ArticleThe journal of headache and pain2016
Impact of depression and anxiety on burden and management of episodic and chronic headaches - a cross-sectional multicentre study in eight Austrian headache centres.
Article in The journal of headache and pain, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed, 74 citations in OpenAlex.
- Psychiatric Disorders, Headache Comorbidity, and Quality of Life in a Psychiatric Outpatient Clinic.The Psychiatric quarterly · 2026Article
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- Long-Term Effect of Switching From an Anti-CGRP Receptor to an Anti-CGRP Ligand Antibody in Treatment-Refractory Chronic Migraine: A Prospective Real-World Analysis.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023Article
- Epidemiology and treatment utilization for Canadian patients with migraine: a literature review.The Journal of international medical research · 2022Review
- Psychiatric Comorbidity and Emotional Dysregulation in Chronic Tension-Type Headache: A Case-Control Study.Journal of clinical medicine · 2022Article
- OnabotulinumtoxinA in chronic migraine: is the response dose dependent?BMC neurology · 2022Article
- Sensory Thresholds and Peripheral Nerve Responses in Chronic Tension-Type Headache and Neuropsychological Correlation.Journal of clinical medicine · 2022Article
- Non-Medical Factors Associated with the Outcome of Treatment of Chronic Non-Malignant Pain: A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Article
- Dealing with Headache: Sex Differences in the Burden of Migraine- and Tension-Type Headache.Brain sciences · 2021Article
- Impact of monthly headache days on anxiety, depression and disability in migraine patients: results from the Spanish Atlas.Scientific reports · 2021Article
- The Relationship between Cognitive and Emotional Factors and Healthcare and Medication Use in People Experiencing Pain: A Systematic Review.Journal of clinical medicine · 2020Review
- Long-Term Effect of Acupuncture on the Medical Expenditure and Risk of Depression and Anxiety in Migraine Patients: A Retrospective Cohort Study.Frontiers in neurology · 2020Article
- Interferon-Beta-Induced Headache in Patients with Multiple Sclerosis: Frequency and Characterization.Journal of pain research · 2020Article
- Prevalence and factors associated with the use of primary headache diagnostic criteria by chiropractors.Chiropractic & manual therapies · 2019Article
- Psychological distress, neuroticism and disability associated with secondary chronic headache in the general population - the Akershus study of chronic headache.The journal of headache and pain · 2018Article
- Use and overuse of triptans in Austria - a survey based on nationwide healthcare claims data.The journal of headache and pain · 2018Article
- Sleep disturbances in tension-type headache and migraine.Therapeutic advances in neurological disorders · 2018Review
- Variables associated with sleep quality in chronic tension-type headache: A cross-sectional and longitudinal design.PloS one · 2018Article
- The burden of headache is associated to pain interference, depression and headache duration in chronic tension type headache: a 1-year longitudinal study.The journal of headache and pain · 2017Article
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Authors and funding
9 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecurrent and especially chronic headaches are associated with psychiatric comorbidities such as depression and anxiety. Only few studies examined the impact of depression and anxiety on episodic (EH) and chronic headache (CH), and data for Austria are missing at all. Therefore, the aim of the present study was to assess the impact of depression and anxiety on burden and management of EH and CH in patients from eight Austrian headache centres.
methodsWe included 392 patients (84.1 % female, mean age 40.4 ± 14.0 years) who completed the Eurolight questionnaire. The treating physician recorded details about ever-before prophylactic medications. We used Hospital Anxiety and Depression Scale to assess depression and anxiety and compared patients with anxiety and/or depression to those without.
resultsDepression and anxiety were more common in CH than in EH (64 % vs. 41 %, p < 0.0001). Presence compared to absence of depression and anxiety increased the prevalence of poor or very poor quality of life from 0.7 % to 13.1 % in EH and from 3.6 % to 40.3 % in CH (p = 0.001; p < 0.0001). Depression and anxiety had a statistically significant impact on employment status and on variables related to the burden of headache such as reduced earnings, being less successful in career, or feeling less understood. Neither in EH nor in CH health care use and the ever-before use of prophylactic medication was correlated with anxiety and/or depression.
conclusionDepression and anxiety have a significant impact on quality of life and increase the burden in patients with EH and CH. Improved multidimensional treatment approaches are necessary to decrease disability on the personal, social and occupational level in these patients.
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