Interictal burden attributable to episodic headache: findings from the Eurolight project

Background: Most primary headaches are episodic, and most estimates of the heavy disability burden attributed to headache derive from epidemiological data focused on the episodic subtypes of migraine and tension-type headache (TTH). These disorders give rise directly but intermittently to symptom bu...

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Autores: Lampl, C, Thomas, H, Stovner, LJ, Tassorelli, C, Katsarava, Z, Lainez, JM, Lanteri-Minet, M, Rastenyte, D, de la Torre, ER, Andree, C, Steiner, TJ
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p4706
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/4706
Access Level:acceso abierto
Palabra clave:Headache
Migraine
Tension-type headache
Interictal burden
Public health
Europe
Eurolight project
Global Campaign against Headache
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spelling Interictal burden attributable to episodic headache: findings from the Eurolight projectLampl, CThomas, HStovner, LJTassorelli, CKatsarava, ZLainez, JMLanteri-Minet, MRastenyte, Dde la Torre, ERAndree, CSteiner, TJHeadacheMigraineTension-type headacheInterictal burdenPublic healthEuropeEurolight projectGlobal Campaign against HeadacheBackground: Most primary headaches are episodic, and most estimates of the heavy disability burden attributed to headache derive from epidemiological data focused on the episodic subtypes of migraine and tension-type headache (TTH). These disorders give rise directly but intermittently to symptom burden. Nevertheless, people with these disorders may not be symptom-free between attacks. We analysed the Eurolight dataset for interictal burden. Methods: Eurolight was a cross-sectional survey using modified cluster sampling from the adult population (18-65 years) in 10 countries of the European Union. We used data from nine. The questionnaire included headache-diagnostic questions based on ICHD-II and several question sets addressing impact, including interictal and cumulative burdens. Results: There were 6455 participants with headache (male 2444 [37.9 %]). Interictal symptoms were reported by 26.0 % of those with migraine and 18.9 % with TTH: interictal anxiety by 10.6 % with migraine and avoidance (lifestyle compromise) by 14.8 %, both much more common than in TTH (3.1 % [OR 3.8] and 4.7 % [OR 3.5] respectively). Mean time spent in the interictal state was 317 days/year for migraine, 331 days/year for TTH. Those who were "rarely" or "never" in control of their headaches (migraine 15.2 %, TTH 9.6 %) had significantly raised odds of interictal anxiety, avoidance and other interictal symptoms. Among those with migraine, interictal anxiety increased markedly with headache intensity and frequency, avoidance less so but still significantly. Lost productive time was associated with high ORs (up to 5.3) of anxiety and avoidance. A third (32.9 %) with migraine and a quarter (26.7 %) with TTH (difference: p < 0.0001) were reluctant to tell others of their headaches. About 10 % with each disorder felt families and friends did not understand their headaches. Nearly 12 % with migraine reported their employers and colleagues did not. Regarding cumulative burden, 11.8 % reported they had done less well in education because of headache, 5.9 % reported reduced earnings and 7.4 % that their careers had suffered. Conclusions: Interictal burden in those with episodic headache is common, more so in migraine than TTH. Some elements have the potential to be profoundly consequential. New methodology is needed to measure interictal burden if descriptions of headache burden are to be complete.BMC2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/4706JOURNAL OF HEADACHE AND PAINISSN: 11292369ISSNe: 11292377reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p47062026-06-07T16:35:31Z
dc.title.none.fl_str_mv Interictal burden attributable to episodic headache: findings from the Eurolight project
title Interictal burden attributable to episodic headache: findings from the Eurolight project
spellingShingle Interictal burden attributable to episodic headache: findings from the Eurolight project
Lampl, C
Headache
Migraine
Tension-type headache
Interictal burden
Public health
Europe
Eurolight project
Global Campaign against Headache
title_short Interictal burden attributable to episodic headache: findings from the Eurolight project
title_full Interictal burden attributable to episodic headache: findings from the Eurolight project
title_fullStr Interictal burden attributable to episodic headache: findings from the Eurolight project
title_full_unstemmed Interictal burden attributable to episodic headache: findings from the Eurolight project
title_sort Interictal burden attributable to episodic headache: findings from the Eurolight project
dc.creator.none.fl_str_mv Lampl, C
Thomas, H
Stovner, LJ
Tassorelli, C
Katsarava, Z
Lainez, JM
Lanteri-Minet, M
Rastenyte, D
de la Torre, ER
Andree, C
Steiner, TJ
author Lampl, C
author_facet Lampl, C
Thomas, H
Stovner, LJ
Tassorelli, C
Katsarava, Z
Lainez, JM
Lanteri-Minet, M
Rastenyte, D
de la Torre, ER
Andree, C
Steiner, TJ
author_role author
author2 Thomas, H
Stovner, LJ
Tassorelli, C
Katsarava, Z
Lainez, JM
Lanteri-Minet, M
Rastenyte, D
de la Torre, ER
Andree, C
Steiner, TJ
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Headache
Migraine
Tension-type headache
Interictal burden
Public health
Europe
Eurolight project
Global Campaign against Headache
topic Headache
Migraine
Tension-type headache
Interictal burden
Public health
Europe
Eurolight project
Global Campaign against Headache
description Background: Most primary headaches are episodic, and most estimates of the heavy disability burden attributed to headache derive from epidemiological data focused on the episodic subtypes of migraine and tension-type headache (TTH). These disorders give rise directly but intermittently to symptom burden. Nevertheless, people with these disorders may not be symptom-free between attacks. We analysed the Eurolight dataset for interictal burden. Methods: Eurolight was a cross-sectional survey using modified cluster sampling from the adult population (18-65 years) in 10 countries of the European Union. We used data from nine. The questionnaire included headache-diagnostic questions based on ICHD-II and several question sets addressing impact, including interictal and cumulative burdens. Results: There were 6455 participants with headache (male 2444 [37.9 %]). Interictal symptoms were reported by 26.0 % of those with migraine and 18.9 % with TTH: interictal anxiety by 10.6 % with migraine and avoidance (lifestyle compromise) by 14.8 %, both much more common than in TTH (3.1 % [OR 3.8] and 4.7 % [OR 3.5] respectively). Mean time spent in the interictal state was 317 days/year for migraine, 331 days/year for TTH. Those who were "rarely" or "never" in control of their headaches (migraine 15.2 %, TTH 9.6 %) had significantly raised odds of interictal anxiety, avoidance and other interictal symptoms. Among those with migraine, interictal anxiety increased markedly with headache intensity and frequency, avoidance less so but still significantly. Lost productive time was associated with high ORs (up to 5.3) of anxiety and avoidance. A third (32.9 %) with migraine and a quarter (26.7 %) with TTH (difference: p < 0.0001) were reluctant to tell others of their headaches. About 10 % with each disorder felt families and friends did not understand their headaches. Nearly 12 % with migraine reported their employers and colleagues did not. Regarding cumulative burden, 11.8 % reported they had done less well in education because of headache, 5.9 % reported reduced earnings and 7.4 % that their careers had suffered. Conclusions: Interictal burden in those with episodic headache is common, more so in migraine than TTH. Some elements have the potential to be profoundly consequential. New methodology is needed to measure interictal burden if descriptions of headache burden are to be complete.
publishDate 2016
dc.date.none.fl_str_mv 2016
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://incliva.portalinvestigacion.com/publicaciones/4706
url https://incliva.portalinvestigacion.com/publicaciones/4706
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv JOURNAL OF HEADACHE AND PAIN
ISSN: 11292369
ISSNe: 11292377
reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
instname:INCLIVA
instname_str INCLIVA
reponame_str r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
collection r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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