Civilian version.

RESULTS: Increased PTSD-type symptoms were significantly associated with increased headache disability (

CONCLUSION: Increased severity of PTSD-type symptoms is significantly associated with increased headache disability in patients with chronic PTH. Managing PTSD symptoms in patients with chronic PTH may facilitate headache management.

Keywords: chronic headache; neurotrauma; traumatic brain injury

Conflict of interest statement

Disclosure Dr Alexandra J Sinclair was financially supported by an NIHR Clinician Scientist Fellowship (NIHR-CS-011-028) and by the Medical Research Council, UK (MR/K015184/1). Professor Antonio Belli

References

  1. J Rehabil Res Dev. 2013;50(9):1169-76 - PubMed
  2. Cephalalgia. 2013 Sep;33(12):998-1008 - PubMed
  3. Practitioner. 2016 May;260(1793):19-23, 2-3 - PubMed
  4. Cephalalgia. 2014 Mar;34(3):191-200 - PubMed
  5. Cephalalgia. 2011 Feb;31(3):357-67 - PubMed
  6. J Rehabil Med. 2013 Sep;45(8):758-64 - PubMed
  7. Headache. 2006 Feb;46(2):312-6 - PubMed
  8. Behav Res Ther. 1996 Aug;34(8):669-73 - PubMed
  9. J Trauma Stress. 1999 Jul;12(3):485-99 - PubMed
  10. Headache. 2009 Jul;49(7):1097-111 - PubMed
  11. Curr Neurol Neurosci Rep. 2014 Feb;14(2):428 - PubMed
  12. Cephalalgia. 2016 Jan;36(1):67-91 - PubMed
  13. Am J Sports Med. 2013 Jul;41(7):1490-6 - PubMed
  14. Brain Imaging Behav. 2012 Jun;6(2):108-36 - PubMed
  15. J Man Manip Ther. 2014 Feb;22(1):36-44 - PubMed
  16. J Trauma Stress. 2005 Feb;18(1):53-62 - PubMed
  17. J Headache Pain. 2013 Jan 10;14:1 - PubMed
  18. Cephalalgia. 2013 Jul;33(9):629-808 - PubMed
  19. J Rehabil Res Dev. 2009;46(6):697-702 - PubMed
  20. Headache. 2008 Apr;48(4):517-22 - PubMed
  21. Radiology. 2013 Mar;266(3):936-44 - PubMed
  22. J Neurotrauma. 2011 Sep;28(9):1719-25 - PubMed
  23. Cephalalgia. 2012 Jun;32(8):600-6 - PubMed
  24. Headache. 2013 Nov-Dec;53(10):1564-72 - PubMed

Publication Types

Grant support