{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:15:18Z","timestamp":1787004918573,"version":"build-2736575974"},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"vor","delay-in-days":42,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Neuropsiquiatr"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Impulsiveness in primary headaches is not well understood.<\/jats:p>\n                  <jats:p>To analyze impulsiveness in patients with medication-overuse headache (MOH) and either chronic migraines or chronic tension-type headaches (TTHs).<\/jats:p>\n                  <jats:p>This cross-sectional study included 119 participants (96 female) divided into 3 groups: the migraine with MOH (M-O, n\u2009=\u200944, age\u2009=\u200936.6\u2009\u00b1\u200911.1), the tension-type headache with MOH group (TTH-O, n\u2009=\u200938, age\u2009=\u200942.6\u2009\u00b1\u200911.8), and the healthy control group (HC, n\u2009=\u200937, age\u2009=\u200936.9\u2009\u00b1\u200913.1). The Barratt Impulsiveness Scale-11 Short Form (BIS-11 SF), Beck's Depression Inventory (BDI), Beck's Anxiety Inventory (BAI), and Pittsburgh Sleep Quality Index (PSQI) were used to assess impulsiveness, depression, anxiety, and sleep quality, respectively.<\/jats:p>\n                  <jats:p>Impulsiveness levels were significantly higher in the M-O (p\u2009&lt;\u20090.01) and TTH-O (p\u2009&lt;\u20090.01) groups compared with the HC. However, no significant difference in impulsiveness was found between the M-O and TTH-O (p\u2009&gt;\u20090.05). The PSQI scores were significantly higher in the M-O and TTH-O compared with the HC (p\u2009&lt;\u20090.01). Additionally, anxiety scores were notably higher in the M-O compared with both the TTH-O and HC (p\u2009&lt;\u20090.01).<\/jats:p>\n                  <jats:p>The present study, which compared the M-O and TTH-O groups with HC in terms of impulsiveness, with no significant differences in parameters such as age, gender, schooling, frequency of headache attacks, and disease onset duration, concluded that both patient groups exhibited higher impulsiveness compared with the controls. Furthermore, the lack of difference in impulsiveness between MO and chronic TTH-O patients with a common denominator of MOH suggests that it may be associated with MOH, which is a shared subset of two distinct headache disorders.<\/jats:p>","DOI":"10.1055\/s-0045-1807716","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T19:20:13Z","timestamp":1747164013000},"page":"001-008","source":"Crossref","is-referenced-by-count":3,"title":["Impulsiveness levels among patients with medication-overuse headache accompanying chronic migraine or tension-type headache"],"prefix":"10.1055","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2127-2545","authenticated-orcid":false,"given":"Ruken","family":"Simsekoglu","sequence":"additional","affiliation":[{"name":"Istanbul G\u00f6ztepe Prof. Dr. Suleyman Yalc\u0131n City Hospital, Department of Neurology, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3359-5130","authenticated-orcid":false,"given":"Nestug","family":"Keskin","sequence":"additional","affiliation":[{"name":"Istanbul G\u00f6ztepe Prof. Dr. Suleyman Yalc\u0131n City Hospital, Department of Neurology, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4718-2852","authenticated-orcid":false,"given":"Tugba","family":"Cankay","sequence":"additional","affiliation":[{"name":"Istanbul G\u00f6ztepe Prof. Dr. Suleyman Yalc\u0131n City Hospital, Department of Neurology, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9573-8611","authenticated-orcid":false,"given":"Sumeyye","family":"Cakmak","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Istanbul Bak\u0131roy Dr. Sadi Konuk Training and Research Hospital, Department of Emergency Medicine, Istanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0460-3373","authenticated-orcid":false,"given":"Temel","family":"Tombul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,5,13]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"publisher","first-page":"e20428","DOI":"10.5812\/ijhrba.20428","article-title":"Impulsivity: a predisposition toward risky behaviors","volume":"3","author":"N M Bakhshani","year":"2014","journal-title":"Int J High Risk Behav Addict"},{"issue":"11","key":"ref2","doi-asserted-by":"publisher","first-page":"1783","DOI":"10.1176\/appi.ajp.158.11.1783","article-title":"Psychiatric aspects of impulsivity","volume":"158","author":"F G Moeller","year":"2001","journal-title":"Am J 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