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Psychiatric and cognitive comorbidities of persistent post-traumatic headache attributed to mild traumatic brain injury

OBJECTIVE: To investigate the association of psychiatric and cognitive comorbidities with persistent post-traumatic headache (PTH) attributed to mild traumatic brain injury (TBI). METHODS: A total of 100 patients with persistent PTH attributed to mild TBI and 100 age- and gender-matched healthy cont...

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Autores principales: Ashina, Håkan, Al-Khazali, Haidar Muhsen, Iljazi, Afrim, Ashina, Sait, Amin, Faisal Mohammad, Lipton, Richard B., Schytz, Henrik Winther
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Milan 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8314480/
https://www.ncbi.nlm.nih.gov/pubmed/34311696
http://dx.doi.org/10.1186/s10194-021-01287-7
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author Ashina, Håkan
Al-Khazali, Haidar Muhsen
Iljazi, Afrim
Ashina, Sait
Amin, Faisal Mohammad
Lipton, Richard B.
Schytz, Henrik Winther
author_facet Ashina, Håkan
Al-Khazali, Haidar Muhsen
Iljazi, Afrim
Ashina, Sait
Amin, Faisal Mohammad
Lipton, Richard B.
Schytz, Henrik Winther
author_sort Ashina, Håkan
collection PubMed
description OBJECTIVE: To investigate the association of psychiatric and cognitive comorbidities with persistent post-traumatic headache (PTH) attributed to mild traumatic brain injury (TBI). METHODS: A total of 100 patients with persistent PTH attributed to mild TBI and 100 age- and gender-matched healthy controls free of mild TBI were enrolled between July 2018 and June 2019. Quality of sleep was evaluated using the Pittsburgh Sleep Quality Index, while symptoms of anxiety and depression were assessed using the Hospital Anxiety and Depression Scale. Cognitive impairment was evaluated using the Montreal Cognitive Assessment questionnaire, while post-traumatic stress disorder (PTSD) was assessed using the Harvard Trauma Questionnaire. RESULTS: In 100 patients with persistent PTH, 85% reported poor quality sleep, compared with 42% of healthy controls (P < 0.01). The relative frequency of probable to high risk of anxiety was 52% in the persistent PTH group vs. 8% in healthy controls (P < 0.01), while the relative frequency of probable to high risk of depression was 42% in the persistent PTH group vs. 2% in healthy controls (P < 0.01). Furthermore, 27% of the patients with persistent PTH had mild cognitive impairment while 10% had probable PTSD. CONCLUSIONS: Poor quality of sleep as well as symptoms suggestive of anxiety and depression were more common in patients with persistent PTH than healthy controls. Clinicians should screen patients with persistent PTH for these comorbidities and develop treatment plans that account for their presence.
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spelling pubmed-83144802021-07-28 Psychiatric and cognitive comorbidities of persistent post-traumatic headache attributed to mild traumatic brain injury Ashina, Håkan Al-Khazali, Haidar Muhsen Iljazi, Afrim Ashina, Sait Amin, Faisal Mohammad Lipton, Richard B. Schytz, Henrik Winther J Headache Pain Research Article OBJECTIVE: To investigate the association of psychiatric and cognitive comorbidities with persistent post-traumatic headache (PTH) attributed to mild traumatic brain injury (TBI). METHODS: A total of 100 patients with persistent PTH attributed to mild TBI and 100 age- and gender-matched healthy controls free of mild TBI were enrolled between July 2018 and June 2019. Quality of sleep was evaluated using the Pittsburgh Sleep Quality Index, while symptoms of anxiety and depression were assessed using the Hospital Anxiety and Depression Scale. Cognitive impairment was evaluated using the Montreal Cognitive Assessment questionnaire, while post-traumatic stress disorder (PTSD) was assessed using the Harvard Trauma Questionnaire. RESULTS: In 100 patients with persistent PTH, 85% reported poor quality sleep, compared with 42% of healthy controls (P < 0.01). The relative frequency of probable to high risk of anxiety was 52% in the persistent PTH group vs. 8% in healthy controls (P < 0.01), while the relative frequency of probable to high risk of depression was 42% in the persistent PTH group vs. 2% in healthy controls (P < 0.01). Furthermore, 27% of the patients with persistent PTH had mild cognitive impairment while 10% had probable PTSD. CONCLUSIONS: Poor quality of sleep as well as symptoms suggestive of anxiety and depression were more common in patients with persistent PTH than healthy controls. Clinicians should screen patients with persistent PTH for these comorbidities and develop treatment plans that account for their presence. Springer Milan 2021-07-26 /pmc/articles/PMC8314480/ /pubmed/34311696 http://dx.doi.org/10.1186/s10194-021-01287-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Ashina, Håkan
Al-Khazali, Haidar Muhsen
Iljazi, Afrim
Ashina, Sait
Amin, Faisal Mohammad
Lipton, Richard B.
Schytz, Henrik Winther
Psychiatric and cognitive comorbidities of persistent post-traumatic headache attributed to mild traumatic brain injury
title Psychiatric and cognitive comorbidities of persistent post-traumatic headache attributed to mild traumatic brain injury
title_full Psychiatric and cognitive comorbidities of persistent post-traumatic headache attributed to mild traumatic brain injury
title_fullStr Psychiatric and cognitive comorbidities of persistent post-traumatic headache attributed to mild traumatic brain injury
title_full_unstemmed Psychiatric and cognitive comorbidities of persistent post-traumatic headache attributed to mild traumatic brain injury
title_short Psychiatric and cognitive comorbidities of persistent post-traumatic headache attributed to mild traumatic brain injury
title_sort psychiatric and cognitive comorbidities of persistent post-traumatic headache attributed to mild traumatic brain injury
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8314480/
https://www.ncbi.nlm.nih.gov/pubmed/34311696
http://dx.doi.org/10.1186/s10194-021-01287-7
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