TY  - JOUR
PY  - 2011//
TI  - Impairment in episodic and chronic cluster headache
JO  - Cephalalgia
A1  - Jürgens, Tim P.
A1  - Gaul, Charly
A1  - Lindwurm, Andrea
A1  - Dresler, Thomas
A1  - Paelecke-Habermann, Yvonne
A1  - Schmidt-Wilcke, Tobias
A1  - Lürding, Ralf
A1  - Henkel, Karsten
A1  - Leinisch, Elke
SP  - 671
EP  - 682
VL  - 31
IS  - 6
N2  - Despite being an excruciating headache, little is known about the burden of cluster headache (CH) regarding its various subtypes. In a multicentre, prospective study, patients with chronic CH (n = 27), with episodic CH in the active (n = 26) and outside the active period (n = 22), migraine patients (n = 24) and healthy controls (n = 31) were included. Epidemiological data, the German version of the Headache Disability Inventory (HDI) and a screening for psychiatric complaints were applied. About 25% of chronic CH patients in our study received invalidity allowance due to CH. HDI scores (total and subscales emotion and function) indicated a severe headache-specific disability (one-way ANOVA: P < 0.01). Patients with chronic and active episodic CH were significantly more affected than patients with inactive CH and migraine. Healthy volunteers were significantly less affected than all headache patients. Symptoms suggestive of psychiatric co-morbidity were found predominantly in chronic CH: depressive symptoms (56%), signs of agoraphobia (33%) and suicidal tendencies (25%) were frequently reported. Patients with chronic and active episodic CH were severely impaired in non-economic and economic domains such as disability, working life and psychiatric complaints. Remarkably, psychiatric co-morbidity was highest in chronic CH. Thus, especially chronic CH warrants special medical and further supportive care.<p /> <p>Language: en</p>
LA  - en
SN  - 0333-1024
UR  - http://dx.doi.org/10.1177/0333102410391489
ID  - ref1
ER  -