Sharma Preeti, Kumar Santosh, Dixit Vidhata, Sharma Chandra Shekhar, Chaudhury Suprakash
Department of Neurosciences, Yashoda Hospital, Nehru Nagar, Ghaziabad, Uttar Pradesh, India.
Psychiatry Department, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
Ind Psychiatry J. 2024 Jul-Dec;33(2):266-274. doi: 10.4103/ipj.ipj_60_23. Epub 2023 Aug 11.
Comorbidity of various psychiatric conditions with migraine is common and important. A thorough analysis of mental conditions in migraine is essential to encourage the holistic care of such patients.
To assess psychiatric comorbidity in patients with migraine using a well-standardized clinical diagnostic tool.
This cross-sectional study was conducted in the outpatient department of a tertiary care hospital in North India. Persons with migraine attending the facility were enrolled as per the inclusion and exclusion criteria set for this study. The ICD-10 mental disorder symptom checklist was the principal tool to assess the psychiatric comorbidity in the patients.
Total Patients recruited were 146 out of which 70.5% had a psychiatric comorbidity. Depressive disorder (17.1%) was the most common while delusional disorder (4.1%) was the least common psychiatric disorder comorbid with migraine. Other comorbid psychiatric diagnoses were recurrent depressive episodes (6.8%), dysthymia (10.3%), bipolar affective disorder (7.5%), panic disorder (5.5%), generalized anxiety disorder (8.2%), mixed and other anxiety disorders (6.2%), obsessive-compulsive disorder (6.2%), post-traumatic stress disorder (4.8%), adjustment disorders (5.5%), dissociative (conversion) disorders (6.8%), and somatoform disorders (6.2%). Lower socioeconomic status and the presence of aura with migraine are two important patient-related factors linked with the occurrence of any psychiatric comorbidity in migraine.
The prevalence of comorbid psychiatric disorders in migraine patients is very high. The relationship between demographic and medical information of people with migraine with individual psychiatric comorbidities is complex.
各种精神疾病与偏头痛合并存在很常见且很重要。全面分析偏头痛患者的精神状况对于促进此类患者的整体护理至关重要。
使用标准化的临床诊断工具评估偏头痛患者的精神疾病共病情况。
这项横断面研究在印度北部一家三级护理医院的门诊部进行。根据本研究设定的纳入和排除标准，招募到该机构就诊的偏头痛患者。ICD - 10精神障碍症状清单是评估患者精神疾病共病情况的主要工具。
共招募了146名患者，其中70.5%患有精神疾病共病。抑郁症（17.1%）是最常见的，而妄想障碍（4.1%）是与偏头痛合并存在的最不常见的精神疾病。其他合并的精神疾病诊断包括复发性抑郁发作（6.8%）、心境恶劣障碍（10.3%）、双相情感障碍（7.5%）、惊恐障碍（5.5%）、广泛性焦虑障碍（8.2%）、混合性及其他焦虑障碍（6.2%）、强迫症（6.2%）、创伤后应激障碍（4.8%）、适应障碍（5.5%）、分离（转换）障碍（6.8%）和躯体形式障碍（6.2%）。社会经济地位较低以及偏头痛伴有先兆是与偏头痛患者发生任何精神疾病共病相关的两个重要的患者相关因素。
偏头痛患者中合并精神疾病的患病率非常高。偏头痛患者的人口统计学和医学信息与个体精神疾病共病之间的关系很复杂。
