Influence of psychological factors on acute exacerbation of tension-type headache: Investigation by ecological momentary assessment.

Abstract:

OBJECTIVE:In this study, we investigated whether psychological factors were associated with subsequent acute exacerbation of tension-type headache (TTH) in a prospective and ecologically valid manner with computerized ecological momentary assessment. METHODS:Eighteen women and five men with TTH wore watch-type computers that acted as an electronic diary for 1week. The subjects recorded momentary headache intensity, psychological stress, anxiety, and depressive mood with a visual analog scale of 0-100 approximately every 6h as well as when waking up, when going to bed, and at acute headache exacerbations. Multilevel logistic regression analysis with acute headache exacerbation occurrence as the outcome was conducted. Person-mean centering was applied to psychological factors to disaggregate between- and within-individual association. RESULTS:Momentary psychological stress was associated with subsequent increase in headache exacerbation within 3h [Odds Ratio (95% CI)=1.32 (1.07, 1.64) for 10-point increments] while the individual mean of psychological stress was not. CONCLUSION:These results support the possibility that psychological stress could trigger acute exacerbations of TTH.

journal_name

J Psychosom Res

authors

Kikuchi H,Yoshiuchi K,Ando T,Yamamoto Y

doi

10.1016/j.jpsychores.2015.06.008

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

239-42

issue

3

eissn

0022-3999

issn

1879-1360

pii

S0022-3999(15)00485-7

journal_volume

79

pub_type

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