Determination of disability, anxiety and depression rates of migraine patients admitted to emergency department

Abstract

Aim: The aim of our study was to compare the symptom levels of anxiety, depression and disability rates between migraine patients and the healthy control group presenting to the emergency department, and to investigate the relationship between these levels and duration of disease.

Material and Methods: Patients with migraine headache were filled in the form prepared using the Hospital Anxiety and Depression Scale (HAD) and the Migraine Disability Assessment Scale (MIDAS). The hospital anxiety and depression scale was filled in the control group. Then, anxiety, depression and disability rates of these patients and control group were determined and comparisons were made with demographic data.

Results: In our study, a significant positive relationship was found between sex and attack frequency and midas scores. In the experimental and control groups, a positive significant correlation was found between the levels of anxiety and depression at the level of 0.00. In the experimental group, anxiety, depression and Midas scores were evaluated. As a result of the analysis, a positive relationship was found between Midas and anxiety and depression. The relationship between depression and anxiety was examined in the experimental and control groups. As a result of the analysis; In both groups, a positive correlation was found between depression and anxiety at a level of 0.00.

Conclusion: If we control the depression and anxiety of patients with migraine, we believe that we will increase the living standards of these patients and decrease the disability rates caused by migraine. Therefore, we think that patients with migraine should be questioned in terms of psychiatric comorbidities and a multidisciplinary approach model should be exhibited for these patients.

Keywords

• migraine,anxiety,depression

Acil servise başvuran migren hastalarının özürlülük, anksiyete ve depresyon oranlarının belirlenmesi

Abstract

Amaç: Çalışmamızın amacını acil servise başvuran migren hastaları ile sağlıklı kontrol grubu arasındaki anksiyete, depresyon ve özürlülük oranlarının belirti düzeylerinin karşılaştırılması ve bu düzeylerin hastalık süresi ve atak sıklığı ile ilişkisinin incelenmesi olarak belirledik.

Gereç ve Yöntemler: Migren tipi baş ağrısı olan hastalara Hastane anksiyete ve depresyon ölçeği (HAD) ve Migren Özürlülük Değerlendirme Ölçeği (MIDAS) kullanılarak hazırlanmış olan form dolduruldu. Kontrol grubuna ise Hastane anksiyete ve depresyon ölçeği dolduruldu. Daha sonrasında bu hastaların ve kontrol grubunun anksiyete, depresyon ve özürlülük oranları tespit edilip demografik verilerle beraber karşılaştırmalar yapıldı.

Bulgular: Çalışmamızda cinsiyet ve atak sıklığı ile midas skorları arasında anlamlı pozitif bir ilişki bulunmuştur. Deney ve kontrol grubunda, anksiyete ile depresyon açısından anlamlı bir farklılık olup olmadığına bakılmış olup, analiz sonucunda, 0.00 anlamlılık seviyesinde, bağımsız değişkenin hem anksiyetehem de depresyon için etkisi istatistiksel olarak anlamlı bulunmuştur. Deney grubunda anksiyete, depresyon ve Midas skorları kendi aralarında değerlendirildi.  Analiz sonucunda, Midas ile anksiyete ve depresyon arasında pozitif bir ilişki bulunmuştur. Deney ve kontrol grubunda depresyon ve anksiyete arasındaki ilişkiye bakıldı. Analiz sonucunda; Her iki grupta da depresyon ve anksiyete arasında 0.00 düzeyinde pozitifi anlamlı bir ilişki bulunmuştur.

Sonuç: Migreni olan hastaların depresyon ve anksiyetelerini kontrol edersek, bu hastaların hayat standartlarını artırıp migrenden kaynaklanan özürlülük oranlarını azaltacağımızı düşünüyoruz. Bu nedenle migren tanısı olan hastaların psikiyatrik komorbiditeler açısından mutlaka sorgulanması ve bu hastalar için multidisipliner bir yaklaşım modeli sergilenmesi gerektiğini düşünmekteyiz.

Keywords

• Migren,anksiyete,depresyon

References

1. 1. Adoukonou T, Houinato D, Kankouan J et al. Migraine among university students in Cotonou (Benin). Headache 2009; 49: 887-93.
2. 2. Yalug I, Selekler M, Erdogan A et al. Correlations between alexithymia and pain severity, depression, and anxiety among patients with chronic and episodic migraine. Psychiatry Clin Neurosci 2010; 64: 231-38.
3. 3. Goadsby PJ. Decade in review—migraine: incredible progress for an era of better migraine care. Nat Rev Neurol 2015; 11: 621.
4. 4. Radat F, Swendsen J. Psychiatric comorbidity in migraine: a review. Cephalalgia 2005; 25: 165-78.
5. 5. Senaratne R, Van Ameringen M, Mancini C, Patterson B, Bennett M. The prevalence of migraine headaches in an anxiety disorders clinic sample. CNS Neurosci Ther 2010; 16: 76-82.
6. 6. Antonaci F, Nappi G, Galli F, Manzoni GC, Calabresi P, Costa A. Migraine and psychiatric comorbidity: a review of clinical findings. J Headache Pain 2011; 12: 115.
7. 7. Oh K, Cho SJ, Chung YK, Kim JM, Chu MK. Combination of anxiety and depression is associated with an increased headache frequency in migraineurs: a population-based study. BMC Neurol 2014; 14: 238.
8. 8. Buse DC, Silberstein SD, Manack AN, Papapetropoulos S, Lipton RB. Psychiatric comorbidities of episodic and chronic migraine. J Neurol 2013; 260: 1960-69.

9. 9. Samaan Z, Farmer A, Craddock N et al. Migraine in recurrent depression: case–control study. Br J Psychiatry 2009; 194: 350-54.
10. 10. Torelli P, D’Amico D. An updated review of migraine and co-morbid psychiatric disorders. Neurol Sci 2004; 25: 234-35.
11. 11. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361-70.
12. 12. Ertaş M, Siva A, Dalkara , et al. Validity and reliability of the Turkish Migraine Disability Assessment (MIDAS) questionnaire. Headache 2004; 44: 786-93.
13. 13. Boylu E, Adıgzel T, Zden T. Migrenli Olgularda Dizabilitenin Midas Ölçeği ile Değerlendirilmesi. Duzce Medical Journal 2012; 14: 10-13.
14. 14. D’Amico D, Genco S, Perini F. Workplace disability in migraine: an Italian experience. Neurol Sci 2004; 25: 251-52.
15. 15. Stewart WF, Lipton RB, Kolodner K. Migraine disability assessment (MIDAS) score: relation to headache frequency, pain intensity, and headache symptoms. Headache 2003; 43: 258-65.
16. 16. Breslau N, Schultz LR, Stewart WF, Lipton RB, Lucia VC, Welch KMA. Headache and major depression: is the association specific to migraine?. Neurology 2000; 54: 308.
17. 17. Senaratne R, Van Ameringen M, Mancini C, Patterson B, Bennett M. The prevalence of migraine headaches in an anxiety disorders clinic sample. CNS Neurosci Ther 2010; 16: 76-82.
18. 18. Hung CI, Liu CY, Cheng YT, Wang SJ. Migraine: a missing link between somatic symptoms and major depressive disorder. J Affect Disord 2009; 117: 108-15.
19. 19. Yaşar H, Balıbey H, Alay S, Tekeli H, Türker T, Bayar N. Migren hastalarında anksiyete, depresyon ve obsesif-kompulsif belirti düzeyleri. Journal of Mood Disorders 2013; 3: 156-61.
20. 20. Minen MT, De Dhaem OB, Van Diest AK et al. Migraine and its psychiatric comorbidities. J Neurol Neurosurg Psychiatry 2016; 87: 741-49.
21. 21. Breslau N, Lipton RB, Stewart WF, Schultz LR, Welch KMA. Comorbidity of migraine and depression: investigating potential etiology and prognosis. Neurology 2003; 60: 1308-12.
22. 22. Guidetti V, Galli F, Fabrizi PA, et al. Headache and psychiatric comorbidity: clinical aspects and outcome in an 8-year follow-up study. Cephalalgia 1998; 18: 455-62.
23. 23. Karwautz A, Wöber C, Lang TA, et al. Psychosocial factors in children and adolescents with migraine and tension-type headache: a controlled study and review of the literature. Cephalalgia 1999; 19: 32-43.
24. 24. Croft PR, Papageorgiou AC, Ferry S, Thomas E, Jayson MI, Silman AJ. Psychologic distress and low back pain. Evidence from a prospective study in the general population. Spine 1995; 20: 2731-37.
25. 25. Baskin SM, Lipchik GL, Smitherman TA. Mood and anxiety disorders in chronic headache. Headache 2006; 46: 76–87.
26. 26. Smitherman TA, Kolivas ED, Bailey JR. Panic disorder and migraine: comorbidity, mechanisms, and clinical implications. Headache 2013; 53: 23-45.
27. 27. Lucchetti G, Peres MF, Lucchetti AL, Mercante JP, Guendler VZ, Zukerman E. Generalized anxiety disorder, subthreshold anxiety and anxiety symptoms in primary headache. Psychiatry Clin Neurosci 2013; 67: 41-49.
28. 28. Ashina S, Serrano D, Lipton RB et al. Depression and risk of transformation of episodic to chronic migraine. J headache and pain 2012; 13: 615.