Cephalalgiaphobia as a feature of high-frequency migraine: a pilot study

Giulia Giannini, Stefano Zanigni, Daniela Grimaldi, Roberto Melotti, Giulia Pierangeli, Pietro Cortelli, Sabina Cevoli

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Cephalalgiaphobia is the fear of having a headache attack during a pain-free period that may induce patients to use analgesic in the absence of pain to prevent headache and to improve their performances. This study aims at assessing if cephalalgiaphobia is related to migraine frequency or medication overuse, and if it is per se a predictor of increase in migraine frequency.

METHODS: This is a pilot prospective cohort study on 126 consecutive migraineurs referred to a tertiary Headache Centre. A headache specialist collected data regarding migraine features, frequency and medications at baseline (T0) and 2 years later (T1). Cephalalgiaphobia was investigated at T0 and T1 through a score determined by a 4 items questionnaire.

RESULTS: Moderate-high migraine frequency was associated with higher risk of cephalalgiaphobia (p 

CONCLUSIONS: Cephalalgiaphobia may represent a high-frequency migraine feature and may play a role in chronicization. Therefore, it should be better investigated by clinicians and treated or prevented in order to reduce the risk of disability and the increase in migraine frequency.

Original languageEnglish
Pages (from-to)49
Number of pages1
JournalJournal of Headache and Pain
Volume14
DOIs
Publication statusPublished - 2013

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Migraine Disorders
Headache
Fear
Analgesics
Cohort Studies
Prospective Studies
Pain

ASJC Scopus subject areas

  • Medicine(all)

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Cephalalgiaphobia as a feature of high-frequency migraine : a pilot study. / Giannini, Giulia; Zanigni, Stefano; Grimaldi, Daniela; Melotti, Roberto; Pierangeli, Giulia; Cortelli, Pietro; Cevoli, Sabina.

In: Journal of Headache and Pain, Vol. 14, 2013, p. 49.

Research output: Contribution to journalArticle

Giannini, Giulia ; Zanigni, Stefano ; Grimaldi, Daniela ; Melotti, Roberto ; Pierangeli, Giulia ; Cortelli, Pietro ; Cevoli, Sabina. / Cephalalgiaphobia as a feature of high-frequency migraine : a pilot study. In: Journal of Headache and Pain. 2013 ; Vol. 14. pp. 49.
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AU - Giannini, Giulia

AU - Zanigni, Stefano

AU - Grimaldi, Daniela

AU - Melotti, Roberto

AU - Pierangeli, Giulia

AU - Cortelli, Pietro

AU - Cevoli, Sabina

PY - 2013

Y1 - 2013

N2 - BACKGROUND: Cephalalgiaphobia is the fear of having a headache attack during a pain-free period that may induce patients to use analgesic in the absence of pain to prevent headache and to improve their performances. This study aims at assessing if cephalalgiaphobia is related to migraine frequency or medication overuse, and if it is per se a predictor of increase in migraine frequency.METHODS: This is a pilot prospective cohort study on 126 consecutive migraineurs referred to a tertiary Headache Centre. A headache specialist collected data regarding migraine features, frequency and medications at baseline (T0) and 2 years later (T1). Cephalalgiaphobia was investigated at T0 and T1 through a score determined by a 4 items questionnaire.RESULTS: Moderate-high migraine frequency was associated with higher risk of cephalalgiaphobia (p CONCLUSIONS: Cephalalgiaphobia may represent a high-frequency migraine feature and may play a role in chronicization. Therefore, it should be better investigated by clinicians and treated or prevented in order to reduce the risk of disability and the increase in migraine frequency.

AB - BACKGROUND: Cephalalgiaphobia is the fear of having a headache attack during a pain-free period that may induce patients to use analgesic in the absence of pain to prevent headache and to improve their performances. This study aims at assessing if cephalalgiaphobia is related to migraine frequency or medication overuse, and if it is per se a predictor of increase in migraine frequency.METHODS: This is a pilot prospective cohort study on 126 consecutive migraineurs referred to a tertiary Headache Centre. A headache specialist collected data regarding migraine features, frequency and medications at baseline (T0) and 2 years later (T1). Cephalalgiaphobia was investigated at T0 and T1 through a score determined by a 4 items questionnaire.RESULTS: Moderate-high migraine frequency was associated with higher risk of cephalalgiaphobia (p CONCLUSIONS: Cephalalgiaphobia may represent a high-frequency migraine feature and may play a role in chronicization. Therefore, it should be better investigated by clinicians and treated or prevented in order to reduce the risk of disability and the increase in migraine frequency.

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