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- Title
Disability, anxiety and depression in patients with medication-overuse headache in primary care - the BIMOH study.
- Authors
Kristoffersen, E. S.; Straand, J.; Russell, M. B.; Lundqvist, C.
- Abstract
Background and purpose Medication-overuse headache ( MOH) is common in the general population. Detoxification is the general treatment principle for MOH. The present paper is based on a study of a brief intervention ( BI) for MOH in primary care. New data on headache disability and the Hospital Anxiety and Depression Scale ( HADS) for MOH patients compared to population controls with and without chronic headache are presented and compared to previously published main outcome data. Methods This was a double-blind pragmatic cluster randomized controlled trial carried out amongst 50 general practitioners in Norway. The BI was compared to business as usual ( BAU) and population controls, and patients were followed up after 3 months. Primary outcomes were headache and medication days per month after 3 months. Headache disability and HADS were also measured as secondary outcomes. Results Sixty MOH patients and 40 population controls were included. BI was significantly better than BAU after 3 months regarding primary outcomes. Non-intervention population controls did not change. The MOH patients had significantly higher headache disability and anxiety scores than the population controls. Conclusions Patients with MOH are a highly disabled group where anxiety and depression are important comorbidities. Detoxification of MOH by a BI in primary care is effective and has potential for saving resources for more treatment-resistant cases in neurologist care.
- Subjects
DRUG overdose; HEADACHE; PRIMARY care; HEADACHE treatment; MIGRAINE; QUALITY of life; NEUROLOGISTS; DETOXIFICATION (Alternative medicine); PATIENTS
- Publication
European Journal of Neurology, 2016, Vol 23, p28
- ISSN
1351-5101
- Publication type
Article
- DOI
10.1111/ene.12850