Are migraine and tension-type headache diagnostic types or points on a severity continuum? An exploration of the latent taxometric structure of headache

Pain
Dana P TurnerTimothy T Houle

Abstract

The objective of this study was to assess whether migraine and tension-type headache (TTH) are best viewed as discrete entities or points on a severity continuum using taxometric analysis. Historically, classification systems have conceptualized the primary headache disorders of migraine and TTH as fundamentally different disorders that are differentiated by their characteristic symptom profiles and, as such, imply differing pathophysiologies and required treatments. Despite this categorical nosology, findings continue to emerge suggesting that migraine and TTH instead reflect dimensions of severity within the same headache construct. However, few studies have assessed this issue using taxometric statistical analyses or investigated how this taxonomic structure varies as a function of age and headache frequency. We conducted a latent-mode factor analysis of headache symptomatology obtained from 3449 individuals with headache from 2 previous, large-scale cross-sectional studies of primary headache sufferers (Martin et al., 2005, and Smitherman and Kolivas, 2013). Stratified taxometric analyses suggest that the validity of a categorical vs dimensional classification varies as a function of sample characteristics. Specifically, gr...Continue Reading

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Citations

Jan 18, 2018·The Journal of Headache and Pain·Wei-Ta ChenShuu-Jiun Wang
Mar 30, 2017·Neuro-ophthalmology·Arif Ü Yener, Osman Korucu
Jun 5, 2020·Psychological Medicine·Nick HaslamPeter Kuppens
Aug 28, 2017·Current Pain and Headache Reports·Rachel E Davis-MartinTodd A Smitherman
Nov 21, 2021·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Marialuisa RausaDaniela Palomba

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