Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Headache as a sociomedical problem: A review of literature

Full Text:


The article reviews foreign and Russian literature on the organization of headache (HA) treatment. The economic burden of HA has been convincingly proven. The medical aid appealability of patients with HA has been established to be low (20–60%). This is frequently due to a lack of confidence in the success of a doctor's advice. The paper considers various models for the management of patients with HA in foreign countries. There is a low reliability of the diagnosis established during questionnaire surveys. Whether the patients can be managed using telecommunications, such as telephone and online counseling, is described. In Russia, there are substantially fewer treatment options for patients with HA; at the same time the available models are inclined to foreign ones. The paper describes world and Russian practices in educating the physicians and underlines the need for patients with HA to have educational classes. The sites where both the doctor and the patient can receive relevant information about HA are considered. 

About the Authors

A. V. Kondratyev
Clinical Hospital Fifty-One, Federal Biomedical Agency of Russia, Zheleznogorsk
Russian Federation

Competing Interests: 5, Kirov St., Zheleznogorsk, Krasnoyarsk Territory 662971

A. V. Shulmin
Prof. V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia, Krasnoyarsk
Russian Federation
1, Partisan Zheleznyak St., Krasnoyarsk, Krasnoyarsk Territory 660022

N. A. Shnayder
Clinical Hospital Fifty-One, Federal Biomedical Agency of Russia, Zheleznogorsk; Prof. V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of Russia, Krasnoyarsk
Russian Federation

5, Kirov St., Zheleznogorsk, Krasnoyarsk Territory 662971

1, Partisan Zheleznyak St., Krasnoyarsk, Krasnoyarsk Territory 660022 

A. I. Lomakin
Clinical Hospital Fifty-One, Federal Biomedical Agency of Russia, Zheleznogorsk
Russian Federation
5, Kirov St., Zheleznogorsk, Krasnoyarsk Territory 662971


1. Кондратьев АВ, Шнайдер НА, Шульмин АВ. Эпидемиология головных болей. Современные проблемы науки и образования. 2015;(6):23-4. [Kondrat'ev AV, Shnaider NA, Shul'min AV. Epidemiology of headaches. Sovremennye problemy nauki i obrazovaniya. 2015;(6):23-4. (In Russ.)].

2. Головные боли. Информационный бюллетень Всемирной организации здравоохранения № 277, октябрь 2012 г. [Headaches. Information Bulletin of the World Health Organization No. 277, October 2012].

3. Олесен Е, Густавссон А, Свенссон М и др. Экономические затраты от заболеваний мозга в Европе. Уральский медицинский журнал. 2012;(5):5-12. [Olesen J, Gustavsson A, Svensson M, et al. The economic cost of brain disorders in Europe. Ural'skii meditsinskii zhurnal. 2012;(5):5-12. (In Russ.)].

4. Vinding GR, Zeeberg P, Lyngberg A, et al. The burden of headache in a patient population from a specialized headache centre. Cephalalgia. 2007 Mar;27(3):263-70.

5. Jensen R, Rasmussen BK. Burden of headache. Expert Rev Pharmacoecon Outcomes Res. 2004 Jun;4(3):353-9. doi: 10.1586/ 14737167.4.3.353.

6. Luo N, Qi W, Tong W, et al. Prevalence and burden of headache disorders in two neighboring provinces of China. J Clin Neurosci. 2014 Oct;21(10):1750-4. doi: 10.1016/j.jocn.2014. 01.023. Epub 2014 May 28.

7. Фокин ИВ. Оптимизация медико-экономической помощи больным мигренью на основе клинико-экономического анализа и оценки качества жизни. Автореф. дисс. ... докт. мед. наук. Москва; 2008. 52 с. [Fokin IV. Optimization of medical and economic assistance to patients with migraine-based clinical and economic analysis and evaluation of the quality of life. Autoref. diss. ... doct. med. sci. Moscow; 2008: 52 р.]

8. Ayzenberg I, Katsarava Z, Sborowski A, et al. Headache-attributed burden and its impact on productivity and quality of life in Russia: structured healthcare for headache is urgently need￾ed. Eur J Neurol. 2014 May;21(5):758-65. doi: 10.1111/ene.12380. Epub 2014 Feb 13.

9. Lipton RB, Scher AI, Kolodner K, et al. Migraine in the United States: epidemiology and patterns of health care use. Neurology. 2002 Mar 26;58(6):885-94.

10. Molarius A, Tegelberg A. Recurrent headache and migraine as a public health problem — a population-based study in Sweden. Headache. 2006 Jan;46(1):73-81.

11. MacGregor EA, Brandes J, Eikermann A. Migraine prevalence and treatment patterns: the global migraine and zolmitriptan evaluation survey. Headache. 2003 Jan;43(1):19-26.

12. Ghumman SS, Nadeem M, Nawaz AJ, et al. Self-management of headache: a cross-sectional survey in the General Public of Islamabad. J Pak Med Assoc. 2013 Sep;63(9): 1210-4.

13. Park JW, Moon HS, Kim JM, et al. Chronic daily headache in Korea: prevalence, clinical characteristics, medical consultation and management. J Clin Neurol. 2014 Jul;10(3):236-43. doi: 10.3988/jcn.2014.10.3.236. Epub 2014 Jul 3.

14. Tassorelli C, Farm I, Kettinen H, et al. Access to care-an unmet need in headache management? J Headache Pain. 2014 Apr 17;15:20. doi: 10.1186/1129-2377-15-20.

15. Cvetkovich VV. Is the management of migraine and tension headache in Croatia satisfactory? Acta Med Croatica. 2013 Dec;67(5):415-24.

16. Старикова НЛ, Костенкова НВ. Проблема взаимоотношений врача и пациента в лечении цефалгии: результаты анкетного оп- роса. Российский журнал боли. 2010;(2): 21-4. [Starikova NL, Kostenkova NV. Doctor – patient relations problem in treatment of cephalgia: questionnaire results. Rossiiskii zhurnal boli. 2010;(2):21-4. (In Russ.)].

17. Глобальное исследование Nielsen [The Nielsen global survey]. http://www.advertology. ru/article50276.htm

18. Лебедева ЕР, Кобзева НР, Гилев ДВ и др. Анализ организации медицинской помощи и ведения больных с первичными головными болями. Уральский медицинский журнал. 2014;(6):174-82. [Lebedeva ER, Kobzeva NR, Gilev DV, et al. Analysis of organization of healthcare and management of patients with primary headache disorders. Ural'skii meditsinskii zhurnal. 2014;(6):174-82 (In Russ.)].

19. Азимова ЮЭ. Распространенность головных болей и причины необращения к врачу по поводу головной боли по данным интернет-опроса. Материалы межрегиональной научно-практической конференции «Головная боль — актуальная междисциплинарная проблема». Смоленск; 2009. 122 c. [Azimova YuE. Rasprostranennost' golovnykh bolei i prichiny neobrashcheniya k vrachu po povodu golovnoi boli po dannym Internetoprosa. Materialy mezhregional'noi nauchnoprakticheskoi konferentsii «Golovnaya bol' — aktual'naya mezhdistsiplinarnaya problema» [The prevalence of headaches and the causes of the failure to seek to doctor about headache according to the online survey. Materials of the interregional scientific-practical conference «Headache — relevant interdisciplinary problem»]. Smolensk; 2009. 122 p.]

20. Азимова ЮЭ, Сергеев АВ, Осипова ВВ и др. Диагностика и лечение головных болей в России: результаты анкетного опроса врачей. Российский журнал боли. 2010;(3-4):12-7. [Azimova YuE, Sergeev AV, Osipova VV, et al. Cephalgia diagnostics and treatment in Russia: physician questionnaire survey results. Rossiiskii zhurnal boli. 2010;(3-4):12-7. (In Russ.)].

21. Atlas of headache disorders and resources in the world 2011. World Health Organization. Geneva; 2011. 72 p.

22. Осипова ВВ, Азимова ЮЭ, Табеева ГР и др. Диагностика головных болей в России и странах постсоветского пространства: состояние проблемы и пути её решения. Анналы клинической и экспериментальной неврологии. 2012;6(2):16-22. [Osipova VV, Azimova YuE, Tabeeva GR, et al. Diagnosis of headaches in Russia and countries of the former Soviet Union: state of the problem and ways to solve it. Annaly klinicheskoi i eksperimental'noi nevrologii. 2012;6(2):16-22. (In Russ.)].

23. Lipton RB, Hamelsky SW, Dayno JM. What do patients with migraine want from acute migraine treatment? Headache. 2002 Jan;42 Suppl 1:3-9.

24. Freitag FG, Lake A, Lipton R, et al. Inpatient treatment of headache: an evidence￾based assessment. Headache. 2004 Apr;44(4):342-60.

25. Pari E, Rinaldi F, Gipponi S, et al. Management of headache disorders in the Emergency Department setting. Neurol Sci. 2015 Jul;36(7):1153-60. doi: 10.1007/s10072- 015-2148-7. Epub 2015 Mar 10.

26. Zebenholzer K, Andree C, Lechner A, et al. Prevalence, management and burden of episodic and chronic headaches--a cross-sectional multicentre study in eight Austrian headache centres. J Headache Pain. 2015;16:531. doi: 10.1186/s10194-015-0531-7. Epub 2015 May 19.

27. Lipton RB, Silberstein SD. The role of headache-related disability in migraine management: implications for headache treatment guidelines. Neurology. 2001;56(6 Suppl 1):S35-42.

28. Russell MB, Aaseth K, Grande RB, et al. Which strategy should be applied? Design of a Norwegian epidemiological survey on chronic headache. Acta Neurol Scand Suppl. 2007;187:59-63.

29. Cicolini G, Palma E, Tafuri E, et al. Effectiveness of the telephonic-case-management for treatment of headache. A pilot study. Prof Inferm. 2011 Jul-Sep;64(3):173-8.

30. Andersson G, Lundström P, Ström L. Internet-based treatment of headache: does telephone contact add anything? Headache. 2003 Apr;43(4):353-61.

31. Pereira-Monteiro J, Wysocka-Bakowska MM, Katsarava Z, et al. Guidelines for telematic second opinion consultation on headaches in Europe: on behalf of the European Headache Federation (EHF). J Headache Pain. 2010 Aug; 11(4):345-8. doi: 10.1007/s10194-010-0211-6. Epub 2010 Apr 7.

32. Парфенов ВА, Неверовский ДВ. Ведение пациентов с дисциркуляторной энцефалопатией в амбулаторной практике. Неврология, нейропсихиатрия, психосоматика. 2015;7(1):37-42. [Parfenov VA, Neverovsky DV. Outpatient management of patients with dyscirculatory encephalopathy. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2015;7(1): 37-42. (In Russ.)]. doi: 10.14412/2074-2711- 2015-1-37-42

33. Яхно НН, Парфенов ВА, Алексеев ВВ. Головная боль (справочное руководство для врачей). Москва: Р-врач; 2000. 150 с. [Yakhno NN, Parfenov VA, Alekseev VV. Golovnaya bol' (spravochnoe rukovodstvo dlya vrachei) [Headache (reference guide for physicians)]. Moscow: R-vrach; 2000. 150 р.]

34. Головачева ВА, Парфенов ВА, Захаров ВВ. Лечение хронической ежедневной головной боли с использованием допол- нительных и альтернативных методов. Неврология, нейропсихиатрия, психосоматика. 2015;7(2):35-41. [Golovacheva VA, Parfenov VA, Zakharov VV. Treatment for chronic daily headache by using auxiliary and alternative methods. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2015;7(2):35-41. (In Russ.)]. doi: 10.14412/2074-2711-2015-2-35-41

35. Фокин ИВ. Актуальные проблемы организации медицинской помощи при головной боли. Здоровье и образование в XXI веке. 2014;16(3):72-5. [Fokin IV. Actual problems of medical care for headache. Zdorov'e i obrazovanie v XXI veke. 2014;16(3):72-5. (In Russ.)].

36. Фокин ИВ. Головная боль: основы организации медицинской помощи: монография. Москва: Демиург–АРТ; 2008. 165 с. [Fokin IV. Golovnaya bol': osnovy organizatsii meditsinskoi pomoshchi: monografiya [Headache: the basics of medical care: monograph]. Moscow: Demiurg–ART; 2008. 165 p.]

37. Иванов АС. Комплексное медико-социальное исследование головной боли у студентов медицинского ВУЗа и пути её профилактики. Автореф. дисс. ... канд. мед. наук. Казань; 2011. 23 с. [Ivanov AS. Comprehensive medical and social research of headache in medical students and ways of its prevention. Autoref. diss. ... cand. med. sci. Kazan; 2011. 23 р.]

38. Головачева ВА, Парфенов ВА, Табеева ГР. Лечение пациентов с лекарственно индуцированной головной болью. Невроньюс (неврологические новости). 2014;(2):11-3. [Golovacheva VA, Parfenov VA, Tabeeva GR. Treatment of patients with medical overuse headache. Nevron'yus (nevrologicheskie novosti). 2014;(2):11-3. (In Russ.)].

39. Steiner TJ, Paemeliere K, Jensen R, et al. European principles of management of common headache disorders in primary care. J Headache Pain. 2007 Oct;8 Suppl 1:S3-47.

40. Jensen R, Mitsikostas DD, Valade D, et al. Guidelines for the organization of headache education in Europe: the headache school II. J Headache Pain. 2010 Apr;11(2):161-5. doi: 10.1007/s10194-010-0195-2. Epub 2010 Feb 24.

41. Bendtsen L, Birk S, Kasch H, et al. Reference programme: diagnosis and treatment of headache disorders and facial pain. Danish Headache Society, 2nd Edition, 2012. J Headache Pain. 2012 Feb;13 Suppl 1:S1-29. doi: 10.1007/s10194-011-0402-9.

42. Antonaci F, Lbinez JM, Diener HC, et al. Guidelines for the organization of headache education in Europe: the headache school. Funct Neurol. 2005 Apr-Jun;20(2):89-93.

43. Martelletti P. Cluster headache management and beyond. Expert Opin Pharmacother. 2015; 16(10):1411-5. doi: 10.1517/14656566.2015. 1052741. Epub 2015 Jun 1.

44. Martin PR, MacLeod C. Behavioral management of headache triggers: Avoidance of triggers is an inadequate strategy. Clin Psychol Rev. 2009 Aug;29(6):483-95. doi: 10.1016/j.cpr. 2009.05.002. Epub 2009 Jun 7.

45. Martin PR, Reece J, Callan M, et al. Behavioral management of the triggers of recurrent headache: a randomized controlled trial. Behav Res Ther. 2014 Oct;61:1-11. doi: 10.1016/ j.brat.2014.07.002. Epub 2014 Jul 16.





For citation:

Kondratyev A.V., Shulmin A.V., Shnayder N.A., Lomakin A.I. Headache as a sociomedical problem: A review of literature. Neurology, Neuropsychiatry, Psychosomatics. 2017;9(2):83-88. (In Russ.)

Views: 595

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)