Prevalence of migraine and muscle tension headache in depressive disorders

Marchesi, Carlo; Ferri, Alberto; Petrolini, N.; Govi, Annamaria; Manzoni, Gian Camillo; Coiro, V.; Risio, Carlo De

doi:10.1016/0165-0327(89)90052-9

Cited by 51 publications

(44 citation statements)

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“…37 The frequency of migraine in our study was similar to that reported by Fasmer (46%) in patients with unipolar depression, 15 but higher than that in two previous studies among patients with MDD (around 30%). 12,13 Several reasons could explain the high prevalence of migraine found in our study. First, the existence of Berkson's bias should be considered, which stresses the importance of comorbidity of the other illnesses in clinic-based study patients.…”

Section: Commentsmentioning

confidence: 92%

The Impact of Migraine on Patients With Major Depressive Disorder

et al. 2006

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Section: Commentsmentioning

confidence: 92%

The Impact of Migraine on Patients With Major Depressive Disorder

et al. 2006

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“…[1–4] It has been also reported that in subjects with moderate to severe depression, it is more likely to progress toward chronification. [5] Hence, psychiatrists tend to see a number of headache patients and exact diagnosis is required for the proper management of the patient.…”

Section: Introductionmentioning

confidence: 99%

Comparison of clinical characteristics of migraine and tension type headache

Gupta

Bhatia

2011

Indian J Psychiatry

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Context:Migraine and tension type headache (TTH) are two most common types of primary headaches. Though the International Classification of Headache Disorders-2 (ICHD-2) describes the diagnostic criteria, even then in clinical practice, patients may not respect these boundaries resulting in the difficulty in diagnosis of these pains.Materials and Methods:This cross-sectional study involved 50 subjects in each of the two groups – migraine and TTH – after screening for the inclusion and exclusion criteria. Diagnosis was made according to the ICHD-2 criteria. Their clinical history was taken in detail and noted in a semi-structured performa. They were examined for the presence of a number of factors like pericranial tenderness and muscle parafunction. Statistical analysis was done with the help of SPSS v 11.0. To compare the non-parametric issues, chi-square test was run and continuous variables were analyzed using independent sample t test.Results:In general, migraineurs had progressive illness (χ2=9.45; P=0.002) with increasing severity (χ2=21.86; P<0.001), frequency (χ2=8.5; P=0.04) and duration of each headache episode (χ2=4.45; P=0.03) as compared to TTH subjects. Along with the headache, they more commonly suffered orthostatic pre-syncope (χ2=19.94; P<0.001), palpitations (42%vs.18% among TTH patients; χ2=6.87; P=0.009), nausea and vomiting (68% vs. 6% in TTH; χ2=41.22; P<0.001, and 38% vs. none in TTH; χ2=23.45, P<0.001, respectively), phonophobia (χ2=44.98; P<0.001), photophobia (χ2=46.53; P<0.001), and osmophobia (χ2=15.94; P<0.001). Their pain tended to be aggravated by head bending (χ2=50.17; P<0.001) and exercise (χ2=11.41; P<0.001). Analgesics were more likely to relieve pain in migraineurs (χ2=21.16; P<0.001). In addition, post-headache lethargy was more frequent among the migraineurs (χ2=22.01; P<0.001). On the other hand, stressful situations used to trigger TTH (χ2=9.33; P=0.002) and muscle parafunction was more common in TTH patients (46% vs. 20%; χ2=7.64; P=0.006). All the cranial autonomic symptoms were more common in migraineurs as compared to TTH subjects (conjunctival injection: χ2=10.74, P=0.001; lacrimation: χ2=17.82, P<0.001; periorbital swelling: χ2=23.45, P<0.001; and nasal symptoms: χ2=6.38, P=0.01).Conclusion:A number of symptoms that are presently not included in the ICHD-2 classification may help in differe-ntiating the migraine from the TTH.

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“…Studies show a strong association between depressive disorders and migraine. [1][2][3][4][5][6][7][8][9][10][11] Systematic studies of migraine and depression in community samples have also yielded strong associations between migraine and depression ( Table 1). The similarity in the results of the five studies is remarkable.…”

Section: Introductionmentioning

confidence: 99%

Psychopathology and Headache Syndromes in the Community

Merikangas

1994

Headache

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The present study investigated the association between psychopathology and headache in a prospective longitudinal epidemiologic study of a cohort of 19-and 20-year-olds in Zurich, Switzerland. Prevalence rates of psychopathology by headache subtype were examined both cross-sectionally and longitudinally. Psychiatric disorders were evaluated using a direct interview administered by experienced clinicians. Personality was assessed using the Freiburg Personality Inventory and the Symptom Checklist 90. In general, subjects with migraine had more affective and anxiety disorders and exhibited elevated rates of neuroticism and somatization compared to nonmigraine subjects. When examined by headache subtype, migraineurs with aura exhibited greater rates of psychopathology and more personality abnormalities than any of the other headache subtypes or controls. In contrast to clinical wisdom, subjects with tension-type headache did not differ from controls in rates of psychopathology or on any of the personality or symptom factors.

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Prevalence of migraine and muscle tension headache in depressive disorders

Cited by 51 publications

References 18 publications

The Impact of Migraine on Patients With Major Depressive Disorder

The Impact of Migraine on Patients With Major Depressive Disorder

Comparison of clinical characteristics of migraine and tension type headache

Psychopathology and Headache Syndromes in the Community

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