COVID-19 pandemic impact on headache in healthcare workers: a narrative review

Authors

DOI:

https://doi.org/10.48208/HeadacheMed.2021.17

Keywords:

Coronavirus infections, Headache , COVID-19 , Healthcare workers, Personal protective equipment

Abstract

Background: Pandemic of COVID-19, the potentially fatal disease caused by SARS-CoV-2, had caused intangible consequences on global health systems, economy, daily life, education, travel, leisure, work, and mental health. Its impact on mental and physical health, especially in health professionals, has been described. Objective: This study aimed to review and discuss the published evidence regarding the presence of headache on COVID-19 healthcare workers. Methods: In this review, we searched for all articles published in various data bases including PubMed / Medline, Scopus, and Web of Science and all original research studies, letters to editor, case reports, commentaries and reviews published in English, Portuguese or Spanish were searched. Two researchers independently analyzed published articles in order to include/exclude based on inclusion or exclusion criteria.  Results: Thirteen articles were included.  All studies included in this review were observational; eleven were cross-sectional studies, one was a prospective/cohort and one was a retrospective. Two studies evaluated psychological outcomes, mental health disorders and associated factors, one study investigated symptoms and causes of somatic symptom disorder and all other studies evaluated headaches associated with Personal Protective Equipment (PPI). Conclusions: The present review shows that COVID-19 pandemic has negative impact on physical and mental health in healthcare workers and headache has been associated to psychological stress and work overload during pandemic.  Further studies are necessary to better investigate COVID-19 pandemic effects on headaches and other neurological conditions.

Downloads

Download data is not yet available.

References

Lu H, Stratton CW, Tang YW. Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. J Med Virol. 2020;92(4):401-402.

Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020;109:102433.

Ioannidis JP. Coronavirus disease 2019: the harms of exaggerated information and non-evidence-based measures. Eur J Clin Invest. 2020;50:13222.

Peng PWH, Ho PL, Hota SS. Outbreak of a new coronavirus: what anaesthetists should know. Br J Anaesth. 2020;124(5):497-501.

Sinanović O, Muftić M, Sinanović S. COVID-19 Pandemia: Neuropsychiatric Comorbidity and Consequences. Psychiatr Danub. 2020;32(2):236-244.

Yifan T, Ying L, Chunhong G, et al. Symptom Cluster of ICU Nurses Treating COVID-19 Pneumonia Patients in Wuhan, China. J Pain Symptom Manage. 2020; 60(1): 48-53.

Kleinpell R, Ferraro DM, Maves RC, et al. Coronavirus Disease 2019 Pandemic Measures: Reports From a National Survey of 9,120 ICU Clinicians. Crit Care Med. 2020;48(10):846-855.

Swaminathan R, Mukundadura BP, Prasad S. Impact of enhanced personal protective equipment on the physical and mental well-being of healthcare workers during COVID-19. Postgrad Med J. 2020;139150.

Mongini F, Ciccone G, Deregibus A, Ferrero L, Mongini T. Muscle tenderness in different headache types and its relation to anxiety and depression. Pain. 2004;112:59-64.

Juang KD, Wang SJ, Fuh JL, Lu SR, Su TP. Comorbidity of depressive and anxiety disorders in chronic daily headache and its subtypes. Headache. 2000;40:818-23.

Beghi E, Bussone G, D’Amico D, Cortelli P, Cevoli S, Manzoni GC, et al. Headache, anxiety and depressive disorders the HADAS study. J Headache Pain. 2010;11:141-50.

Breslau N, Schultz LR, Stewart WF, Lipton RB, Lucia VC, Welch KMA. Headache and major depression. Is the association specific to migraine? Neurology. 2000;54:308.

Smitherman TA, Kolivas ED, Bailey JR. Panic disorder and migraine: Comorbidity, mechanisms, and clinical implications. Headache. 2013;53:23-45.

Pearl TA, Dumkrieger G, Chong CD, Dodick DW, Schwedt TJ. Impact of Depression and Anxiety Symptoms on Patient-Reported Outcomes in Patients With Migraine: Results From the American Registry for Migraine Research (ARMR). Headache. 2020;60(9):1910-1919.

McWilliams LA, Goodwin RD, Cox BJ. Depression and anxiety associated with three pain conditions: Results from a nationally representative sample. Pain. 2004;111:77-83.

Kropp P, Eqli G, Sandor PS. Psychiatric co‑morbidity in headache disorders. Handb Clin Neurol. 2010;97:355-8.

Ong JJY, Bharatendu C, Goh Y, et al. Headaches Associated With Personal Protective Equipment - A Cross-Sectional Study Among Frontline Healthcare Workers During COVID-19. Headache. 2020;60(5):864-877.

Tabah A, Ramanan M, Laupland KB, et al. Personal protective equipment and intensive care unit healthcare worker safety in the COVID-19 era (PPE-SAFE): An international survey. J Crit Care. 2020;59:70-75.

Sharif S, Amin F, Hafiz M, et al. World Spinal Column Society Executive Board. COVID 19-Depression and Neurosurgeons. World Neurosurg. 2020;140:e401-e410.

Bharatendu C, Ong JJY, Goh Y, et al. Powered Air Purifying Respirator (PAPR) restores the N95 face mask induced cerebral hemodynamic alterations among Healthcare Workers during COVID-19 Outbreak. J Neurol Sci. 2020;417:117078.

Ramirez-Moreno JM, Ceberino D, Gonzalez Plata A, et al. Mask-associated 'de novo' headache in healthcare workers during the COVID-19 pandemic. Occup Environ Med. 2020-106956.

Chew NWS, Lee GKH, Tan BYQ, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak [published online ahead of print, 2020 Apr 21]. Brain Behav Immun. 2020;S0889-1591(20)30523-7.

Hajjij A, Aasfara J, Khalis M, Ouhabi H, Benariba F Jr, El Kettani C. Personal Protective Equipment and Headaches: Cross-Sectional Study Among Moroccan Healthcare Workers During COVID-19 Pandemic. Cureus. 2020;12(12):e12047.

Zaheer R, Khan M, Tanveer A, Farooq A, Khurshid Z. Association of Personal Protective Equipment with De Novo Headaches in Frontline Healthcare Workers during COVID-19 Pandemic: A Cross-Sectional Study. Eur J Dent. 2020 Dec;14(S 01):S79-S85.

Rapisarda L, Trimboli M, Fortunato F, et al. Facemask headache: a new nosographic entity among healthcare providers in COVID-19 era. Neurol Sci. 2021;42(4):1267-1276.

Choudhury A, Singh M, Khurana DK, et al. Physiological Effects of N95 FFP and PPE in Healthcare Workers in COVID Intensive Care Unit: A Prospective Cohort Study. Indian J Crit Care Med. 2020;24(12):1169-1173.

Kumar Shubhanshu, Singh A. Prolonged Use of n95 Mask a Boon or Bane to Healthcare Workers During Covid-19 Pandemic. Indian J Otolaryngol Head Neck Surg. 2021;25:1-4.

Salari N, Hosseinian-Far A, Jalali R, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health. 2020;16(1):57.

Ng QX, De Deyn MLZQ, Lim DY, Chan HW, Yeo WS. The wounded healer: A narrative review of the mental health effects of the COVID-19 pandemic on healthcare workers [published online ahead of print, 2020 Jun 20]. Asian J Psychiatr. 2020;54:102258.

Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H, Chen T, Li R, Tan H. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA. e203976.

Braquehais MD, Vargas-Cáceres S, Gómez-Durán E, et al. The impact of the COVID-19 pandemic on the mental health of healthcare professionals [published online ahead of print, 2020 Jun 22]. QJM. 2020;hcaa207.

Ganster DC, Rosen CC. Work stress and employee health: A multidisciplinary review. J Manage. 2013;39(5):1085–1122.

Marchand A, Bilodeau J, Demers A, Beauregard N, Durand P, Haines VY. Gendered depression: vulnerability or exposure to work and family stressors? SocSci Med. 2016;166:160–168.

Dong H, Zhang Q, Sun Z, Sang F, Xu Y. Sleep problems among Chinese clinical nurses working in general hospitals. Occup Med (Chi cIll) 2017;67(7):534–539.

Ebner K, Singewald N. Individual differences in stress susceptibility and stress inhibitory mechanisms. CurrOpinBehav Sci. 2017;14:54–64.

Krymchantowski AV. Headaches due to external compression. Curr Pain Headache Rep. 2010;14(4):321-4.

Scarano A, Inchingolo F, Rapone B, Festa F, Tari SR, Lorusso F. Protective Face Masks: Effect on the Oxygenation and Heart Rate Status of Oral Surgeons during Surgery. Int J Environ Res Public Health. 2021;18(5):2363.

Jose S, Cyriac MC, Dhandapani M. Health Problems and Skin Damages Caused by Personal Protective Equipment: Experience of Frontline Nurses Caring for Critical COVID-19 Patients in Intensive Care Units. Indian J Crit Care Med. 2021;25(2):134-139.

Martin P R. Stress and primary headache: review of the research and clinical management. Curr Pain Headache Rep. 2016;20(07):45. doi: 10.1007/s11916-016-0576-6.

Downloads

Published

06/10/2021

How to Cite

1.
Romero JG de AJ, Salles-Neto FT de, Stuginski-Barbosa J, Conti PCR, Almeida-Leite CM. COVID-19 pandemic impact on headache in healthcare workers: a narrative review. HM [Internet]. 2021 Oct. 6 [cited 2022 Jul. 7];12(2):75-82. Available from: https://headachemedicine.com.br/index.php/hm/article/view/450

Issue

Section

Review

Most read articles by the same author(s)