Impact of cluster headache on employment status and job burden: a prospective cross-sectional multicenter study
- 주제(키워드) Cluster headache , Disability , Employment , Occupation , Sick leave , Work
- 주제(기타) Clinical Neurology; Neurosciences
- 설명문(일반) [Choi, Yun-Ju] Presbyterian Med Ctr, Dept Neurol, Jeonju, South Korea; [Kim, Byung-Kun] Eulji Hosp, Dept Neurol, Seoul, South Korea; [Chung, Pil-Wook; Moon, Heui-Soo] Sungkyunkwan Univ, Sch Med, Dept Neurol, Kangbuk Samsung Hosp, Seoul, South Korea; [Lee, Mi Ji; Chung, Chin-Sang] Samsung Med Ctr, Dept Neurol, Seoul, South Korea; [Park, Jung-Wook] Uijeongbu St Marys Hosp, Dept Neurol, Uijongbu, South Korea; [Chu, Min Kyung] Severance Hosp, Dept Neurol, Seoul, South Korea; [Ahn, Jin-Young] Seoul Med Ctr, Dept Neurol, Seoul, South Korea; [Kim, Byung-Su] Bundang Jesaeng Gen Hosp, Daejin Med Ctr, Dept Neurol, Seongnam, South Korea; [Song, Tae-Jin] Ewha Womans Univ Med, Dept Neurol, Seoul, South Korea; [Sohn, Jong-Hee] Chuncheon Sacred Heart Hosp, Dept Neurol, Chunchon, South Korea; [Oh, Kyungmi] Korea Univ, Dept Neurol, Coll Med, Seoul, South Korea; [Lee, Kwang-Soo] Catholic Univ Korea, Seoul St Marys Hosp, Dept Neurol, Coll Med, Seoul, South Korea; [Kim, Soo-Kyoung] Gyeongsang Natl Univ, Dept Neurol, Coll Med, Jinju, South Korea; [Kim, Soo-Kyoung] Gyeongsang Natl Univ, Inst Hlth Sci, Coll Med, Jinju, South Korea; [Park, Kwang-Yeol] Chung Ang Univ Hosp, Dept Neurol, Seoul, South Korea; [Chung, Jae Myun] Inje Univ, Dept Neurol, Coll Med, Seoul, South Korea; [Cho, Soo-Jin] Hallym Univ, Dept Neurol, Dongtan Sacred Heart Hosp, Coll Med, Keun Jae Bong Gil 7, Hwaseong 18450, Gyeonggi Do, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 SPRINGEROPEN
- 발행년도 2018
- URI http://www.dcollection.net/handler/ewha/000000156884
- 본문언어 영어
- Published As http://dx.doi.org/10.1186/s10194-018-0911-x
초록/요약
Background: Cluster headaches (CH) are recurrent severe headaches, which impose a major burden on the life of patients. We investigated the impact of CH on employment status and job burden. Methods: The study was a sub-study of the Korean Cluster Headache Registry. Patients with CH were enrolled from September 2016 to February 2018 from 15 headache clinics in Korea. We also enrolled a headache control group with age-sex matched patients with migraine or tension-type headache. Moreover, a control group including individuals without headache complaints was recruited. All participants responded to a questionnaire that included questions on employment status, type of occupation, working time, sick leave, reductions in productivity, and satisfaction with current occupation. The questionnaire was administered to participants who were currently employed or had previous occupational experience. Results: We recruited 143 patients with CH, 38 patients with other types of headache (migraine or tension-type headache), and 52 headache-free controls. The proportion of employees was lower in the CH group compared with the headache and headache-free control groups (CH: 67.6% vs. headache controls: 84.2% vs. headache-free controls: 96.2%; p = 0.001). The CH group more frequently experienced difficulties at work and required sick leave than the other groups (CH: 84.8% vs. headache controls: 63.9% vs. headache-free controls: 36.5%; p < 0.001; CH: 39.4% vs. headache controls: 13.9% vs. headache-free controls: 3.4%; p < 0.001). Among the patients with CH, sick leave was associated with younger age at CH onset (25.8 years vs. 30.6 years, p = 0.014), severity of pain rated on a visual analogue scale (9.3 vs. 8.8, p = 0.008), and diurnal periodicity during the daytime (p = 0.003). There were no significant differences with respect to the sick leave based on sex, age, CH subtypes, and CH recurrence. Conclusions: CH might be associated with employment status. Most patients with CH experienced substantial burdens at work.
more