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The prevalence of perceived headache triggers did not correspond to the prevalence of risk factors previously identified in the same cohort among individuals with headache [13, 15, 18].
However, only a limited number of studies had investigated the adolescent's perception of triggers for their headache, especially migraine [9 12]; stress, lack of sleep and environmental factors are amongst the most frequently perceived headache triggers.
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The participants in this qualitative study perceived headaches as something that threatened to ruin their lives.
The participants perceived headaches as something that threatened to ruin their lives.
The participants' perceived headaches as something that threatened to ruin their lives (headaches threaten to ruin one's life) and despite extensive efforts, they had been unable find any other effective aid besides acute medication.
The reasons for such difference might be that the current study is in an urban setup where people can report and perceive headache as an illness and this study was done in factory employees where as the previous one was in a rural community.
The overall frequency of headaches was highest during winter and least in summer: 17.9% perceived more headaches in winter, 14.9% in spring, 11.5% in autumn and 10.6% in summer.
Torelli et al [39] assessed disease perception among a sample of 904 subjects; of 387 (123 males, 264 females) who reported headache in the past year, only one third perceived themselves as "headache sufferers", this perception being dependent on headache frequency in females only.
Previous studies have shown that around 35 50 % of patients with migraine or tension-type headache perceived weather as a trigger of headaches [1 5].
The score is dichotomised by labelling those subjects who perceive their headache complaints as 'completely recovered' or 'much improved' as responders.
The HDI assesses the burden of headache using 25 items that inquire about the perceived impact of headache on emotional functioning and daily life activities [28].
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