ArticleThe journal of headache and pain2017
The association of headache frequency with pain interference and the burden of disease is mediated by depression and sleep quality, but not anxiety, in chronic tension type headache.
Article in The journal of headache and pain, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Sleep disturbances in tension-type headache: a systematic review and meta-analysis.Journal of neurology · 2026Pooled it
- Impact of Cervical Sensory Feedback for Forward Head Posture on Headache Severity and Physiological Factors in Patients with Tension-type Headache: A Randomized, Single-Blind, Controlled Trial.Medical science monitor : international medical journal of experimental and clinical research · 2019Trial
- The relationship between myofascial trigger points sensitivity, cervical postural abnormality, and clinical tension-type headache parameters.The Journal of manual & manipulative therapy · 2024Article
- International standard of Traditional Chinese Medicine Techniques: Traditional Chinese Medicine guidelines for acute primary headache (2022).Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2024Article
- Migraine Duration as a Potential Amplifier of Obesity.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024Article
- Understanding the interaction between clinical, emotional and psychophysical outcomes underlying tension-type headache: a network analysis approach.Journal of neurology · 2022Article
- Comparative Impact of Pharmacological Therapies on Cluster Headache Management: A Systematic Review and Network Meta-Analysis.Journal of clinical medicine · 2022Review
- Predictors of sleep quality among university students: the use of advanced machine learning techniques.Sleep & breathing = Schlaf & Atmung · 2021Article
- Acupoints for Tension-Type Headache: A Literature Study Based on Data Mining Technology.Evidence-based complementary and alternative medicine : eCAM · 2021Review
- Mapping Assessments Instruments for Headache Disorders against the ICF Biopsychosocial Model of Health and Disability.International journal of environmental research and public health · 2020Review
- Effect of Sleep Quality on Headache-Related Impact in Primary Headache Disorders.Journal of clinical neurology (Seoul, Korea) · 2020Article
- Sleep and Tension-Type Headache.Current neurology and neuroscience reports · 2019Review
- Migraine, tension-type headache, and depression among Saudi female students in Taif University.The Journal of the Egyptian Public Health Association · 2019Article
- Variables associated with sleep quality in chronic tension-type headache: A cross-sectional and longitudinal design.PloS one · 2018Article
- Sleep disturbances in tension-type headache and migraine.Therapeutic advances in neurological disorders · 2018Review
- 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA better understanding of potential relationship between mood disorders, sleep quality, pain, and headache frequency may assist clinicians in determining optimal therapeutic programs. The aim of the current study was to analyze the effects of sleep quality, anxiety, depression on potential relationships between headache intensity, burden of headache, and headache frequency in chronic tension type headache (CTTH).
methodsOne hundred and ninety-three individuals with CTTH participated. Headache features were collected with a 4-weeks headache diary. The Hospital Anxiety and Depression Scale was used for assessing anxiety and depression. Headache Disability Inventory evaluated the burden of headache. Pain interference was determined with the bodily pain domain (SF-36 questionnaire). Sleep quality was assessed with Pittsburgh Sleep Quality Index. Path analyses with maximum likelihood estimations were conducted to determine the direct and indirect effects of depression, anxiety, and sleep quality on the frequency of headaches.
resultTwo paths were observed: the first with depression and the second with sleep quality as mediators. Direct effects were noted from sleep quality, emotional burden of disease and pain interference on depression, and from depression to headache frequency. The first path showed indirect effects of depression from emotional burden and from sleep quality to headache frequency (first model R
conclusionsDepression and sleep quality, but not anxiety, mediated the relationship between headache frequency and the emotional burden of disease and pain interference in CTTH.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.