Noradrenaline and cortisol changes in response to low-grade cognitive stress differ in migraine and tension-type headache
The goal of this study was to explore the relationship between indicators of sympathoneural, sympathomedullar and hypothalamic-pituitary-adrenocortical (HPA) activity and stress-induced head and shoulder-neck pain in patients with migraine or tension-type headache (TTH). We measured noradrenaline, a...
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| Veröffentlicht in: | Journal of headache and pain 2007-06, Vol.8 (3), p.157-166 |
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| creator | LEISTAD, Rune Bang STOVNER, Lars Jacob WHITE, Linda R NILSEN, Kristian B WESTGAARD, Rolf H SAND, Trond |
| description | The goal of this study was to explore the relationship between indicators of sympathoneural, sympathomedullar and hypothalamic-pituitary-adrenocortical (HPA) activity and stress-induced head and shoulder-neck pain in patients with migraine or tension-type headache (TTH). We measured noradrenaline, adrenaline and cortisol levels before and after low-grade cognitive stress in 21 migraineurs, 16 TTH patients and 34 controls. The stressor lasted for 60 min and was followed by 30 min of relaxation. Migraine patients had lower noradrenaline levels in blood platelets compared to controls. Pain responses correlated negatively with noradrenaline levels, and pain recovery correlated negatively with the cortisol change in migraineurs. TTH patients maintained cortisol secretion during the cognitive stress as opposed to the normal circadian decrease seen in controls and migraineurs. There may therefore be abnormal activation of the HPA axis in patients with TTH when coping with mental stress, but no association was found between pain and cortisol. A relationship between HPA activity and stress in TTH patients has to our knowledge not been reported before. In migraine, on the other hand, both sympathoneural activation and HPA activation seem to be linked to stress-induced muscle pain and recovery from pain respectively. The present study suggests that migraineurs and TTH patients cope differently with low-grade cognitive stress. |
| doi_str_mv | 10.1007/s10194-007-0384-9 |
| format | Article |
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We measured noradrenaline, adrenaline and cortisol levels before and after low-grade cognitive stress in 21 migraineurs, 16 TTH patients and 34 controls. The stressor lasted for 60 min and was followed by 30 min of relaxation. Migraine patients had lower noradrenaline levels in blood platelets compared to controls. Pain responses correlated negatively with noradrenaline levels, and pain recovery correlated negatively with the cortisol change in migraineurs. TTH patients maintained cortisol secretion during the cognitive stress as opposed to the normal circadian decrease seen in controls and migraineurs. There may therefore be abnormal activation of the HPA axis in patients with TTH when coping with mental stress, but no association was found between pain and cortisol. A relationship between HPA activity and stress in TTH patients has to our knowledge not been reported before. In migraine, on the other hand, both sympathoneural activation and HPA activation seem to be linked to stress-induced muscle pain and recovery from pain respectively. The present study suggests that migraineurs and TTH patients cope differently with low-grade cognitive stress.</description><identifier>ISSN: 1129-2369</identifier><identifier>EISSN: 1129-2377</identifier><identifier>DOI: 10.1007/s10194-007-0384-9</identifier><identifier>PMID: 17568991</identifier><identifier>CODEN: JHPOAT</identifier><language>eng</language><publisher>Milano: Springer</publisher><subject>Adult ; Biological and medical sciences ; Blood Platelets - metabolism ; Cardiovascular system ; Correlation analysis ; Data Interpretation, Statistical ; Epinephrine - blood ; Female ; Headaches ; Hormones ; Human viral diseases ; Humans ; Hydrocortisone - blood ; Hypothalamo-Hypophyseal System - physiopathology ; Infectious diseases ; Male ; Medical sciences ; Middle Aged ; Migraine ; Migraine Disorders - blood ; Migraine Disorders - complications ; Migraine Disorders - psychology ; Neck Pain - blood ; Neck Pain - physiopathology ; Neurology ; Norepinephrine - blood ; Original ; Pharmacology. Drug treatments ; Pituitary-Adrenal System - physiopathology ; Shoulder Pain - blood ; Shoulder Pain - physiopathology ; Stress ; Stress, Psychological - blood ; Stress, Psychological - complications ; Surveys and Questionnaires ; Sympathetic Nervous System - physiopathology ; Tension-Type Headache - blood ; Tension-Type Headache - complications ; Tension-Type Headache - psychology ; Vascular diseases and vascular malformations of the nervous system ; Vasodilator agents. Cerebral vasodilators ; Viral diseases ; Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye</subject><ispartof>Journal of headache and pain, 2007-06, Vol.8 (3), p.157-166</ispartof><rights>2007 INIST-CNRS</rights><rights>Springer-Verlag Italia 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c485t-c7164998ec9c18017e38c30993035016af295ea3efc8dbd19459b26910f4fd33</citedby><cites>FETCH-LOGICAL-c485t-c7164998ec9c18017e38c30993035016af295ea3efc8dbd19459b26910f4fd33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3476146/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3476146/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19005369$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17568991$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LEISTAD, Rune Bang</creatorcontrib><creatorcontrib>STOVNER, Lars Jacob</creatorcontrib><creatorcontrib>WHITE, Linda R</creatorcontrib><creatorcontrib>NILSEN, Kristian B</creatorcontrib><creatorcontrib>WESTGAARD, Rolf H</creatorcontrib><creatorcontrib>SAND, Trond</creatorcontrib><title>Noradrenaline and cortisol changes in response to low-grade cognitive stress differ in migraine and tension-type headache</title><title>Journal of headache and pain</title><addtitle>J Headache Pain</addtitle><description>The goal of this study was to explore the relationship between indicators of sympathoneural, sympathomedullar and hypothalamic-pituitary-adrenocortical (HPA) activity and stress-induced head and shoulder-neck pain in patients with migraine or tension-type headache (TTH). We measured noradrenaline, adrenaline and cortisol levels before and after low-grade cognitive stress in 21 migraineurs, 16 TTH patients and 34 controls. The stressor lasted for 60 min and was followed by 30 min of relaxation. Migraine patients had lower noradrenaline levels in blood platelets compared to controls. Pain responses correlated negatively with noradrenaline levels, and pain recovery correlated negatively with the cortisol change in migraineurs. TTH patients maintained cortisol secretion during the cognitive stress as opposed to the normal circadian decrease seen in controls and migraineurs. There may therefore be abnormal activation of the HPA axis in patients with TTH when coping with mental stress, but no association was found between pain and cortisol. A relationship between HPA activity and stress in TTH patients has to our knowledge not been reported before. In migraine, on the other hand, both sympathoneural activation and HPA activation seem to be linked to stress-induced muscle pain and recovery from pain respectively. The present study suggests that migraineurs and TTH patients cope differently with low-grade cognitive stress.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Blood Platelets - metabolism</subject><subject>Cardiovascular system</subject><subject>Correlation analysis</subject><subject>Data Interpretation, Statistical</subject><subject>Epinephrine - blood</subject><subject>Female</subject><subject>Headaches</subject><subject>Hormones</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Hydrocortisone - blood</subject><subject>Hypothalamo-Hypophyseal System - physiopathology</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Migraine</subject><subject>Migraine Disorders - blood</subject><subject>Migraine Disorders - complications</subject><subject>Migraine Disorders - psychology</subject><subject>Neck Pain - blood</subject><subject>Neck Pain - physiopathology</subject><subject>Neurology</subject><subject>Norepinephrine - blood</subject><subject>Original</subject><subject>Pharmacology. Drug treatments</subject><subject>Pituitary-Adrenal System - physiopathology</subject><subject>Shoulder Pain - blood</subject><subject>Shoulder Pain - physiopathology</subject><subject>Stress</subject><subject>Stress, Psychological - blood</subject><subject>Stress, Psychological - complications</subject><subject>Surveys and Questionnaires</subject><subject>Sympathetic Nervous System - physiopathology</subject><subject>Tension-Type Headache - blood</subject><subject>Tension-Type Headache - complications</subject><subject>Tension-Type Headache - psychology</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Vasodilator agents. 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Drug treatments</topic><topic>Pituitary-Adrenal System - physiopathology</topic><topic>Shoulder Pain - blood</topic><topic>Shoulder Pain - physiopathology</topic><topic>Stress</topic><topic>Stress, Psychological - blood</topic><topic>Stress, Psychological - complications</topic><topic>Surveys and Questionnaires</topic><topic>Sympathetic Nervous System - physiopathology</topic><topic>Tension-Type Headache - blood</topic><topic>Tension-Type Headache - complications</topic><topic>Tension-Type Headache - psychology</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Vasodilator agents. Cerebral vasodilators</topic><topic>Viral diseases</topic><topic>Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LEISTAD, Rune Bang</creatorcontrib><creatorcontrib>STOVNER, Lars Jacob</creatorcontrib><creatorcontrib>WHITE, Linda R</creatorcontrib><creatorcontrib>NILSEN, Kristian B</creatorcontrib><creatorcontrib>WESTGAARD, Rolf H</creatorcontrib><creatorcontrib>SAND, Trond</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of headache and pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LEISTAD, Rune Bang</au><au>STOVNER, Lars Jacob</au><au>WHITE, Linda R</au><au>NILSEN, Kristian B</au><au>WESTGAARD, Rolf H</au><au>SAND, Trond</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Noradrenaline and cortisol changes in response to low-grade cognitive stress differ in migraine and tension-type headache</atitle><jtitle>Journal of headache and pain</jtitle><addtitle>J Headache Pain</addtitle><date>2007-06-01</date><risdate>2007</risdate><volume>8</volume><issue>3</issue><spage>157</spage><epage>166</epage><pages>157-166</pages><issn>1129-2369</issn><eissn>1129-2377</eissn><coden>JHPOAT</coden><abstract>The goal of this study was to explore the relationship between indicators of sympathoneural, sympathomedullar and hypothalamic-pituitary-adrenocortical (HPA) activity and stress-induced head and shoulder-neck pain in patients with migraine or tension-type headache (TTH). We measured noradrenaline, adrenaline and cortisol levels before and after low-grade cognitive stress in 21 migraineurs, 16 TTH patients and 34 controls. The stressor lasted for 60 min and was followed by 30 min of relaxation. Migraine patients had lower noradrenaline levels in blood platelets compared to controls. Pain responses correlated negatively with noradrenaline levels, and pain recovery correlated negatively with the cortisol change in migraineurs. TTH patients maintained cortisol secretion during the cognitive stress as opposed to the normal circadian decrease seen in controls and migraineurs. There may therefore be abnormal activation of the HPA axis in patients with TTH when coping with mental stress, but no association was found between pain and cortisol. A relationship between HPA activity and stress in TTH patients has to our knowledge not been reported before. In migraine, on the other hand, both sympathoneural activation and HPA activation seem to be linked to stress-induced muscle pain and recovery from pain respectively. The present study suggests that migraineurs and TTH patients cope differently with low-grade cognitive stress.</abstract><cop>Milano</cop><pub>Springer</pub><pmid>17568991</pmid><doi>10.1007/s10194-007-0384-9</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of headache and pain, 2007-06, Vol.8 (3), p.157-166 |
| issn | 1129-2369 1129-2377 |
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| source | MEDLINE; SpringerNature Complete Journals; PubMed Central Open Access; Springer Nature OA Free Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Adult Biological and medical sciences Blood Platelets - metabolism Cardiovascular system Correlation analysis Data Interpretation, Statistical Epinephrine - blood Female Headaches Hormones Human viral diseases Humans Hydrocortisone - blood Hypothalamo-Hypophyseal System - physiopathology Infectious diseases Male Medical sciences Middle Aged Migraine Migraine Disorders - blood Migraine Disorders - complications Migraine Disorders - psychology Neck Pain - blood Neck Pain - physiopathology Neurology Norepinephrine - blood Original Pharmacology. Drug treatments Pituitary-Adrenal System - physiopathology Shoulder Pain - blood Shoulder Pain - physiopathology Stress Stress, Psychological - blood Stress, Psychological - complications Surveys and Questionnaires Sympathetic Nervous System - physiopathology Tension-Type Headache - blood Tension-Type Headache - complications Tension-Type Headache - psychology Vascular diseases and vascular malformations of the nervous system Vasodilator agents. Cerebral vasodilators Viral diseases Viral diseases with cutaneous or mucosal lesions and viral diseases of the eye |
| title | Noradrenaline and cortisol changes in response to low-grade cognitive stress differ in migraine and tension-type headache |
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