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Psychological, Cognitive and Quality of Life Features in the Elderly with Chronic Headache
Gerontology, 08/18/09
Uthaikhup S et al. – The results revealed that elders with headache compared to the control group scored lower on most SF–36 domains, higher on the Geriatric Depression Scale–short form (GDS–S) and comparably on the Survey of Pain Attitudes (SOPA–35), noting that the GDS score was below the threshold value for depression. These measures were not different between the headache types but were influenced by headache frequency. Subjects with headaches >=15 days/month scored lowest on SF–36 domains and highest on GDS–S questionnaire compared to those with headache <15 days/month and controls. The mean NDI score in the headache subjects indicated the presence of mild to moderate neck pain and disability. There were no strong relationships between well–being and headache frequency, intensity and length of headache history. The NDI score had the greatest influence on physical well–being and GDS–S score on mental well–being. The results suggest that frequency of headache has an impact on health–related quality of life in elders. Notably, the level of neck pain and disability is an important factor influencing well–being and may warrant attention in the management of elders with chronic headache.
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