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Clinical and Translational Neuroscience is published by MDPI from Volume 5 Issue 2 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with SAGE.
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Article

Cluster Headache and Anxiety: Results of the EUROLIGHT Cluster Headache Project—An Internet-Based, Cross-Sectional Study of People with Cluster Headache

by
Heiko Pohl
1,*,
Andreas R Gantenbein
1,2,
Peter S Sandor
1,2,
Jean Schoenen
3 and
Colette Andrée
4,5
1
Department of Neurology, University Hospital Zurich, Frauenklinikstrasse 26, 8091 Zurich, Switzerland
2
Department of Neurology and Neurorehabilitation, RehaClinic Group, 5330 Bad Zurzach, Switzerland
3
Headache Research Unit, Department of Neurology, Citadelle Hospital, University of Liège, 4000 Liège, Belgium
4
Migraine Action Switzerland, 4103 Bottmingen, Switzerland
5
Department of Pharmaceutical Sciences, University Basel, 4001 Basel, Switzerland
*
Author to whom correspondence should be addressed.
Clin. Transl. Neurosci. 2020, 4(1), 10; https://doi.org/10.1177/2514183x20925956
Submission received: 17 January 2020 / Accepted: 22 April 2020 / Published: 22 May 2020
Versions Notes

Abstract

Objective: The aim of this study is to evaluate how anxiety influences the burden of disease of cluster headache. Methods: Participants completed a modified version of the EUROLIGHT questionnaire. Anxiety was measured with the anxiety subscale of the Hospital Anxiety and Depression scale. An elevated level of anxiety was assumed when eight or more points were scored. Results: The data of 1089 participants were taken for analysis. The score of the anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A) correlated weakly with the number of attacks in the last 30 days (r = 0.17). A score of eight and above in the HADS-A was associated with hurting oneself during an attack (odds ratio (OR) = 2.63), worrying about future attacks (OR = 2.95) and reporting of both failed relationships (OR = 2.81) and career problems (OR = 2.65). The odds of feeling understood by family and friends as well as colleagues and employers were lower in anxious persons (OR = 0.35 and 0.40, respectively). Conclusions: Anxiety complicates dealing with cluster headache and strongly aggravates its burden. Instead of finding help in others, anxious persons feel misunderstood and withdraw; relationships fail and difficulties at work arise.
Keywords: cluster headache; anxiety; worry; co-morbidity cluster headache; anxiety; worry; co-morbidity

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MDPI and ACS Style

Pohl, H.; Gantenbein, A.R.; Sandor, P.S.; Schoenen, J.; Andrée, C. Cluster Headache and Anxiety: Results of the EUROLIGHT Cluster Headache Project—An Internet-Based, Cross-Sectional Study of People with Cluster Headache. Clin. Transl. Neurosci. 2020, 4, 10. https://doi.org/10.1177/2514183x20925956

AMA Style

Pohl H, Gantenbein AR, Sandor PS, Schoenen J, Andrée C. Cluster Headache and Anxiety: Results of the EUROLIGHT Cluster Headache Project—An Internet-Based, Cross-Sectional Study of People with Cluster Headache. Clinical and Translational Neuroscience. 2020; 4(1):10. https://doi.org/10.1177/2514183x20925956

Chicago/Turabian Style

Pohl, Heiko, Andreas R Gantenbein, Peter S Sandor, Jean Schoenen, and Colette Andrée. 2020. "Cluster Headache and Anxiety: Results of the EUROLIGHT Cluster Headache Project—An Internet-Based, Cross-Sectional Study of People with Cluster Headache" Clinical and Translational Neuroscience 4, no. 1: 10. https://doi.org/10.1177/2514183x20925956

APA Style

Pohl, H., Gantenbein, A. R., Sandor, P. S., Schoenen, J., & Andrée, C. (2020). Cluster Headache and Anxiety: Results of the EUROLIGHT Cluster Headache Project—An Internet-Based, Cross-Sectional Study of People with Cluster Headache. Clinical and Translational Neuroscience, 4(1), 10. https://doi.org/10.1177/2514183x20925956

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