{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T14:35:08Z","timestamp":1775140508058,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,1,28]],"date-time":"2013-01-28T00:00:00Z","timestamp":1359331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Natural Science Foundation","award":["30970988"],"award-info":[{"award-number":["30970988"]}]},{"name":"Natural Science Foundation Project of Chongqing Science and Technology Commission","award":["2011AC5201"],"award-info":[{"award-number":["2011AC5201"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:sec><jats:title>Background and purpose<\/jats:title><jats:p>Identification of the trigger factors of headache could be an important aspect of preventive management, but the characteristics of primary headache triggers in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hina are unknown. This study was performed to estimate the frequencies of the putative headache triggers, which are endorsed by patients with migraine and tension\u2010type headache (TTH).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>uly 2011 to <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>ecember 2011, a cross\u2010sectional survey was conducted in the neurological clinic of a tertiary care hospital in <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>hongqing. All consecutive patients with the chief complaint of headache were interviewed by a board\u2010certified headache specialist. The diagnoses were made according to International <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>lassification of <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>eadache <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>isorders \u2013 2nd edition. Patients with migraine and TTH were recruited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The number of investigated patients was 1219, of whom 394 were migraine and 344 were <jats:styled-content style=\"fixed-case\">TTH<\/jats:styled-content>; and 80.2% migraineurs and 67.4% <jats:styled-content style=\"fixed-case\">TTH<\/jats:styled-content> patients reported trigger factors. The most common triggers for both migraine and <jats:styled-content style=\"fixed-case\">TTH<\/jats:styled-content> were sleep disturbance, negative affect and sunlight. Menstrual cycle (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 3.6, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.2, 11.2), change of the weather (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 3.1, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.9, 4.8), noise (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 2.2, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.1, 4.4) and alcohol (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.8, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.7, 1.8) were more associated with migraineurs. Negative affect was more associated with <jats:styled-content style=\"fixed-case\">TTH<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 2.0, 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.3, 2.9).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Trigger factors were frequent among both migraine and <jats:styled-content style=\"fixed-case\">TTH<\/jats:styled-content> patients. Avoidance of all headache triggers is impractical. Learning to cope with triggers is important to headache prevention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ene.12039","type":"journal-article","created":{"date-parts":[[2013,1,28]],"date-time":"2013-01-28T11:57:39Z","timestamp":1359374259000},"page":"689-696","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":80,"title":["Triggers of migraine and tension\u2010type headache in <scp>C<\/scp>hina: a clinic\u2010based survey"],"prefix":"10.1111","volume":"20","author":[{"given":"J.","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Q.","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Neurology The First Affiliated Hospital of Chongqing Medical University Chongqing 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