Psychiatric comorbidity in patients with migraine

Authors

  • Haamid Ismail Department of Psychiatry, Government Medical College, Srinagar, Jammu and Kashmir, India
  • Farhana Fayaz Department of Gynaecology, Directorate Health Services, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20222098

Keywords:

Migraine, Comorbidity, Anxiety disorders

Abstract

Background: Migraine is a highly prevalent and disabling neurological disorder associated with a wide range of psychiatric comorbidities. The aim of the study was to study the psychiatric comorbidities in patients with migraine.

Methods: The study population comprised all the out patients who fulfilled the diagnostic criteria of migraine attending a tertiary care psychiatry hospital over a period of 6 months. A total of 90 cases of migraine seen over a period of 6 months were analysed to know the demographic characteristics, clinical pattern and psychiatric comorbidity.

Results: Maximum patients were between 21-40 years of age group (41.1%), females (83.3%), married (74.4%) and housewives (52.2%). 64.5% of study population was literate with a formal education above 10th standard. Migraine without aura was commonest sub-type (65.6%). Noise (75.6%) and sunlight (65.6%) was the most common precipitating factors. Anxiety disorders were the most common comorbid psychiatric disorders (40%), followed by major depressive disorder (24.4%). In 24.6% cases, no psychiatric comorbidity was present.

Conclusions: Migraine is comorbid with several psychiatric disorders, including anxiety and depressive disorders. When migraine and a comorbid psychiatric disorder are present, it is important to take both disorders into account in formulating a treatment plan.

References

Lipton RB, Bigal ME, Diamond M, Freitag F, Reed ML, Stewart WF, et al. Migraine prevalence, disease burden, and the need for preventive therapy. Neurology. 2007;68:343-9.

Breslau N, Davis GC. Migraine, physical health and psychiatric disorder: a prospective epidemiologic study in young adults. J Psychiatr Res. 1993;27:211-21.

Jette N, Pattern S, Williams J, Becker W, Wiebe S. Comorbidity of migraine and psychiatric disorders—a national population-based study. Headache. 2008;48:501-16.

Lanteri-Minet M, Radat F, Chautard MH, Lucas C. Anxiety and depression associated with migraine: influence on migraine subjects’ disability and quality of life, and acute migraine management. Pain. 2005;118:319-26.

Minen MT, Tanev K. Influence of psychiatric comorbidities in migraineurs in the emergency department. Gen Hosp Psychiatry. 2014;36:533-8.

International Headache Society. Classification and diagnostic criteria of headache disorders, cranial neuralgia, and facial pain. Cephalalgia.1988;8(7):1-96.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.

Waters WE, O’Connor PP. Prevalence of migraine. J Neurosurg Psychiatry. 1957;38:613-6.

Crisp AH, Kalucy RS, McGuinness B, Ralph PC, Harris G. Some clinical, social and psychological characteristics of migraine subjects in the general population. Postgrad Med J. 1977;53:691-7.

Benbir G, Karadeniz D, Göksan B. The characteristics and subtypes of headache in relation to age and gender in a rural community in Eastern Turkey. Agri. 2012;24:145-52.

Henry P, Auray JP, Gaudin AF, Dratigues JF, Duru G, Lanteri-Minet M, et al. Prevalence and clinical characteristics of migraine in France. Neurology.1999;53:537-54.

Hagen K, Vatten L, Stovner L, Zwart JA, Krokstad S, Bovim G. Low socio‐economic status is associated with increased risk of frequent headache: a prospective study of 22718 adults in Norway. Cephalalgia. 2002;22:672-9.

Le H, Tfelt-Hansen P, Skytthe A, Kyvik KO, Olesen J. Association between migraine, lifestyle and socioeconomic factors: a population-based cross-sectional study. J Headache Pain. 2011;12:157-72.

Bhatia MS, Gupta R. Migraine: Clinical Pattern and psychiatric comorbidity. Ind Psychiatry J. 2012;21:18-21.

Merikangas KR, Risch NJ, Merikangas JR, Welssman MM, Kidd KK. Migraine and depression; association and familial transmission. J Psychiatry Res. 1988;22:119-29.

Blau JN. Premonitory symptoms of migraine. In: Olesen J, Edvinson L, editors. Basic mechanisms of Headache. New York: Elsevier. 1988;345-51.

Baskin SM, Lipchik GL, Smitherman TA. Mood and anxiety disorders in chronic headache. Headache. 2006;46(3):76-87.

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.

Goulart AC, Santos IS, Brunoni AR, Nunes MA, Passos VM, Griep RH, et al. Migraine headaches and mood/anxiety disorders in the ELSA Brazil. Headache. 2014;54:1310-9.

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

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Published

2022-08-24

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Section

Original Research Articles