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

Year 2020, 2020 Özel Sayı, 1 - 6, 26.02.2020

Şenol Arslan , Orhan Delice

https://doi.org/10.18663/tjcl.569249

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

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