[Anxiety and Depression in Headache Patients. The Example of Managed Care of Chronic Headache Patients in Bavaria]

Overview

Journal Schmerz

Date 2008 Oct 23

PMID 18941799

Citations 3

Authors

J Felbinger

V M Reinisch

P Sostak

T M Wallasch

H C Diener

A Straube

Affiliations

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Abstract

Background: The prevalence of anxiety and depression and the influence of headache severity on these illnesses were examined in patients who were part of the managed care of headache in Bavaria.

Patients And Methods: A total of 181 patients with headache were screened for anxiety and depression with the German version of the Hospital Anxiety and Depression Scale (HADS-D). Headache severity was evaluated using the Migraine Disability Assessment Questionnaire (MIDAS). Apart from purely descriptive evaluations, Spearman's coefficients of correlation were calculated.

Results: Of the patients 22.7% and 44.7% obtained results at or above the limit of the normal range of depression and anxiety, respectively and 19.3% had results at or above the limit of the normal range for both illnesses. There were significant coefficients of correlation between the severity of headache and both anxiety and depression.

Conclusion: The results confirm the necessity for an interdisciplinary procedure in treating headache patients in order to achieve a successful therapy. Such a treatment can be realised with the concept of managed care.

Citing Articles

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The relation of sexual function to migraine-related disability, depression and anxiety in patients with migraine.

Eraslan D, Yalinay Dikmen P, Ilgaz Aydinlar E, Incesu C J Headache Pain. 2014; 15:32.

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Anxiety disorders in headache patients in a specialised clinic: prevalence and symptoms in comparison to patients in a general neurological clinic.

Mehlsteibl D, Schankin C, Hering P, Sostak P, Straube A J Headache Pain. 2011; 12(3):323-9.

PMID: 21298462 PMC: 3094676. DOI: 10.1007/s10194-011-0293-9.

References

Merikangas K, Angst J . Migraine and psychopathology: epidemiologic and genetic aspects. Clin Neuropharmacol. 1992; 15 Suppl 1 Pt A:275A-276A. DOI: 10.1097/00002826-199201001-00143. View

Breslau N, Schultz L, Stewart W, Lipton R, Welch K . Headache types and panic disorder: directionality and specificity. Neurology. 2001; 56(3):350-4. DOI: 10.1212/wnl.56.3.350. View

Tietjen G, Herial N, Hardgrove J, Utley C, White L . Migraine comorbidity constellations. Headache. 2007; 47(6):857-65. DOI: 10.1111/j.1526-4610.2007.00814.x. View

Scher A, Bigal M, Lipton R . Comorbidity of migraine. Curr Opin Neurol. 2005; 18(3):305-10. DOI: 10.1097/01.wco.0000169750.52406.a2. View

McWilliams L, Goodwin R, Cox B . Depression and anxiety associated with three pain conditions: results from a nationally representative sample. Pain. 2004; 111(1-2):77-83. DOI: 10.1016/j.pain.2004.06.002. View

Juang K, Wang S, Fuh J, Lu S, Su T . Comorbidity of depressive and anxiety disorders in chronic daily headache and its subtypes. Headache. 2001; 40(10):818-23. DOI: 10.1046/j.1526-4610.2000.00148.x. View

Baskin S . Managing the "difficult" headache patient. Neurol Sci. 2007; 28 Suppl 2:S78-83. DOI: 10.1007/s10072-007-0755-7. View

Stewart W, Lipton R, Kolodner K, Liberman J, Sawyer J . Reliability of the migraine disability assessment score in a population-based sample of headache sufferers. Cephalalgia. 1999; 19(2):107-14; discussion 74. DOI: 10.1046/j.1468-2982.1999.019002107.x. View

Cornwall A, Donderi D . The effect of experimentally induced anxiety on the experience of pressure pain. Pain. 1988; 35(1):105-113. DOI: 10.1016/0304-3959(88)90282-5. View

10.

Rains J, Lipchik G, Penzien D . Behavioral facilitation of medical treatment for headache--part I: Review of headache treatment compliance. Headache. 2006; 46(9):1387-94. DOI: 10.1111/j.1526-4610.2006.00581.x. View

11.

Maizels M, Smitherman T, Penzien D . A review of screening tools for psychiatric comorbidity in headache patients. Headache. 2006; 46 Suppl 3:S98-109. DOI: 10.1111/j.1526-4610.2006.00561.x. View

12.

Lake 3rd A, Rains J, Penzien D, Lipchik G . Headache and psychiatric comorbidity: historical context, clinical implications, and research relevance. Headache. 2005; 45(5):493-506. DOI: 10.1111/j.1526-4610.2005.05101.x. View

13.

Zigmond A, SNAITH R . The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67(6):361-70. DOI: 10.1111/j.1600-0447.1983.tb09716.x. View

14.

Mok L, Lee I . Anxiety, depression and pain intensity in patients with low back pain who are admitted to acute care hospitals. J Clin Nurs. 2008; 17(11):1471-80. DOI: 10.1111/j.1365-2702.2007.02037.x. View

15.

Guidetti V, Galli F, Fabrizi P, Giannantoni A, Napoli L, Bruni O . Headache and psychiatric comorbidity: clinical aspects and outcome in an 8-year follow-up study. Cephalalgia. 1998; 18(7):455-62. DOI: 10.1046/j.1468-2982.1998.1807455.x. View

16.

Arnold L, Crofford L, Martin S, Young J, Sharma U . The effect of anxiety and depression on improvements in pain in a randomized, controlled trial of pregabalin for treatment of fibromyalgia. Pain Med. 2007; 8(8):633-8. DOI: 10.1111/j.1526-4637.2007.00332.x. View

17.

Breslau N, Merikangas K, Bowden C . Comorbidity of migraine and major affective disorders. Neurology. 1994; 44(10 Suppl 7):S17-22. View

18.

Breslau N . Psychiatric comorbidity in migraine. Cephalalgia. 1998; 18 Suppl 22:56-8; discussion 58-61. DOI: 10.1177/0333102498018s2210. View

19.

Verspeelt J, De Locht P, Amery W . Post-marketing cohort study comparing the safety and efficacy of flunarizine and propranolol in the prophylaxis of migraine. Cephalalgia. 1996; 16(5):328-36; discussion 288. DOI: 10.1046/j.1468-2982.1996.1605328.x. View

20.

Baskin S, Lipchik G, Smitherman T . Mood and anxiety disorders in chronic headache. Headache. 2006; 46 Suppl 3:S76-87. DOI: 10.1111/j.1526-4610.2006.00559.x. View