Headache, anxiety and depressive disorders: The HADAS study

Ettore Beghi, Gennaro Bussone, Domenico D'Amico, Pietro Cortelli, Sabina Cevoli, Gian Camillo Manzoni, Paola Torelli, Maria Clara Tonini, Giovanni Allais, Roberto De Simone, Florindo D'Onofrio, Sergio Genco, Franca Moschiano, Massimiliano Beghi, Sara Salvi

Research output: Contribution to journalArticle

50 Citations (Scopus)

Abstract

The objective of this paper was to assess prevalence and characteristics of anxiety and depression in migraine without aura and tension-type headache, either isolated or in combination. Although the association between headache and psychiatric disorders is undisputed, patients with migraine and/or tension-type headache have been frequently investigated in different settings and using different tests, which prevents meaningful comparisons. Psychiatric comorbidity was tested through structured interview and the MINI inventory in 158 adults with migraine without aura and in 216 persons with tension-type headache or migraine plus tension-type headache. 49 patients reported psychiatric disorders: migraine 10.9%, tension-type headache 12.8%, and migraine plus tensiontype headache 21.4%. The MINI detected a depressive episode in 59.9, 67.0, and 69.6% of cases. Values were 18.4, 19.3, and 18.4% for anxiety, 12.7, 5.5, and 14.2%, for panic disorder and 2.3, 1.1 and 9.4% (p = 0.009) for obsessive-compulsive disorder. Multivariate analysis showed panic disorder prevailing in migraine compared with the other groups (OR 2.9; 95% CI 1.2-7.0). The association was higher (OR 6.3; 95% CI 1.4-28.5) when migraine (with or without tension-type headache) was compared to pure tension-type headache. This also applied to obsessive-compulsive disorder (OR 4.8; 95% CI 1.1- 20.9) in migraine plus tension-type headache. Psychopathology of primary headache can reflect shared risk factors, pathophysiologic mechanisms, and disease burden.

Original languageEnglish
Pages (from-to)141-150
Number of pages10
JournalJournal of Headache and Pain
Volume11
Issue number2
DOIs
Publication statusPublished - Apr 2010

Fingerprint

Tension-Type Headache
Headache Disorders
Depressive Disorder
Anxiety Disorders
Migraine Disorders
Migraine without Aura
Psychiatry
Panic Disorder
Obsessive-Compulsive Disorder
Headache
Anxiety
Psychopathology
Comorbidity
Multivariate Analysis
Interviews
Depression
Equipment and Supplies

Keywords

  • Anxiety
  • Depression
  • Migraine
  • Prevalence
  • Tension-type headache

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Medicine(all)

Cite this

Headache, anxiety and depressive disorders : The HADAS study. / Beghi, Ettore; Bussone, Gennaro; D'Amico, Domenico; Cortelli, Pietro; Cevoli, Sabina; Manzoni, Gian Camillo; Torelli, Paola; Tonini, Maria Clara; Allais, Giovanni; De Simone, Roberto; D'Onofrio, Florindo; Genco, Sergio; Moschiano, Franca; Beghi, Massimiliano; Salvi, Sara.

In: Journal of Headache and Pain, Vol. 11, No. 2, 04.2010, p. 141-150.

Research output: Contribution to journalArticle

Beghi, E, Bussone, G, D'Amico, D, Cortelli, P, Cevoli, S, Manzoni, GC, Torelli, P, Tonini, MC, Allais, G, De Simone, R, D'Onofrio, F, Genco, S, Moschiano, F, Beghi, M & Salvi, S 2010, 'Headache, anxiety and depressive disorders: The HADAS study', Journal of Headache and Pain, vol. 11, no. 2, pp. 141-150. https://doi.org/10.1007/s10194-010-0187-2
Beghi, Ettore ; Bussone, Gennaro ; D'Amico, Domenico ; Cortelli, Pietro ; Cevoli, Sabina ; Manzoni, Gian Camillo ; Torelli, Paola ; Tonini, Maria Clara ; Allais, Giovanni ; De Simone, Roberto ; D'Onofrio, Florindo ; Genco, Sergio ; Moschiano, Franca ; Beghi, Massimiliano ; Salvi, Sara. / Headache, anxiety and depressive disorders : The HADAS study. In: Journal of Headache and Pain. 2010 ; Vol. 11, No. 2. pp. 141-150.
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