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

Öz

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.

Anahtar Kelimeler

• migraine,anxiety,depression

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

Öz

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.

Anahtar Kelimeler

• Migren,anksiyete,depresyon

Kaynakça

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