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Query: UMLS:C0018681 (headache)
 56,091 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The view of headache as a psychophysiological disorder predates contemporary behavioural research and also the concept that psychosomatic illnesses are the result of specific emotional conflicts that eventually produce physical symptoms. Behavioural interventions include strategies for the identification and modification of behavioural headache triggers and the acquisition and use of self-regulation skills aimed at prevention of headache episodes. Consequently, research in behavioural medicine has matured scientifically, although methodological imperfections have had an impact on contemporary headache management. The evidence suggests that the level of headache improvement with behavioural interventions may rival those obtained by using medications. As side effects and complications are minimal, these approaches are optimal options for young patients or for patients where the medications remain contraindicated.
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PMID:Behavioural treatments: rationale and overview of the most common therapeutic protocols. 1750 83

The increase of women at work calls for a new attention to a full health protection, besides the fertility and reproduction. Health Surveillance in workplaces can give much information about health state of women and men, when the evaluation takes into account physiological and social differences between the sexes. The study reports the health data from a working population, 675 women and 7991 men, employed in different work activities. The results showed no significant difference of health state between women and men, except a greater prevalence of the respiratory pathologies in men and psychosomatic disorders in women. Prevalence of muscle-skeletal diseases, psychosomatic disorders and recurring headache have been higher in married than in unmarried women. among married women, prevalence of pathologies have been related to number of children. No difference have been found between unmarried and married men, except a greater prevalence of psychic disorders in youngest. Results confirm the interaction between domestic and working load on health state of women. Under the same work conditions, women are subjected to a higher physical and mental load that reduces the endurance of strain and stress and increases the prevalence of some pathologies, as musculoskeletal chronic degenerative diseases and psychological disorders.
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PMID:[Health status of women at work: work risks and living conditions]. 1840 39

Fibromyalgia syndrome (FMS) is now understood as a chronic pain syndrome, and recent evidence indicates it is not a pure psychosomatic disorder. We review the current knowledge in FMS pain pathways, focusing on the central system sensitization phenomenon and the abnormalities in the inhibitory pain systems. Chronic headache is one of the most common symptoms in FMS, and better knowledge of their common pathophysiologic features can help us understand both conditions better. These features include the nerve growth factor actions and failure of the endocannabinoid system. In addition, we review new immunological aspects of FMS, both in their humoral (autoantibodies, antipolymer antibodies) and cytokine (interleukin-2) aspects.
Curr Pain Headache Rep 2008 Oct
PMID:Fibromyalgia: an update and immunological aspects. 1876 35

The paper discusses the prevalence, pattern, and risk factors of childhood headache (HA) according to questionnaire data from 1074 general educational school pupils. Periodic HA was reported by 42.1% of the children. There was a preponderance of exercise-induced HA (30.6%) and migraine (7.8%). There was an age and gender determination of childhood HA frequency; there was a predominance of chronic exercise-induced HA, migraine, and their concomitant forms in female adolescents. There was a high comorbidity of primary HA with other psychosomatic disorders mainly with autonomic dysfunction and emotional disorders. The risk factors for chronic HA were a poor family history (familial psychogenias, pain family history, low'socioeconomic status family), and school stress. The clinical form of cephalgia, comorbidities, and predictive factors should be taken into account to prevent and treat HA. The use of the international diagnostic criteria developed by the experts of the HA Association is of cardinal importance in improving the diagnosis of childhood HA.
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PMID:[Headache in the population of schoolchildren: prevalence, pattern, risk factors]. 2225 Mar 91

A 12-year-old girl who had received epidural catheter placement for an orthopedic surgery developed postural headache on postoperative day (POD) 1 which resolved in 24 hours. She was discharged on POD 6 but readmitted on POD 16 for headache accompanied by nausea and photophobia. On POD 17 and 35 she received epidural blood patches (EBPs) with 15 ml and 20 ml of autologous blood, respectively and her headache disappeared shortly after the second EBP. Laboratory data were normal and cranial CT on POD 16 and MR imaging on POD 33 demonstrated no abnormalities. She was discharged on POD 47. On POD 80 she was readmitted for a recurrent headache. She was referred to a doctor specializing in headache in another institution and advised to lead her usual daily life. She went back to school on POD 100. Headache gradually and completely disappeared on the POD 200. It took more than 100 days for her to regain her usual life. In conclusion, in adolescents whose symptoms and atypical, psychosomatic disorder should be taken into consideration as a differential diagnosis and a referral to a specialist is important.
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PMID:[Refractory headache after epidural catheter placement in a girl in whom epidural blood patches were ineffective]. 2460 Nov 18


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