Mariana C Arcaya1, Sarah R Lowe2, Asad L Asad3, S V Subramanian4, Mary C Waters3, Jean Rhodes5. 1. Department of Urban Studies and Planning, Massachusetts Institute of Technology. 2. Department of Psychology, Montclair State University. 3. Department of Sociology, Harvard University. 4. Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health. 5. Department of Psychology, University of Massachusetts Boston.
Abstract
OBJECTIVE: Previous research shows that migraine and general headache symptoms increase after traumatic events. Questions remain about whether posttraumatic stress disorder (PTSD) produces migraine/headache symptoms, or if individuals afflicted by migraine/headache are especially likely to develop PTSD. We test whether PTSD symptoms following a natural disaster are associated with higher odds of reporting frequent headaches/migraines postdisaster. We decompose PTSD into intrusion, avoidance, and hyperarousal symptom clusters to examine which, if any, are uniquely related to headache/migraine postdisaster. METHOD: We use prospectively collected pre- and postdisaster data to explore whether overall PTSD symptoms and symptom clusters are associated with migraine/headache in a sample of Hurricane Katrina survivors. We account for severity of hurricane exposure and control for baseline migraine and headache problems to reduce the probability that heightened PTSD susceptibility among those who already suffered from the conditions could explain observed associations. RESULTS: PTSD symptoms were associated with higher odds of experiencing frequent headaches or migraines with a standard deviation change in PTSD score corresponding to over twice the odds (95% confidence interval [1.64, 2.68]) of having trouble with frequent headaches or migraines in the post-Katrina period. Each additional point on the intrusion subscale (sample M [SD] = 1.6 [1.1]) was associated with 55% higher odds of reporting frequent headache/migraine (95% confidence interval [1.03, 2.33]), but we found no association with avoidance or hyperarousal symptoms. CONCLUSIONS: Clinicians and disaster planners should be aware that disaster survivors might be at heightened risk of migraine/headache episodes, and those experiencing intrusive reminders may be most affected. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
OBJECTIVE: Previous research shows that migraine and general headache symptoms increase after traumatic events. Questions remain about whether posttraumatic stress disorder (PTSD) produces migraine/headache symptoms, or if individuals afflicted by migraine/headache are especially likely to develop PTSD. We test whether PTSD symptoms following a natural disaster are associated with higher odds of reporting frequent headaches/migraines postdisaster. We decompose PTSD into intrusion, avoidance, and hyperarousal symptom clusters to examine which, if any, are uniquely related to headache/migraine postdisaster. METHOD: We use prospectively collected pre- and postdisaster data to explore whether overall PTSD symptoms and symptom clusters are associated with migraine/headache in a sample of Hurricane Katrina survivors. We account for severity of hurricane exposure and control for baseline migraine and headache problems to reduce the probability that heightened PTSD susceptibility among those who already suffered from the conditions could explain observed associations. RESULTS:PTSD symptoms were associated with higher odds of experiencing frequent headaches or migraines with a standard deviation change in PTSD score corresponding to over twice the odds (95% confidence interval [1.64, 2.68]) of having trouble with frequent headaches or migraines in the post-Katrina period. Each additional point on the intrusion subscale (sample M [SD] = 1.6 [1.1]) was associated with 55% higher odds of reporting frequent headache/migraine (95% confidence interval [1.03, 2.33]), but we found no association with avoidance or hyperarousal symptoms. CONCLUSIONS: Clinicians and disaster planners should be aware that disaster survivors might be at heightened risk of migraine/headache episodes, and those experiencing intrusive reminders may be most affected. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
Authors: Nicole Rosendale; Elan L Guterman; Juno Obedin-Maliver; Annesa Flentje; Matthew R Capriotti; Micah E Lubensky; Mitchell R Lunn Journal: Neurology Date: 2022-07-11 Impact factor: 11.800
Authors: Colt Coffman; Deborah Reyes; Mary Catherine Hess; Alec M Giakas; Melinda Thiam; Jason Jonathon Sico; Elizabeth Seng; William Renthal; Charles Rhoades; Guoshuai Cai; X Michelle Androulakis Journal: Neurology Date: 2022-04-25 Impact factor: 11.800
Authors: Donald D McGeary; Donald B Penzien; Patricia A Resick; Cindy A McGeary; Carlos A Jaramillo; Blessen C Eapen; Stacey Young-McCaughan; Paul S Nabity; John C Moring; Timothy T Houle; Terence M Keane; Alan L Peterson Journal: Contemp Clin Trials Commun Date: 2021-01-06