A cross-sectional study of pain severity in patients suffering from different types of primary headache in the hospital setting

Sanjay Prasad, Abhay Paliwal, Ram Ghulam Razdan


Background: Primary headache disorders including migraine and tension-type headache (TTH) are of great importance to global public health due to its high prevalence, but very few studies have been conducted to know its prevalence and pain severity of different types of primary headache. Aim of this study was to investigate the subtypes and pain severity of different types of primary headache in hospital setting.

Methods: This study is a cross-sectional study with 200 sample size. Includes patients with Primary headache in department of Psychiatry, MGMMC, Indore. Patient aged between 18-65 years, both gender. Diagnosis of headache was done clinically in accordance with International Classification of Headache disorders (ICHD- 3). Semi-structured headache questionnaire, Comparative pain scale were used for assessment of samples.

Results: Among 200 patients, Tension type headache was 73.5%, Migraine was 22%, Mixed headache was in 4.5% patients. Majority of migraine and mixed headache cases had severe pain at 93.2% & 55.6% respectively. Majority of TTH cases had moderate pain in 42.2% patients.

Conclusions: Study has shown assessments of severity of pain, can be used to assess the impact of Primary headache on patient’s quality of life.


Migraine, Severity of pain, Tension type headache

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Headache Classification Committee of the International Headache Society, The International Classification of Headache Disorders. Cephalalgia. 2018; 38 (3rd ed): 1-211. Available at:


Headache disorders Fact sheet N°277. October 2012. Archived from the original on 16 February 2016.

Available at: Accesses 15 February 2016.

WHO- Available at

Rasmussen BK. Epidemiology of headache. Cephalalgia. 1995 Feb;15(1):45-68.

Russell MB, Levi N, Šaltyte-Benth J, Fenger K. Tension type headache in adolescents and adults: a population based study of 33,764 twins. European J Epidemiol. 2006;21(2):153-60.

Quesada-Vázquez AJ, Rodríguez-Santana N. The prevalence of primary headaches in the working population at a psychiatric hospital in Zimbabwe. Revista de Neurología. 2006;43(3):129-31.

Quesada-Vázquez AJ, Contreras-Maure LJ, Álvarez-Aliaga A, Traba-Tamayo ER. Prevalence of primary headaches in a rural population in Cuba, Revista de Neurologia. 2009;49(3):131-5.

Deleu D, Khan MA, Al Shehab TAH. Prevalence and clinical characteristics of headache in a rural community in Oman. Headache. 2002;42(10)963-73.

Oshinaike O, Ojo O, Okubadejo N, Ojelabi O, Dada A. Primary Headache Disorders at a Tertiary Health Facility in Lagos, Nigeria: Prevalence and 178Consultation Patterns. BioMed Res Inter. 2014:2014,

Almesned IS, Alqahtani NG, Alarifi JA, Alsaawy TN, Agha S, Alhumaid MA. Prevalence of primary headache among medical students at King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. J Family Med Prim Care. 2018;7(6):1193-6.

Lampl C, Thomas H, Tassorelli C, Katsarava Z, Laínez JM, Lantéri-Minet M, et al. (2016). Headache, depression and anxiety: associations in the Eurolight project. J Headache Pain. 2016;17:59.

Aich TK, Gupta U, Subedi S. Mix headache: A valid clinical entity? Indian J Psychiatry. 2018;60(1):78-83.

Wei CB, Jia JP, Wang F, Zhou AH, Zuo XM, Chu CB. Overlap between Headache, Depression, and Anxiety in General Neurological Clinics: A Cross-sectional Study. Chin Med J. 2016;129:1394-9.

Chowdhury D. Tension type headache. Ann Indian Acad Neurol. 2012;15(Suppl1):S83-8.

Elizabeth L, Paul R. Tension-type zeadache BMJ 2008;336:88.

Momayyezi M, Fallahzadeh H, Momayyezi M. Prevalence of Migraine and Tension-Type Headache in Yazd, Iran, Zahedan J Res Med Sci. 2015;17(4).

Ashina S, Bendtsen L, Buse DC, Lyngberg AC, Lipton RB, Jensen R. Neuroticism, depression and pain perception in migraine and tension-type headache. Acta Neurol Scand. 2017 Nov;136(5):470-76.