Phobias, other psychiatric comorbidities and chronic migraine

Arquivos de Neuro-Psiquiatria

Felipe Corchs²  Juliane P.p. Mercante²  Vera Z. Guendler²  Domingos S. Vieira²  Marcelo R. Masruha²  Frederico R. Moreira²  Marcio Bernik¹  Eliova Zukerman²  Mario F.p. Peres² 

[1] ,Instituto Israelita de Ensino e Pesquisa Albert EinsteinSão Paulo SP ,Brazil

关键词: headache;    migraine;    anxiety;    phobias;    cefaléia;    enxaqueca;    ansiedade;    fobia;   

DOI  :  10.1590/S0004-282X2006000600012

来源: SciELO

【 摘 要 】

BACKGROUND: Comorbidity of chronic migraine (CM) with psychiatric disorders, mostly anxiety and mood disorders, is a well-recognized phenomenon. Phobias are one of the most common anxiety disorders in the general population. Phobias are more common in migraineurs than non-migraineurs. The clinical profile of phobias in CM has never been studied. METHOD: We investigated the psychiatric profile in 56 patients with CM using the SCID I/P interview. RESULTS: Lifetime criteria for at least one mental disorder was found in 87.5% of the sample; 75% met criteria for at least one lifetime anxiety disorder and 60.7% of our sample fulfilled DSM-IV criteria for lifetime phobic avoidant disorders. Mood and anxiety scores were higher in phobic patients than in non-phobic CM controls. Number of phobias correlated with higher levels of anxiety and depression. CONCLUSION: Phobias are common in CM. Its recognition may influence its management. Early treatment may lead to better prognosis.

【 授权许可】

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