severe headache,
The best article for Friday 26th Feb 2016
PubMed
Search Search
↓ Full text
Somatic symptoms in headache patients: the influence of headache diagnosis, frequency, and comorbidity.
Maizels M, et al. Headache. 2004 Nov-Dec.
Show full citation
Abstract
BACKGROUND: Mood disorders of anxiety and depression are well known to be comorbid with primary headache disorders. Less is known of the comorbidity of other somatic symptoms with headache.
METHODS: Headache Clinic patients were screened with the Primary Care Evaluation of Mental Disorders (PRIME-MD), a multidimensional psychiatric screening tool. The prevalence of somatic symptoms was compared by headache diagnosis, frequency of
severe headache, and psychiatric diagnosis. Follow-up data were obtained 6 months
after consultation.
RESULTS: Clinical diagnoses and PRIME-MD data were available for 289 patients. Associated somatic symptoms were more frequent in patients with chronic migraine (mean 5.5, P<.001) and chronic daily headache (CDH) (6.3, P=.008) compared to episodic migraine (4.0); in patients with severe headache >2 days per week compared to <or=2 days per week (6.15 vs. 4.15, P<.001); and in patients with a clinical diagnosis of anxiety or depression, or both, compared to no anxiety or depression, (5.7, P=.05, 5.2, P<.05, and 6.8, P<.001, respectively, vs. 4.5). The most common specific symptoms were fatigue (73%), sleep difficulty (60%), and nausea/indigestion (55%). Compared to a primary care sample, patients with severe headache >2 days per week had significantly higher somatic counts (P=.01). Six-month follow-up data were available for 140 patients. Associated symptoms decreased both for patients with and without decrease in severe headache frequency (mean reduction of 1.0, P=.01 and 0.8, P=.003, respectively).
CONCLUSION: Associated somatic symptoms are more common in patients with chronic migraine and CDH, with more frequent severe headaches, and with associated anxiety or depression. Patients with episodic migraine have similar somatic prevalence as a previously studied primary care population. The spectrum of headache disorders may be characterized as showing increasing somatic prevalence as headaches, particularly severe headaches, become more frequent.
PMID 15546261 [PubMed - indexed for MEDLINE]
Full text
Full text at journal site
Previous
Citation 4 of 92
Back to results Next
Similar articles
Allodynia in migraine: association with comorbid pain conditions.
Tietjen GE, et al. Headache. 2009.
Childhood maltreatment and migraine (part II). Emotional abuse as a risk factor for headache chronification.
Tietjen GE, et al. Headache. 2010.
Results of screening with the brief headache screen compared with a modified IDMigraine.
Maizels M, et al. Headache. 2008.
[Primary headache and depression].
Review article
Gesztelyi G, et al. Orv Hetil. 2004.
[Anxiety and depression in children and adolescents with migraine: a review of the literature].
Review article
Amouroux R, et al. Encephale. 2008.
See all
Full website NIH NLM NCBI Help
No comments:
Post a Comment