Prevalence and risk factors for depression and anxiety among outpatient migraineurs in mainland China

The Journal of Headache and Pain

Original

Yunfeng Wang¹  Jiying Zhou¹  Xiaoping Fan¹  Xuelian Li¹  Li Ran¹  Ge Tan¹  Hua Hu²  Na Yong²  Yuan Qu²  Lixue Chen³ 

[1] Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, No. 1, Youyi Road, 400016, Chongqing, China;Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, No. 1, Youyi Road, 400016, Chongqing, China;Laboratory Research Center, Chongqing Key Laboratory of Neurology, The First Affiliated Hospital of Chongqing Medical University, 400016, Chongqing, People’s Republic of China;

关键词: Anxiety;    Cross-sectional study;    Depression;    Migraine;    Risk factor;   

DOI  :  10.1007/s10194-012-0442-9

 received in 2011-11-04, accepted in 2012-03-16,  发布年份 2012

来源: Springer

【 摘 要 】

This study aimed to investigate the prevalence and risk factors for anxiety and depression symptoms in outpatient migraineurs in mainland China. In addition, we evaluated whether the Hospital Anxiety and Depression Scale (HADS) provided sufficient validity to screen depression and anxiety. A cross-sectional study was conducted consecutively at our headache clinic. Migraine was diagnosed according to International Classification of Headache Disorders, 2nd edition (ICHD-II). Demographic characteristics and clinical features were collected by headache questionnaire. Anxiety and depression symptoms about migraineurs were assessed using HADS. Several questionnaires were simultaneously used to evaluate patients with depressive disorder including the Hamilton Depression Rating Scale-17 (HAMD), Hamilton Anxiety Rating Scale (HAMA) and HADS. Pearson correlation analysis was applied to test the validity of HADS. 176 outpatients with migraine (81.8 % female) were included. Overall, 17.6 and 38.1 % participants had depression and anxiety, respectively. Possible risk factors for depression in migraineurs included headache intensity of first onset of migraine, migraine with presymptom, migraine with family history and migraine disability. The possible risk factors for anxiety included fixed attack time of headache in one day and poor sleeping, and age represented a protective factor for anxiety. The correlation coefficient of HADS-A and HADS-D with HAMA and HAMD was 0.666 and 0.508, respectively (P < 0.01). This study demonstrates that depression and anxiety comorbidity in our mainland Chinese migraineurs are also common, and several risk factors were identified that may provide predictive value. These findings can help clinicians to identify and treat anxiety and depression in order to improve migraine management.

【 授权许可】

CC BY   
© The Author(s) 2012