A Cross-sectional Study to Assess Psychiatric Co-morbidity among Patients of Migraine and Other HeadachesCorrespondence Address :
House No. 40/4, Street No. 1, Ferozepur Cantt, Ferozepur, Punjab, India.
Introduction: Migraine is the most common cause of vascular headache with a one-year prevalence as high as 6-14.3%. Having various pathophysiological theories, it occurs in much co-morbidity with several medical as well as psychiatric disorders like mood disorders, phobia, anxiety spectrum, etc. Migraine, especially when co-morbid with psychiatric illness stands markedly burdensome economically, diagnostically, therapeutically and prognostically. Hence, needs even further research.
Aim: To study patients with migraine versus other types of headache and to study psychiatric co-morbidity among patients with migraine.
Materials and Methods: A total of 100 patients presenting with headache, meeting the criteria were taken up for the study and divided into two groups. Patients meeting International Headache Society (IHS) criteria for migraine were enrolled under group A and patients suffering from headache other than migraine under group B. Having subjected to detailed history and evaluation, patients were subjected to Symptom checklist-80, Hamilton’s Anxiety Rating Scale (HARS) and Montgomery Asberg Depression Rating Scale (MADRS), ICD-10 criteria. The data so collected was subjected to statistical analysis and association of psychiatric morbidity with migraine patients was assessed.
Results: Patients with migraine (group A) and among those too, patients having psychiatric morbidity had significantly (p<0.01) longer duration of illness (≥8 years), more frequent attacks ≥5 attacks per month and had longer duration of each attack >24 hours compared to the other groups. Patients having migraine had significantly (p<0.01) higher psychiatric morbidity, more SCL-80 symptoms (mean score 83.05); more depressive symptoms (mean MADRS score= 31.9±9.2) and more anxiety with the mean Hamilton Anxiety score=23.3 than in patients without psychiatric morbidity.
Conclusion: The data so obtained points need for a thorough evaluation of psychiatric disorders in migraine so as to propose a non segregated model of care to direct the burden and deterioration associated with psychiatric co-morbidity in migraine.
Mood disorder, Pathophysiological theories, Psychiatric illness
Date of Submission: Mar 19, 2021
Date of Peer Review: Apr 07, 2021
Date of Acceptance: May 09, 2021
Date of Publishing: Jul 01, 2021
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Mar 22, 2021
• Manual Googling: May 01, 2021
• iThenticate Software: May 20, 2021 (8%)
Etymology: Author Origin
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)