Predictors of Disability in Migraineurs Referred to a Tertiary Clinic: Neck Pain, Headache Characteristics, and Coping Behaviors

Objective.— The aim of this retrospective study was to determine if neck pain, select headache characteristics, and migraine‐related coping response predicted disability in migraineurs referred to a tertiary headache clinic. Methods.— Patients seeking treatment at a neurology‐based headache clinicwe...

Full description

Saved in:
Bibliographic Details
Published in:Headache 2008-04, Vol.48 (4), p.523-528
Main Authors: Ford, Sutapa, Calhoun, Anne, Kahn, Kevin, Mann, John, Finkel, Alan
Format: Article
Language:English
Subjects:
Adaptation, Psychological - physiology
Adult
Biological and medical sciences
coping
disability
Disability Evaluation
Female
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Humans
Male
Medical sciences
migraine
Migraine Disorders - complications
Migraine Disorders - physiopathology
Migraine Disorders - psychology
Nausea - etiology
neck pain
Neck Pain - etiology
Nervous system (semeiology, syndromes)
Neurology
Pain Clinics
Photophobia - etiology
Retrospective Studies
Vascular diseases and vascular malformations of the nervous system
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective.— The aim of this retrospective study was to determine if neck pain, select headache characteristics, and migraine‐related coping response predicted disability in migraineurs referred to a tertiary headache clinic. Methods.— Patients seeking treatment at a neurology‐based headache clinicwere included if they met diagnostic criteria for migraine with or without aura according to the International Headache Society (1.1, 1.2). Subjects completed a self‐report headache history form and a detailed headache and neurologic examination. The headache history form assessed: 1)weekly headache frequency; 2) number ofweekly severe headaches; 3) presence of migrainerelated neck pain; 4) photophobia; 5) phonophobia; 6) headache duration; 7) vomiting; 8) monthly headache‐free days; and 9) behavioral coping style. Disability was assessed using a self‐report inventory (HIT‐6). Results.— Self‐reported headache severity, frequency, and headache‐free days were strongly associated with disability. The presence of neck pain during migraine and one's coping response to migraine significantly predicted disability independent of headache characteristics. Conclusions.— These data suggest the need for prospective research exploring the causal mechanisms by which neck pain and coping response influence disability and underscores the importance of multidisciplinary approaches to headache management.
ISSN:0017-8748
1526-4610
DOI:10.1111/j.1526-4610.2008.00859.x