Introduction
Methods
General design
Setting
Participants
Headache classification
Physician consultation
Complementary and alternative contacts
Medication use and dependency
1 | Do you think your use of headache medication was out of control? (never/almost never = 0, sometimes = 1, often = 2, always/nearly always = 3) |
2 | Did the prospect of missing a dose make you anxious or worried? (scoring as for question 1) |
3 | Did you worry about your use of your headache medication? (scoring as for question 1) |
4 | Did you wish you could stop? (scoring as for question 1) |
5 | How difficult would you find it to stop or go without your headache medication? (not difficult = 0, quite difficult = 1, very difficult = 2, impossible = 3) |
Statistics
Ethical issues
Results
Participants and headache diagnoses
Physician consultation pattern
CTTH without medication overuse (N = 216) % (n) | CTTH with medication overuse (N = 169) % (n) | Chronic migraine without medication overuse (N = 3) % (n) | Chronic migraine with medication overuse (N = 14) % (n) | Other primary chronic headache without medication overuse (N = 3) % (n) | Other primary chronic headache with medication overuse (N = 7) % (n) | All primary headaches (N = 405) % (n) | |
---|---|---|---|---|---|---|---|
Contact level | |||||||
None | 22 (47) | 17 (28) | 0 (0) | 14 (2) | 33 (1) | 14 (1) | 20 (79) |
Primary | 78 (169) | 83 (141) | 100 (3) | 86 (12) | 67 (2) | 86 (6) | 80 (326) |
Secondary | 16 (34) | 20 (33) | 33 (1) | 36 (5) | 67 (2) | 71 (5) | 19 (76) |
Tertiary | 4 (9) | 4 (7) | 0 (0) | 0 (0) | 33 (1) | 0 (0) | 4 (17) |
Complementary and alternative medicine | |||||||
Acupuncture | 30 (65) | 34 (58) | 0 (0) | 57 (8)d | 67 (2) | 43 (3) | 33 (133) |
Chiropractic | 29 (62) | 28 (47) | 0 (0) | 29 (4) | 33 (1) | 14 (1) | 28 (113) |
Homeopathy | 11 (23) | 10 (17) | 0 (0) | 14 (2) | 33 (1) | 29 (2) | 11 (44) |
Naprapath | 6 (13) | 4 (6) | 0 (0) | 0 (0) | 33 (1) | 0 (0) | 5 (20) |
Physiotherapy | 50 (109) | 56 (94) | 0 (0) | 57 (8) | 33 (1) | 43 (3) | 52 (211) |
Psychologist | 2 (4) | 2 (3) | 0 (0) | 0 (0) | 33 (1) | 0 (0) | 2 (8) |
Psychomotor physiotherapy | 6 (14) | 10 (17) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 8 (31) |
Any CAM | 61 (132) | 65 (110) | 0 (0) | 64 (9) | 67 (2) | 57 (4) | 62 (253) |
Medication use | |||||||
Acute medication | 75 (163)b | 100 (169)a,c | 100 (3) | 100 (14) | 100 (3) | 100 (7) | 87 (352) |
Prophylactic medication | 3 (7) | 3 (5) | 0 (0) | 7 (1) | 0 (0) | 14 (1) | 3 (14) |
Complementary and alternative medicine
Co-occurrence of migraine
All primary headaches without co-occurrence of migraine (N = 206) % (n) | All primary headaches with co-occurrence of migraine (N = 199) % (n) | All primary headaches without medication overuse (N = 220) % (n) | All primary headaches with medication overuse (N = 185) % (n) | |
---|---|---|---|---|
Contact level | ||||
None | 28 (57) | 11 (22)a | 22 (48) | 17 (31) |
Primary | 72 (149) | 89 (177)a | 78 (172) | 83 (154) |
Secondary | 15 (31) | 23 (45)a | 16 (36) | 22 (40) |
Tertiary | 5 (10) | 4 (7) | 5 (10) | 4 (7) |
Complementary and alternative medicine | ||||
Acupuncture | 28 (57) | 38 (76)b | 30 (67) | 36 (66) |
Chiropractic | 26 (54) | 30 (59) | 29 (63) | 27 (50) |
Homeopathy | 10 (20) | 12 (24) | 11 (24) | 11 (20) |
Naprapath | 5 (10) | 5 (10) | 6 (14) | 3 (86) |
Physiotherapy | 47 (97) | 57 (114)b | 50 (110) | 55 (101) |
Psychologist | 2 (4) | 2 (4) | 2 (5) | 2 (3) |
Psychomotor physiotherapy | 7 (14) | 9 (17) | 6 (14) | 9 (17) |
Any CAM | 58 (120) | 67 (133) | 61 (134) | 64 (119) |
Medication use | ||||
Acute medication | 81 (167) | 93 (185)a | 76 (167) | 100 (185)c |
Prophylactic medication | 1 (3) | 6 (11)b | 3 (7) | 4 (7) |
Co-occurrence of migraine | 0 (0) | 100 (199) | 42 (92) | 58 (107)c |