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- Title
Headache and psychiatric comorbidity: clinical aspects and outcome in an 8-year follow-up study.
- Authors
Guidetti, V; Galli, F; Fabrizi, P; Giannantoni, AS; Napoli, L; Bruni, O; Trillo, S; Giannantoni, A S
- Abstract
<bold>Unlabelled: </bold>Migraine with juvenile onset changes over time. The existence of prognostic factors is a point of focus. A strict relationship between migraine or tension-type headache (TTH) and psychiatric factors has been suggested, but the exact role and the influence on evolution of headache is unknown.<bold>Objective: </bold>To analyze the evolution of migraine and TTH and psychiatric comorbidity (P-Co) from 1988 to 1996.<bold>Material and Method: </bold>100 subjects (40M, 60F; mean age 17.9 years; SD 2.7 years; range 12-26 years) were examined at our Center. The International Headache Society (IHS) criteria were employed. Psychometric tests and clinical interviews aided psychiatric diagnosis (DSM-III-R). SCID (Structured Clinical Interview for DSM-III-R) was employed in 1996. Chi square and logistic regression are used for statistical analysis.<bold>Findings: </bold>Migraine and TTH change their clinical characteristics, with a high tendency to remission (mostly in males). The presence of P-Co in 1988 is related to a worsening or unchanging situation in 1996. Headache-free subjects did not present any psychiatric disorders in 1996. Anxiety disorders in 1988 are related to enduring of headache. Migraine shows comorbidity with anxiety disorders and depression.<bold>Conclusion: </bold>P-Co is a notable problem in clinical practice. Diagnostic, prognostic, and treatment implications require a systematic assessment of P-Co.
- Subjects
MIGRAINE; HEADACHE; PSYCHIATRIC disability evaluation; COMORBIDITY; TENSION headache; ANXIETY; CLINICAL trials; COMPARATIVE studies; MENTAL depression; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; RESEARCH; EVALUATION research; TREATMENT effectiveness; PSYCHOLOGY
- Publication
Cephalalgia, 1998, Vol 18, Issue 7, p455
- ISSN
0333-1024
- Publication type
journal article
- DOI
10.1046/j.1468-2982.1998.1807455.x