A systematic review of the psychosocial difficulties relevant to patients with migraine
Open Access
- 23 September 2012
- journal article
- review article
- Published by Springer Science and Business Media LLC in The Journal of Headache and Pain
- Vol. 13 (8), 595-606
- https://doi.org/10.1007/s10194-012-0482-1
Abstract
Migraine is a common disease which causes significant burden to individuals, in terms of personal suffering and activity reduction, and to societies, in terms of disease cost. The purpose of this study is to identify the most relevant psychosocial difficulties related to migraine, the variables associated with them and the most relevant determinants of their evolution over time. MEDLINE and PsychINFO were searched for studies published in English between 2000 and 2010 that examined psychosocial difficulties in persons with migraine with and without aura, from clinical trials and observational studies. Information on the description of each difficulty, its determinants of onset and change over time and associated variables were extracted and categorized at a higher level. In total, 34 difficulties have been collected from 51 papers: the most frequent were reduced vitality and fatigue, emotional problems, pain, difficulties at work, general physical and mental health, social functioning and global disability. Evidence exists that pharmacological treatments have an impact toward improvement in patients’ difficulties, in particular emotional problems, physical and mental health, difficulties with employment and global disability. Migraine treatments and decreased headaches frequency are the major determinants of improvements in psychosocial difficulties, while no information is available for determinants of worsening; understanding the role of such factors is of primary public health relevance, given the high prevalence and the relevant personal and societal costs of migraine.This publication has 85 references indexed in Scilit:
- Clinical outcome of a headache-specific multidisciplinary treatment program and adherence to treatment recommendations in a tertiary headache center: an observational studyThe Journal of Headache and Pain, 2011
- Association between migraine, lifestyle and socioeconomic factors: a population-based cross-sectional studyThe Journal of Headache and Pain, 2011
- Association between lifestyle factors and headacheThe Journal of Headache and Pain, 2011
- Migraine and psychiatric comorbidity: a review of clinical findingsThe Journal of Headache and Pain, 2011
- Testing Methodological Guidance on the Conduct of Narrative Synthesis in Systematic ReviewsEvaluation, 2009
- The impact of migraine prevention on daily activities: a longitudinal and responder analysis from three topiramate placebo-controlled clinical trialsHealth and Quality of Life Outcomes, 2007
- Impaired Functioning and Quality of Life in Severe Migraine: The Role of Catastrophizing and Associated SymptomsCephalalgia, 2007
- A Case-Control Study on Excessive Daytime Sleepiness in Episodic MigraineCephalalgia, 2007
- ICF linking rules: an update based on lessons learnedJournal of Rehabilitation Medicine, 2005
- SF-36 Health Survey UpdateSpine, 2000