Precipitating or aggravating factors for headache in patients with major depressive disorder

Hung, Ching‐I; Liu, Chia Yih; Wang, Shuu Jiun

doi:10.1016/j.jpsychores.2007.08.012

Cited by 16 publications

(13 citation statements)

References 25 publications

(62 reference statements)

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“…Migraine triggers are individual, and may differ from one migraine sufferer to another. One of the most common triggers reported by individuals with migraine is stress 46‐50 …”

Section: Stress As a Migraine Attack Triggermentioning

confidence: 99%

“…The effect of stress as a trigger may also be greater in migraine patients with a comorbid major depression. Hung et al found that in migraine sufferers with major depression, attacks were most commonly precipitated by emotional stimuli and the stress of daily activities 46 . The acquisition of stress management skills may be particularly important for this patient population.…”

Section: Stress As a Migraine Attack Triggermentioning

confidence: 99%

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The Stress and Migraine Interaction

2009

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There are several ways in which stress may interact with migraine in those predisposed to migraine attacks. These interactions may result from biochemical changes related to the physiological stress response, as, for example, the release of corticotrophin releasing hormone, or from changes induced by the psychological response to stressors. Stress is the factor listed most often by migraine sufferers as a trigger for their attacks, but in addition there is evidence that stress can help initiate migraine in those predisposed to the disorder, and may also contribute to migraine chronification. Migraine attacks themselves can act as a stressor, thereby potentially leading to a vicious circle of increasing migraine frequency. Since the important factor in the stress-migraine interaction is likely the individual's responses to stressors, rather than the stressors themselves, the acquisition of effective stress management skills has the potential to reduce the impact of stressors on those with migraine.

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“…Migraine triggers are individual, and may differ from one migraine sufferer to another. One of the most common triggers reported by individuals with migraine is stress 46‐50 …”

Section: Stress As a Migraine Attack Triggermentioning

confidence: 99%

Section: Stress As a Migraine Attack Triggermentioning

confidence: 99%

The Stress and Migraine Interaction

2009

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“…Studies of psychiatric outpatients have also established an association between migraine, anxiety, and depression [20–23]. Clinical studies report a migraine prevalence of 33–51% among psychiatric outpatients [20,22–23].…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Migraine Headaches in an Anxiety Disorders Clinic Sample

Senaratne

Ameringen

Mancini

et al. 2010

CNS Neuroscience & Therapeutics

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The association between migraine and psychiatric disorders has been reported in both clinical and epidemiological studies. The prevalence of psychiatric disorders has been found to be increased among individuals with migraine. Studies assessing migraine in psychiatric patients are limited and the majority of these studies have focused solely on examining patients with major depression. In the present study, we examined the prevalence and characteristics of migraine headache in an anxiety disorders clinic sample in order to better understand the relationship between these commonly associated conditions. We evaluated 206 consecutive outpatients to an Anxiety Disorders Clinic for the prevalence of migraine. The presence of migraine was established using International Headache Society Criteria. Subjects completed a modified self-report version of the Headache Diagnostic Questionnaire. In order to assess the relationship between migraine and anxiety disorder symptom severity, subjects completed standardized measures of symptom severity. The prevalence of migraine in our anxiety disorder clinic sample was 67%. Anxiety disorder patients with migraine presented with a significantly greater number of comorbid psychiatric disorders than patients without migraine (P= 0.012). The prevalence of migraine was significantly higher in patients with a diagnosis of either panic disorder with agoraphobia (P= 0.048) or major depressive disorder/dysthymia (P= 0.008) compared to other psychiatric disorders. The severity of anxiety disorder symptoms was significantly higher in patients with migraine compared to patients without migraine. This study suggests that there is an increased prevalence of migraine headaches among anxiety disorder patients as compared to the general population. Migraine comorbidity may have important clinical implications, such that the treatment of one condition could potentially ameliorate the development or progression of the other. Further research is required to better understand the nature and implications of the association between migraine and psychiatric disorders.

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“…Some depressive symptoms, such as hot temper, low mood, feelings of stress, insomnia, and negative thinking, were also precipitating or aggravating factors for headache attack among patients with MDD [12]. Migraine, a common comorbidity of MDD [13,14], has negative impacts on the severity of depression and clinical features in patients with MDD [15,16].…”

Section: Introductionmentioning

confidence: 99%