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

Yıl 2020, 2020 Özel Sayı, 1 - 6, 26.02.2020
https://doi.org/10.18663/tjcl.569249

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.

Kaynakça

  • 1. Adoukonou T, Houinato D, Kankouan J et al. Migraine among university students in Cotonou (Benin). Headache 2009; 49: 887-93.
  • 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. Goadsby PJ. Decade in review—migraine: incredible progress for an era of better migraine care. Nat Rev Neurol 2015; 11: 621.
  • 4. Radat F, Swendsen J. Psychiatric comorbidity in migraine: a review. Cephalalgia 2005; 25: 165-78.
  • 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. 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. 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. Buse DC, Silberstein SD, Manack AN, Papapetropoulos S, Lipton RB. Psychiatric comorbidities of episodic and chronic migraine. J Neurol 2013; 260: 1960-69.
  • 9. Samaan Z, Farmer A, Craddock N et al. Migraine in recurrent depression: case–control study. Br J Psychiatry 2009; 194: 350-54.
  • 10. Torelli P, D’Amico D. An updated review of migraine and co-morbid psychiatric disorders. Neurol Sci 2004; 25: 234-35.
  • 11. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361-70.
  • 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. Boylu E, Adıgzel T, Zden T. Migrenli Olgularda Dizabilitenin Midas Ölçeği ile Değerlendirilmesi. Duzce Medical Journal 2012; 14: 10-13.
  • 14. D’Amico D, Genco S, Perini F. Workplace disability in migraine: an Italian experience. Neurol Sci 2004; 25: 251-52.
  • 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. 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. 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. 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. 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. Minen MT, De Dhaem OB, Van Diest AK et al. Migraine and its psychiatric comorbidities. J Neurol Neurosurg Psychiatry 2016; 87: 741-49.
  • 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. 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. 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. 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. Baskin SM, Lipchik GL, Smitherman TA. Mood and anxiety disorders in chronic headache. Headache 2006; 46: 76–87.
  • 26. Smitherman TA, Kolivas ED, Bailey JR. Panic disorder and migraine: comorbidity, mechanisms, and clinical implications. Headache 2013; 53: 23-45.
  • 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. 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.

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

Yıl 2020, 2020 Özel Sayı, 1 - 6, 26.02.2020
https://doi.org/10.18663/tjcl.569249

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.

Kaynakça

  • 1. Adoukonou T, Houinato D, Kankouan J et al. Migraine among university students in Cotonou (Benin). Headache 2009; 49: 887-93.
  • 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. Goadsby PJ. Decade in review—migraine: incredible progress for an era of better migraine care. Nat Rev Neurol 2015; 11: 621.
  • 4. Radat F, Swendsen J. Psychiatric comorbidity in migraine: a review. Cephalalgia 2005; 25: 165-78.
  • 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. 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. 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. Buse DC, Silberstein SD, Manack AN, Papapetropoulos S, Lipton RB. Psychiatric comorbidities of episodic and chronic migraine. J Neurol 2013; 260: 1960-69.
  • 9. Samaan Z, Farmer A, Craddock N et al. Migraine in recurrent depression: case–control study. Br J Psychiatry 2009; 194: 350-54.
  • 10. Torelli P, D’Amico D. An updated review of migraine and co-morbid psychiatric disorders. Neurol Sci 2004; 25: 234-35.
  • 11. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361-70.
  • 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. Boylu E, Adıgzel T, Zden T. Migrenli Olgularda Dizabilitenin Midas Ölçeği ile Değerlendirilmesi. Duzce Medical Journal 2012; 14: 10-13.
  • 14. D’Amico D, Genco S, Perini F. Workplace disability in migraine: an Italian experience. Neurol Sci 2004; 25: 251-52.
  • 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. 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. 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. 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. 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. Minen MT, De Dhaem OB, Van Diest AK et al. Migraine and its psychiatric comorbidities. J Neurol Neurosurg Psychiatry 2016; 87: 741-49.
  • 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. 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. 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. 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. Baskin SM, Lipchik GL, Smitherman TA. Mood and anxiety disorders in chronic headache. Headache 2006; 46: 76–87.
  • 26. Smitherman TA, Kolivas ED, Bailey JR. Panic disorder and migraine: comorbidity, mechanisms, and clinical implications. Headache 2013; 53: 23-45.
  • 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. 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.
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Özgün Makale
Yazarlar

Şenol Arslan 0000-0002-6636-5307

Orhan Delice

Yayımlanma Tarihi 26 Şubat 2020
Yayımlandığı Sayı Yıl 2020 2020 Özel Sayı

Kaynak Göster

APA Arslan, Ş., & Delice, O. (2020). Acil servise başvuran migren hastalarının özürlülük, anksiyete ve depresyon oranlarının belirlenmesi. Turkish Journal of Clinics and Laboratory, 11(1), 1-6. https://doi.org/10.18663/tjcl.569249
AMA Arslan Ş, Delice O. Acil servise başvuran migren hastalarının özürlülük, anksiyete ve depresyon oranlarının belirlenmesi. TJCL. Şubat 2020;11(1):1-6. doi:10.18663/tjcl.569249
Chicago Arslan, Şenol, ve Orhan Delice. “Acil Servise başvuran Migren hastalarının özürlülük, Anksiyete Ve Depresyon oranlarının Belirlenmesi”. Turkish Journal of Clinics and Laboratory 11, sy. 1 (Şubat 2020): 1-6. https://doi.org/10.18663/tjcl.569249.
EndNote Arslan Ş, Delice O (01 Şubat 2020) Acil servise başvuran migren hastalarının özürlülük, anksiyete ve depresyon oranlarının belirlenmesi. Turkish Journal of Clinics and Laboratory 11 1 1–6.
IEEE Ş. Arslan ve O. Delice, “Acil servise başvuran migren hastalarının özürlülük, anksiyete ve depresyon oranlarının belirlenmesi”, TJCL, c. 11, sy. 1, ss. 1–6, 2020, doi: 10.18663/tjcl.569249.
ISNAD Arslan, Şenol - Delice, Orhan. “Acil Servise başvuran Migren hastalarının özürlülük, Anksiyete Ve Depresyon oranlarının Belirlenmesi”. Turkish Journal of Clinics and Laboratory 11/1 (Şubat 2020), 1-6. https://doi.org/10.18663/tjcl.569249.
JAMA Arslan Ş, Delice O. Acil servise başvuran migren hastalarının özürlülük, anksiyete ve depresyon oranlarının belirlenmesi. TJCL. 2020;11:1–6.
MLA Arslan, Şenol ve Orhan Delice. “Acil Servise başvuran Migren hastalarının özürlülük, Anksiyete Ve Depresyon oranlarının Belirlenmesi”. Turkish Journal of Clinics and Laboratory, c. 11, sy. 1, 2020, ss. 1-6, doi:10.18663/tjcl.569249.
Vancouver Arslan Ş, Delice O. Acil servise başvuran migren hastalarının özürlülük, anksiyete ve depresyon oranlarının belirlenmesi. TJCL. 2020;11(1):1-6.


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