Migraine predicts physical and pain symptoms among psychiatric outpatients

The Journal of Headache and Pain

Research Article

Chia-Yih Liu¹  Ching-I Hung¹  Shuu-Jiun Wang² 

[1]Department of Psychiatry, Chang-Gung Memorial Hospital at Linkou and Chang-Gung University School of Medicine, Taoyuan, Taiwan

[2]Neurological Institute, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, No. 201 Shi-Pai Road, Section 2, 112, Taipei, Taiwan

关键词: Depression;    Anxiety;    Headache;    Pain;    Quality of life;    Somatization;   

DOI  :  10.1186/1129-2377-14-19

 received in 2012-11-16, accepted in 2013-02-19,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundNo study has been performed to compare the impacts of migraine and major depressive episode (MDE) on depression, anxiety and somatic symptoms, and health-related quality of life (HRQoL) among psychiatric outpatients. The aim of this study was to investigate the above issue.MethodsThis study enrolled consecutive psychiatric outpatients with mood and/or anxiety disorders who undertook a first visit to a medical center. Migraine was diagnosed according to the International Classification of Headache Disorders, 2nd edition. Three psychometric scales and the Short-Form 36 were administered. General linear models were used to estimate the difference in scores contributed by either migraine or MDE. Multiple linear regressions were employed to compare the variance of these scores explained by migraine or MDE.ResultsAmong 214 enrolled participants, 35.0% had migraine. Bipolar II disorder patients (70.0%) had the highest percentage of migraine, followed by major depressive disorder (49.1%) and only anxiety disorder (24.5%). Patients with migraine had worse depression, anxiety, and somatic symptoms and lower SF-36 scores than those without. The estimated differences in the scores of physical functioning, bodily pain, and somatic symptoms contributed by migraine were not lower than those contributed by MDE. The regression model demonstrated the variance explained by migraine was significantly greater than that explained by MDE in physical and pain symptoms.ConclusionsMigraine was common and the impact of migraine on physical and pain symptoms was greater than MDE among psychiatric outpatients. Integration of treatment strategies for migraine into psychiatric treatment plans should be considered.

【 授权许可】

Unknown   
© Hung et al.; licensee Springer. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.