{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:36:07Z","timestamp":1785432967253,"version":"3.56.0"},"reference-count":81,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T00:00:00Z","timestamp":1703721600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The objectives were (1) to describe and compare headache-related clinical features between teleworkers with migraine and those with tension-type headache (TTH) and (2) to determine the association between coping strategies and headache frequency, and intensity in the context of the COVID-19 pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross-sectional online survey was conducted with 284 teleworkers (127 with migraine and 157 with TTH). Sociodemographic data, information related to work factors, headache clinical features, coping strategies used during the COVID-19 pandemic, and headache-related clinical features were compared between headache profiles. Bivariate logistic regression analyses were used to determine the association between coping strategies and headache frequency, and intensity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results showed that teleworkers with migraine had longer and more painful headache episodes than teleworkers with TTH (<jats:italic>ps<\/jats:italic>\u2009&amp;lt;\u20090.001). Higher migraine frequency was associated with the use of the denial coping strategy (<jats:italic>p<\/jats:italic>\u2009=\u20090.006) while lower migraine intensity was associated with planning (<jats:italic>p<\/jats:italic>\u2009=\u20090.046) and the use of positive reframing (<jats:italic>p<\/jats:italic>\u2009=\u20090.025). Higher TTH frequency was associated with the use of venting, self-blame, and behavioral disengagement (<jats:italic>ps<\/jats:italic>\u2009&amp;lt;\u20090.007) while higher TTH intensity was associated with substance use and behavioral disengagement (<jats:italic>p<\/jats:italic>s\u2009&amp;lt;\u20090.030). All associations remained significant after adjusting for BMI as a covariate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion\/conclusion<\/jats:title><jats:p>Teleworkers with migraine had more intense and longer headache episodes than teleworkers with TTH. This could be explained by the fact that a greater proportion of individuals suffering from migraine experienced headaches prior to the beginning of the pandemic compared with teleworkers suffering from TTH. Regarding coping strategies, both primary headache profiles were associated with different types of coping strategies. Most of the coping strategies associated with headache frequency or intensity were maladaptive except for planning and positive reframing that were found to be inversely associated with migraine intensity.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1303394","type":"journal-article","created":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T13:34:18Z","timestamp":1703770458000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Headache-related clinical features in teleworkers and their association with coping strategies during the COVID-19 pandemic"],"prefix":"10.3389","volume":"11","author":[{"given":"Mari\u00e8ve","family":"Houle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julien","family":"Ducas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Lardon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Descarreaux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9e-Anne","family":"Marchand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Abboud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,12,28]]},"reference":[{"key":"ref1","first-page":"284","article-title":"Effects of COVID-19 on business and research","volume-title":"J Bus Res","author":"Donthu","year":"2020"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7176\/EJBM\/12-15-02","article-title":"The impact of pandemic COVID-19 in workplace","volume":"12","author":"Kaushik","year":"2020","journal-title":"Eur J Busi Manag"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"4","DOI":"10.29333\/ejeph\/8455","article-title":"Social distancing practices of residents in a Philippine region with low risk of COVID-19 infection","author":"Cahapay","year":"2020","journal-title":"Eur J Environ and Public Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"em0073","DOI":"10.21601\/ejeph\/9705","article-title":"Health and telework: new challenges after COVID-19 pandemic","volume":"5","author":"Buomprisco","year":"2021","journal-title":"Eur J Environ and Public Health"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2485","DOI":"10.3389\/fpsyg.2021.685275","article-title":"Teleworking in times of COVID-19: effects on the acquisition of personal resources","volume":"12","author":"Pulido-Martos","year":"2021","journal-title":"Front Psychol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e0236619","DOI":"10.1371\/journal.pone.0236619","article-title":"Enacting national social distancing policies corresponds with dramatic reduction in COVID19 infection rates","volume":"15","author":"McGrail","year":"2020","journal-title":"PLoS One"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1504","DOI":"10.1093\/aje\/kwaa293","article-title":"Estimating the effect of social distancing interventions on COVID-19 in the United States","volume":"190","author":"Olney","year":"2021","journal-title":"Am J Epidemiol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1016\/j.spc.2020.10.016","article-title":"Impact of COVID-19 on the social, economic, environmental and energy domains: lessons learnt from a global pandemic","volume":"26","author":"Mofijur","year":"2021","journal-title":"Sustain Prod Consumpt"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"3662","DOI":"10.3390\/su12093662","article-title":"Teleworking in the context of the Covid-19 crisis","volume":"12","author":"Belzunegui-Eraso","year":"2020","journal-title":"Sust"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1177\/1529100615593273","article-title":"How effective is telecommuting? 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