Prevalence of Primary Chronic Headache in a Population-Based Sample of 30- to 44-Year-Old Persons

2008 ◽  
Vol 30 (2) ◽  
pp. 76-83 ◽  
Author(s):  
Ragnhild Berling Grande ◽  
Kjersti Aaseth ◽  
Pål Gulbrandsen ◽  
Christofer Lundqvist ◽  
Michael Bjørn Russell
Keyword(s):  
Chronic Headache ◽  
Population Based ◽  
Primary Chronic Headache

Head-HUNT: Validity and Reliability of a Headache Questionnaire in a Large Population-Based Study in Norway

Cephalalgia ◽  
2000 ◽  
Vol 20 (4) ◽  
pp. 244-251 ◽  
Author(s):  
K Hagen ◽  
J-A Zwart ◽  
L Vatten ◽  
LJ Stovner ◽  
G Bovim
Keyword(s):  
Chronic Headache ◽  
International Headache Society ◽  
Large Population ◽  
Population Based ◽  
Validity And Reliability ◽  
Population Based Study ◽  
Patient Status ◽  
Self Administered Questionnaire ◽  
Migrainous Headache ◽  
Made In

We have assessed the validity and reliability of a self-administered headache questionnaire used in the 'Nord-Trøndelag Health Survey 1995-97 (HUNT)' in Norway, by blindly comparing questionnaire-based headache diagnoses with those made in a clinical interview of a sample of the participants. Restrictive questionnaire-based diagnostic criteria for migraine, assessed according to modified criteria of the International Headache Society, performed excellently in selecting 'definite' migraine patients (100% positive predictive value). The best agreement concerning migraine diagnoses was achieved by using a liberal set of criteria (k 0.59). Similar agreement was found evaluating patient status as headache sufferers, and as sufferers from frequent headaches (>6 days per month) (k 0.57 and 0.50, respectively). The k values of nonmigrainous headache and chronic headache (>14 days per month) were 0.43 and 0.44, respectively. The results suggest that our self-administered questionnaire may be suitable in identifying a population with 'definite' migraine, and the questionnaire is an acceptable instrument in determining the prevalence in Nord-Trøndelag of headache sufferers, migraine, non-migrainous headache, and frequent or chronic headache sufferers.

Prevalence of Secondary Chronic Headaches in a Population-Based Sample of 30-44-Year-Old Persons. The Akershus Study of Chronic Headache

Cephalalgia ◽  
2008 ◽  
Vol 28 (7) ◽  
pp. 705-713 ◽  
Author(s):  
K Aaseth ◽  
RB Grande ◽  
KJ Kvárner ◽  
P Gulbrandsen ◽  
C Lundqvist ◽  
...  
Keyword(s):  
Chronic Headache ◽  
Response Rate ◽  
Medication Overuse ◽  
Medication Overuse Headache ◽  
Participation Rate ◽  
Population Based ◽  
Cervicogenic Headache ◽  
Questionnaire Response ◽  
Chronic Headaches

We studied secondary chronic headaches (≥ 15 days/month for at least 3 months) in a random sample of 30 000 persons aged 30-44 years. They received a mailed questionnaire. Those with self-reported chronic headache within the last month and/or year were invited to an interview and examination by a neurological resident. The criteria of the International Classification of Headache Disorders (ICHD-II) were applied. The questionnaire response rate was 71%, and the participation rate of the interview was 74%. Of the 633 participants, 298 had a secondary chronic headache. The 1-year prevalence of secondary chronic headache was 2.14%, i.e. chronic posttraumatic headache 0.21%, chronic headache attributed to whiplash injury 0.17%, post-craniotomy headache 0.02%, medication-overuse headache (MOH) 1.72%, cervicogenic headache 0.17%, headache attributed to chronic rhinosinusitis 0.33% and miscellaneous headaches 0.04%. The majority of those with ICHD-II-defined secondary chronic headache had MOH, while about one-third had other secondary headaches often in combination with MOH.

scholarly journals Remission of chronic headache: An 11-year follow-up study. Data from the Nord-Trøndelag Health Surveys 1995–1997 and 2006–2008

Cephalalgia ◽  
2018 ◽  
Vol 38 (14) ◽  
pp. 2026-2034 ◽  
Author(s):  
Knut Hagen ◽  
Espen Saxhaug Kristoffersen ◽  
Bendik Slagvold Winsvold ◽  
Lars Jacob Stovner ◽  
John-Anker Zwart
Keyword(s):  
Cohort Study ◽  
Chronic Headache ◽  
Response Rate ◽  
Medication Overuse ◽  
Medication Overuse Headache ◽  
Population Based ◽  
Study Data ◽  
Health Study ◽  
Musculoskeletal Complaints

Objectives To estimate remission rates of chronic headache and predictors of remission. Methods In this longitudinal population-based cohort study, we used validated headache questionnaire data from the second (1995–1997, baseline; n = 51,856 aged ≥ 20 years, response rate: 55%) and third wave (2006–2008, follow-up, response rate: 42%) of the Nord-Trøndelag Health Study. Chronic headache was defined as ≥15 headache days/month during the last year. Chronic headache remission was defined as headache less than 15 days/month at follow-up. Potential predictors of remission were evaluated using logistic regression. Results At baseline, 1266 (2.4%) participants reported chronic headache. Of these, 605 (48%) answered headache questions at follow-up. Remission was observed in 452 (74.7%), the proportion being almost identical in men and women (74.4% vs. 74.9, p = 0.92). In analyses adjusting for age, gender and education level, remission at follow-up was more than two times more likely among individuals without medication overuse headache (OR = 2.4, 95% CI 1.7–3.6) and without chronic musculoskeletal complaints (OR = 2.9, 95% CI 1.5–5.0) at baseline. Conclusions In this longitudinal population-based cohort study, three-quarters of chronic headache participants remitted from chronic headache. Remission was associated with no medication overuse headache and no chronic musculoskeletal complaints at baseline.

Remission of chronic headache: Rates, potential predictors and the role of medication, follow-up results of the German Headache Consortium (GHC) Study

Cephalalgia ◽  
2017 ◽  
Vol 38 (3) ◽  
pp. 551-560 ◽  
Author(s):  
Verena Henning ◽  
Zaza Katsarava ◽  
Mark Obermann ◽  
Susanne Moebus ◽  
Sara Schramm
Keyword(s):  
Partial Remission ◽  
Chronic Headache ◽  
Response Rate ◽  
Medication Overuse ◽  
Population Based ◽  
Headache Frequency ◽  
Female Sex ◽  
Headache Type

Objectives To estimate remission rates of chronic headache (CH), focusing on potential predictors of headache remission and medication. Methods We used data from the longitudinal population-based German Headache Consortium (GHC) Study (n = 9,944, 18–65 years). Validated questionnaires were used at baseline (t0, 2003–2007, response rate: 55.2%), first follow-up after 1.87 ± 0.39 years (t1, 37.2%) and second follow-up after 3.26 ± 0.60 years (t2, 38.8%) to assess headache type and frequency, use of analgesics and anti-migraine drugs, medication overuse, education, BMI, smoking and alcohol consumption. CH was defined as ≥ 15 headache days/month at t0 over three months. Outcomes were: CH remission (<15 headache days/month at both follow-ups), CH persistence (≥ 15 headache days/month at both follow-ups); all others were considered as partially remitted. To estimate predictors of remission, univariate and multiple logistic regression were calculated. Results At baseline, 255 (2.6%) participants were identified with CH. Of these, 158 (62.0%) participants responded at both follow-ups. Remission was observed in 58.2% of participants, partial remission in 17.7% and persistence in 24.1%. Remission was associated with female sex (adjusted odds ratio: 3.10, 95% confidence interval: 1.06–9.08) and no medication overuse (4.16, 1.45–11.94) compared to participants with persistent CH; participants with higher headache frequency at t0 were less likely to remit (0.90, 0.84–0.97). Medication, age, education, BMI, smoking and drinking showed no effects on remission. Similar results were observed for partial remission. Conclusion The majority of CH participants remitted from CH. Female sex, no overuse of pain medication and lower headache frequency were associated with remission.

Chronic Headache and Comorbibities: A Two-Phase, Population-Based, Cross-Sectional Study

2010 ◽  
Vol 50 (8) ◽  
pp. 1306-1312 ◽  
Author(s):  
Ariovaldo Da Silva Jr ◽  
Esther Coelho Costa ◽  
João Bosco Gomes ◽  
Frederico Motta Leite ◽  
Rodrigo Santiago Gomez ◽  
...  
Keyword(s):  
Chronic Headache ◽  
Population Based ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Two Phase ◽  
Cross Sectional ◽  
Phase Population

Impact of chronic headache on workdays, unemployment and disutility in the general population

2019 ◽  
Vol 73 (4) ◽  
pp. 360-367 ◽  
Author(s):  
Espen Saxhaug Kristoffersen ◽  
Knut Stavem ◽  
Christofer Lundqvist ◽  
Michael Bjørn Russell
Keyword(s):  
General Population ◽  
Sick Leave ◽  
Chronic Headache ◽  
Short Form ◽  
Socioeconomic Burden ◽  
Primary Chronic Headache ◽  
The Impact ◽  
Separate Regression

BackgroundData on the socioeconomic burden of chronic headache (≥15 days/last month or >180 days/year) is lacking. This study investigated the impact of chronic headache on sickness absence, unemployment and disutility in the general population in Norway.Methods30 000 persons aged 30–44 from the general population were screened for chronic headache by a screening questionnaire. The responder rate was 71%. The International Classification of Headache Disorders was used. We analysed the association of chronic headache with lost workdays, days with ≥50% reduced productivity, sick leave, unemployment and disutility, as assessed with the Short-Form Six-Dimension (SF-6D) in separate regression analyses.ResultsEighty-three per cent (427/516, 79% women) of the eligible participants completed the data on workdays and utility. They reported a mean of 9.7 (SD 24.8) workdays lost over the last 3 months, because of headache. The mean disutility score (1-SF-6D score) was 0.41. Thirty-three per cent were on long-term (>1 year) sick leave. The OR for being on sick leave was 1.9 (95% CI 1.1 to 3.2, p=0.017) for those with secondary compared with primary chronic headache. Similarly, the OR for increased number of workdays lost to headache was 3.5 (95% CI 1.8 to 6.5, p<0.001) and for unemployment 1.7 (95% CI 1.0 to 2.9, p=0.07), for those with secondary compared with primary chronic headache. Secondary chronic headache, high headache frequency and high psychological distress were significantly associated with higher disutility score.ConclusionsThe burden of chronic headache in the general population is substantial with high rates of lost workdays and disutility.

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