A Bio-Psychosocial Framework for Chronic Daily Headaches: A Mixed Methods Study

Chronic daily headaches (CDH) are primarily understood from a psychophysiological formulation. A broad biopsychosocial understanding, where there is equal importance given to biological, psychological and socio-cultural factors, is underexplored in headache. Socio-cultural factors, such as gender, s...

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Autores principales:	Bhuvaneshwari Balasubramanian, Vasundharaa. S. Nair, Nimmy George, Ashok V. Reddy, Priya Treesa Thomas, Girish B. Kulkarni
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/89e507b54f4a4e95b605e00d401527e6
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spelling	oai:doaj.org-article:89e507b54f4a4e95b605e00d401527e62021-11-12T08:33:20ZA Bio-Psychosocial Framework for Chronic Daily Headaches: A Mixed Methods Study2374-374310.1177/23743735211049672https://doaj.org/article/89e507b54f4a4e95b605e00d401527e62021-11-01T00:00:00Zhttps://doi.org/10.1177/23743735211049672https://doaj.org/toc/2374-3743Chronic daily headaches (CDH) are primarily understood from a psychophysiological formulation. A broad biopsychosocial understanding, where there is equal importance given to biological, psychological and socio-cultural factors, is underexplored in headache. Socio-cultural factors, such as gender, socio-economic factors can perpetuate and worsen the condition. For an effective and sustainable intervention, these factors need to be considered. The current study aims to explore and develop a biopsychosocial framework for headache disorders. A convergent parallel mixed methods design was used and participants were recruited from a tertiary referral care hospital, Bengaluru, India. Headache Assessment Sheet, GAD 7, HDRS, PSS and B COPE were used in the quantitative phase. The data was analysed using r software. Qualitative phase of the study, in depth interview guide was used and data analysed thematically. Quantitative phase, 38 participants were recruited. The average age, was 38.02 (±10.17), majority of the participants being females 31 (81.58%). The mean duration of illness was 8.63 (±4.73) years. The anxiety scores positively correlated with pain intensity (r = 0.50 at P ≤ .001) and the median anxiety scores varied with photophobia ( P ≤ .03). The anxiety scores correlated with PSS (r = 0.428 at P ≤ .007) and HDRS (r = 0.428 at P ≤ .007) scores. Gender variations in coping were seen, avoidant coping having higher median scores in women. ( P ≤ .08). In qualitative phase of the study, six participants were recruited. Three main themes emerged from the qualitative phase of the study: headache - an illness, headache factors and the impact. Chronic daily headaches are influenced by biological, psychological, environmental and socio-cultural factors. A bio-psychosocial framework will help to understand and develop targeted interventions.Bhuvaneshwari BalasubramanianVasundharaa. S. NairNimmy GeorgeAshok V. ReddyPriya Treesa ThomasGirish B. KulkarniSAGE PublishingarticleMedicine (General)R5-920ENJournal of Patient Experience, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Bhuvaneshwari Balasubramanian Vasundharaa. S. Nair Nimmy George Ashok V. Reddy Priya Treesa Thomas Girish B. Kulkarni A Bio-Psychosocial Framework for Chronic Daily Headaches: A Mixed Methods Study
description	Chronic daily headaches (CDH) are primarily understood from a psychophysiological formulation. A broad biopsychosocial understanding, where there is equal importance given to biological, psychological and socio-cultural factors, is underexplored in headache. Socio-cultural factors, such as gender, socio-economic factors can perpetuate and worsen the condition. For an effective and sustainable intervention, these factors need to be considered. The current study aims to explore and develop a biopsychosocial framework for headache disorders. A convergent parallel mixed methods design was used and participants were recruited from a tertiary referral care hospital, Bengaluru, India. Headache Assessment Sheet, GAD 7, HDRS, PSS and B COPE were used in the quantitative phase. The data was analysed using r software. Qualitative phase of the study, in depth interview guide was used and data analysed thematically. Quantitative phase, 38 participants were recruited. The average age, was 38.02 (±10.17), majority of the participants being females 31 (81.58%). The mean duration of illness was 8.63 (±4.73) years. The anxiety scores positively correlated with pain intensity (r = 0.50 at P ≤ .001) and the median anxiety scores varied with photophobia ( P ≤ .03). The anxiety scores correlated with PSS (r = 0.428 at P ≤ .007) and HDRS (r = 0.428 at P ≤ .007) scores. Gender variations in coping were seen, avoidant coping having higher median scores in women. ( P ≤ .08). In qualitative phase of the study, six participants were recruited. Three main themes emerged from the qualitative phase of the study: headache - an illness, headache factors and the impact. Chronic daily headaches are influenced by biological, psychological, environmental and socio-cultural factors. A bio-psychosocial framework will help to understand and develop targeted interventions.
format	article
author	Bhuvaneshwari Balasubramanian Vasundharaa. S. Nair Nimmy George Ashok V. Reddy Priya Treesa Thomas Girish B. Kulkarni
author_facet	Bhuvaneshwari Balasubramanian Vasundharaa. S. Nair Nimmy George Ashok V. Reddy Priya Treesa Thomas Girish B. Kulkarni
author_sort	Bhuvaneshwari Balasubramanian
title	A Bio-Psychosocial Framework for Chronic Daily Headaches: A Mixed Methods Study
title_short	A Bio-Psychosocial Framework for Chronic Daily Headaches: A Mixed Methods Study
title_full	A Bio-Psychosocial Framework for Chronic Daily Headaches: A Mixed Methods Study
title_fullStr	A Bio-Psychosocial Framework for Chronic Daily Headaches: A Mixed Methods Study
title_full_unstemmed	A Bio-Psychosocial Framework for Chronic Daily Headaches: A Mixed Methods Study
title_sort	bio-psychosocial framework for chronic daily headaches: a mixed methods study
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/89e507b54f4a4e95b605e00d401527e6
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A Bio-Psychosocial Framework for Chronic Daily Headaches: A Mixed Methods Study

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