ComPAIN—Communication of Pain in Patients with Headache

Primary headaches are a common debilitating health condition. Proper diagnosis and treatment depend on patients’ communication. We wanted to explore differences in pain communication with a special interest in potential sex differences. Patients visiting our headache unit for the first time filled i...

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Main Authors: Emma Eicher, Sabina Räz, Pascale Stucki, Cinzia Röthlin, Miranda Stattmann, Bettina Grossenbacher, Eileen Neumann, Heiko Pohl, Yvonne Ilg, Anke Maatz, Susanne Wegener
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Clinical and Translational Neuroscience
Subjects:
Online Access:https://www.mdpi.com/2514-183X/7/2/14
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author Emma Eicher
Sabina Räz
Pascale Stucki
Cinzia Röthlin
Miranda Stattmann
Bettina Grossenbacher
Eileen Neumann
Heiko Pohl
Yvonne Ilg
Anke Maatz
Susanne Wegener
author_facet Emma Eicher
Sabina Räz
Pascale Stucki
Cinzia Röthlin
Miranda Stattmann
Bettina Grossenbacher
Eileen Neumann
Heiko Pohl
Yvonne Ilg
Anke Maatz
Susanne Wegener
author_sort Emma Eicher
collection DOAJ
description Primary headaches are a common debilitating health condition. Proper diagnosis and treatment depend on patients’ communication. We wanted to explore differences in pain communication with a special interest in potential sex differences. Patients visiting our headache unit for the first time filled in two different questionnaires (one <i>before</i> entering the consultation and one directly <i>after</i> finishing the consultation), through which we captured patients’ descriptions of their pain, its potential impact on daily lives, the well-being of our patients and the satisfaction with our consultation. We included a total of 35 patients (22 female, 13 male). Women reported experiencing a greater loss of socially active days during the last 3 months because of headaches compared to men. Furthermore, women were more satisfied with our consultation. In addition, we revealed migraineurs characterize their pain differently than stated in the <i>International Classification of Headache Disorders</i> (<i>ICHD-3</i>) criteria. The adjective “pressing” (drückend) was used significantly more often by migraineurs compared to patients with tension-type headaches. Nevertheless, in the physicians’ written report, the characterization more often contained the <i>ICHD-3</i> corresponding adjective “pulsating” (pulsierend). Since the typification of headaches and subsequent therapy depends predominantly on the patients’ communication, consideration of the individual pain description and further research on headache characterization are indispensable.
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spelling doaj.art-90d8c2aff2724c9b9cf881f614262e962023-11-18T09:57:33ZengMDPI AGClinical and Translational Neuroscience2514-183X2023-05-01721410.3390/ctn7020014ComPAIN—Communication of Pain in Patients with HeadacheEmma Eicher0Sabina Räz1Pascale Stucki2Cinzia Röthlin3Miranda Stattmann4Bettina Grossenbacher5Eileen Neumann6Heiko Pohl7Yvonne Ilg8Anke Maatz9Susanne Wegener10Department of Neurology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandDepartment of Neurology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandDepartment of Neurology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandDepartment of Neurology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandDepartment of Neurology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandDepartment of Neurology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandDepartment of Neurology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandDepartment of Neurology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandDepartment of German Studies, University of Zurich, 8001 Zurich, SwitzerlandDepartment of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, 8032 Zurich, SwitzerlandDepartment of Neurology, University Hospital Zurich, University of Zurich, 8006 Zurich, SwitzerlandPrimary headaches are a common debilitating health condition. Proper diagnosis and treatment depend on patients’ communication. We wanted to explore differences in pain communication with a special interest in potential sex differences. Patients visiting our headache unit for the first time filled in two different questionnaires (one <i>before</i> entering the consultation and one directly <i>after</i> finishing the consultation), through which we captured patients’ descriptions of their pain, its potential impact on daily lives, the well-being of our patients and the satisfaction with our consultation. We included a total of 35 patients (22 female, 13 male). Women reported experiencing a greater loss of socially active days during the last 3 months because of headaches compared to men. Furthermore, women were more satisfied with our consultation. In addition, we revealed migraineurs characterize their pain differently than stated in the <i>International Classification of Headache Disorders</i> (<i>ICHD-3</i>) criteria. The adjective “pressing” (drückend) was used significantly more often by migraineurs compared to patients with tension-type headaches. Nevertheless, in the physicians’ written report, the characterization more often contained the <i>ICHD-3</i> corresponding adjective “pulsating” (pulsierend). Since the typification of headaches and subsequent therapy depends predominantly on the patients’ communication, consideration of the individual pain description and further research on headache characterization are indispensable.https://www.mdpi.com/2514-183X/7/2/14primary headachepain communicationsexmigraineimpactsatisfaction
spellingShingle Emma Eicher
Sabina Räz
Pascale Stucki
Cinzia Röthlin
Miranda Stattmann
Bettina Grossenbacher
Eileen Neumann
Heiko Pohl
Yvonne Ilg
Anke Maatz
Susanne Wegener
ComPAIN—Communication of Pain in Patients with Headache
Clinical and Translational Neuroscience
primary headache
pain communication
sex
migraine
impact
satisfaction
title ComPAIN—Communication of Pain in Patients with Headache
title_full ComPAIN—Communication of Pain in Patients with Headache
title_fullStr ComPAIN—Communication of Pain in Patients with Headache
title_full_unstemmed ComPAIN—Communication of Pain in Patients with Headache
title_short ComPAIN—Communication of Pain in Patients with Headache
title_sort compain communication of pain in patients with headache
topic primary headache
pain communication
sex
migraine
impact
satisfaction
url https://www.mdpi.com/2514-183X/7/2/14
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