Factors Associated With Medication‐Overuse Headache in Patients Seeking Treatment for Primary Headache

• DOI: 10.1111/head.13294
• Publication Date: 2018-03-09T05:46:39Z
• Authors: Kelly R. Peck; Malcolm M. Roland; Todd A. Smitherman
• Keywords: Cross-sectional study

Background Although risk factors for medication‐overuse headache have been identified within the general population, most studies neglected clinical samples. The present study examined relative and combined associations of these with in a sample US adults seeking treatment primary disorders. Methods Treatment‐seeking patients provided data on demographics, variables, psychiatric use medications, other prescription medications substances. A classification tree selection strategy was utilized this cross‐sectional to differentiate between those without headache, final multivariable model assessed their utility. Results Forty‐three 164 participants (26.2%) met diagnostic criteria headache. Relative non‐medication‐overuse participants, reported greater headache‐related disability (odds ratio = 1.09, 95% confidence interval 1.01‐1.18), escape avoidance responses indicative fear pain 1.07, 1.00‐1.15), combination 3.10, 1.51‐6.36). differentiated well 2 groups (area under receiver operating characteristic curve .78; .71‐.86). Conclusions Items that assess disability, help identify who are currently overusing acute may serve as indicators progress. Future should apply similar analytic approaches longitudinally sufferers at prior progression.