Assessment of anxiety, depressive disorders and pain intensity in migraine and tension headache patients

Francesco Corallo, Maria Cristina De Cola, Viviana Lo Buono, Rosario Grugno, Giusy Pintabona, Riccardo Lo Presti, Placido Bramanti, Silvia Marino

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Introduction: Headache is one of the most common chronic disease affecting around 152 millions of people in Europe, with a man: woman ratio of 1:3. Recent studies show that headache causes significant limitations in daily life with effects on emotional-behavioural and relational aspects. In particular the migraine headache, whose onset is often at a young age, that is the phase of maximum working, social and familiar activity. The aims of this study were to investigate the relationship between migraine-related disability and the presence of anxiety and depression in order to assess how the disability affects the patient activities. Materials and methods: We enrolled 123 migraine patients. All information related to headache was collected by means of interviews, examination of medical records, psychometric tests for measuring anxiety, depression and disability scale. Demographic and clinical characteristics, such as gender, age, education, pain intensity, and frequency of headache were also collected. Results: There was a significant difference in Hamilton Rating Scale for Anxiety and Hamilton Rating Scale for Depression scores between patients who declared to suffer from headache until 10 days per trimester, and patients who declared more than 10 days (p <0.05 in both cases). Logistic regression analysis identified gender, age and migraine frequency as feasible risk factors; the migraine intensity was not significant (p = 0.96), as well as the diagnostic category (p = 0.3). Especially moderate headache frequency and female gender were the highest risk factors for a co-morbidity of anxiety and depressive disorders and pain intensity. Conclusion: Migraine condition may involve the onset of a severe disability. Indeed, independently from the diagnostic category, an high degree of disability is often related to the presence of anxious and depressive symptoms.

Original languageEnglish
Pages (from-to)615-620
Number of pages6
JournalActa Medica Mediterranea
Volume31
Issue number3
Publication statusPublished - 2015

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Tension-Type Headache
Depressive Disorder
Anxiety Disorders
Migraine Disorders
Headache
Pain
Depression
Anxiety
Psychometrics
Medical Records
Chronic Disease
Logistic Models
Regression Analysis
Demography
Interviews
Morbidity
Education

Keywords

  • Anxiety
  • Co-morbidity
  • Depression
  • Disability
  • Migraine

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Assessment of anxiety, depressive disorders and pain intensity in migraine and tension headache patients. / Corallo, Francesco; De Cola, Maria Cristina; Lo Buono, Viviana; Grugno, Rosario; Pintabona, Giusy; Lo Presti, Riccardo; Bramanti, Placido; Marino, Silvia.

In: Acta Medica Mediterranea, Vol. 31, No. 3, 2015, p. 615-620.

Research output: Contribution to journalArticle

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