A Preliminary Study of the Proportion of Different Chronic Headache Types and Their Effect on Quality of Life at a Tertiary Care Hospital in North India.

Introduction Globally, chronic headaches are one of the most common health problems affecting the productive age group and an individual's quality of life. Aims This study aims to find the proportion of different types of chronic headaches and their impact on an individual's quality of life. Methods This cross-sectional observational study included patients with chronic headaches (15 or more episodes per month for at least three months, as per the International Headache Society) in the outpatient department of a tertiary care hospital. The patients were evaluated on a semi-structured proforma, MINI (Mini-International Neuropsychiatric Interview) version 7.0.0, ICHD-3 (International Classification of Headache Disorders-Third Edition), and the Chronic Headache Quality of Life Questionnaire (CHQLQ). Results A total of 100 subjects with chronic headaches were recruited in the study, which comprised 4.45% of the total number of psychiatry outpatients over the given period. Among the subjects of chronic headache, tension-type headache (TTH) was highest at 61 (61%), followed by migraine at 25 (25%). Out of these, approximately two-thirds were females with a mean age of 36.13±12.93 years. The data analysis frequency and duration of the headache episode were statistically significant, with a p-value of <0.01. All types of headaches negatively affected most of the parameters of quality of life, but they are not statistically significant except for two, i.e., household chores and feeling of burden on others, where the p-value was 0.03 and 0.04, respectively. Conclusion The proportion of patients presenting to the Psychiatry Outpatient Department was significant, emphasizing that TTH is a highly prevalent entity causing deterioration in quality of life.