Is There a Psychological Component to Headaches?

Check out this answer from Consensus:

The research clearly indicates a strong psychological component to headaches. Psychological stress, emotional and cognitive factors, personality traits, and psychiatric comorbidities all play crucial roles in the onset, progression, and management of headache disorders. Addressing these psychological aspects through appropriate interventions can significantly enhance the understanding and treatment of headaches, leading to better patient outcomes.

Headaches, particularly chronic ones, are a common ailment that can significantly impact an individual’s quality of life. While traditionally viewed through a biomedical lens, recent research has increasingly highlighted the role of psychological factors in the onset, progression, and management of headaches.

Key Insights

  • Psychological Stress and Headaches:
    • Psychological stress is a significant trigger for headaches, including migraines and tension-type headaches (TTH) .
    • Stress can exacerbate headache episodes and contribute to the chronicity of headache disorders .
  • Emotional and Cognitive Factors:
    • Negative affective states such as anxiety, depression, and anger are commonly associated with headaches .
    • Cognitive factors like locus of control and self-efficacy influence the development and perception of headache pain, as well as treatment adherence and outcomes.
  • Personality Traits and Behavioral Patterns:
    • Certain personality traits, such as perfectionism, orderliness, and unexpressed anger, are linked to migraine and other headache types .
    • Individuals with TTH often exhibit higher levels of automatic thoughts and alexithymia, indicating difficulties in emotional expression.
  • Psychiatric Comorbidities:
    • There is a notable comorbidity between headaches and psychiatric disorders, including depression, anxiety, and personality disorders .
    • Psychiatric diagnosis and treatment can be beneficial in managing headache symptoms and improving patient outcomes.
  • Impact on Daily Functioning:
    • Headaches can lead to significant psychosocial problems, such as school absences and problematic social interactions, particularly in children and adolescents .
    • The experience of headache itself can act as a stressor, further compromising an individual’s health and well-being.

 


Is there a psychological component to headaches?

Arne May has answered Likely

An expert from University Medical Center Hamburg-Eppendorf in Neurology

All chronic diseases will at some point involve the psyche- and this may lead to a reciprocal interaction between the disease symptoms and the psychological well-being. It is extremely important to acknowledge this fact. At the same time this does not mean that the psyche alone can generate headache de novo. Headache as the sole and only symptom is unlikely to be of psychological orign (psychogenic). Only if there are muptiple symptoms of multiple areas in the body (for example unexplainesd palpitation and tachycardia, obstipation or diarroea, vertigo, stomach cramps and many others), it may be possible that there is a psychological component to headache as one of these symptoms.

That said: We know that a headache with clear biological and genetic background such aas migraine is modulated by psychological factors such as stress. Behavioral therapy is certainly helpful in targeting and treating migraine. So the answer is yes- there is a psychological element to headache and some treatments (e.g. behavior therapy) targets this correlation- although the psyche is not the cause of the headache in migraine.

 

Is there a psychological component to headaches?

Antonio Russo has answered Near Certain

An expert from University of Campania Luigi Vanvitelli in Neurology

Psychological factors such as depression and anxiety, as well as catastrophizing or rumination of pain experience are common in migraine patients and they significantly contribute to the worsening of both migraine and migraine-related disability. Indeed, psychological factors represent targets of treatments in order to improve migraine frequency and the consequent impact of migraine on the daily living of patients.

On the other hand, migraine is not just a physical painful experience but also an emotional burden, with effects on thoughts, projects, feelings and relationships.

Definitely, migraine is able to induce a physical-emotional loop: pain reinforces the perceived stress and the latter acts as trigger for further migraine attacks.

 

Is there a psychological component to headaches?

Fayyaz Ahmed has answered Likely

An expert from Hull York Medical School in Neurology

There is some element of anxiety in generating headaches. For example an underlying worry of a brain tumour can give you a headache.

 

Is there a psychological component to headaches?

Chanawee Hirunpattarasilp has answered Near Certain

An expert from HRH Princess Chulabhorn College of Medical Science in Neuroscience

There is a relationship between depression and headache and antidepressant medications are effective in preventing attacks of certain type of headache. Hence, the patient psychological status should be assessed in patients with headaches.

 

Is there a psychological component to headaches?

Anna Andreou has answered Likely

An expert from King’s College London in Neuroscience, Neurology

Primary headaches do not have a psychological cause. However, psychological conditions and headaches are very common and certain psychological conditions, such as depression, are common comorbidities in headache sufferers, especially in chronic patients. A causal relationship may exist between a new or significantly worsening headache and psychological or psychiatric disorder when a new headache occurs for the first time in close temporal relation to this disorder.

 

Is there a psychological component to headaches?

Amanda Ellison has answered Near Certain

An expert from Durham University in Psychology, Neuroscience

Yes. Stress, worry, overwork are all psychological aspects that can cause headaches. How we experience pain is largely psychological and is centred in an area of the brain distinct from where the sensory component of pain is processed called the Zona Incerta. Activity here is sensitive to lots of factors; where we live, how we live, who we live with, if we have a pet, if we believe in a deity and many more. Separating headache or and pain from these influences is reductive and counter-productive.

 

Is there a psychological component to headaches?

Janet Bultitude has answered Near Certain

An expert from University of Bath in Psychology

Yes! Headache is one form of pain, and all pain can be influenced by psychological factors such as our mood, beliefs, and social relationships. Also, if we are tense or stressed, we might unconsciously show this with our bodies by tensing our shoulders or grinding our teeth – both of which can cause headaches. However, it is important to say that just because there can be a psychological component to headaches, doesn’t mean that the pain is any less real, or that it is ‘in our head’.