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Headache and mood disorders.

Sergio de Filippis1, Emiliano Salvatori, Gabriella Coloprisco

  • 1Regional Referral Headache Centre, II School of Medicine, University La Sapienza, Sant'Andrea Hospital, Via di Grottarossa 1035, I-00189, Rome. sergio.defilippis@uniroma1.it

The Journal of Headache and Pain
|December 20, 2005
PubMed
Summary

Chronic daily headache and medication overuse headache (MOH) are linked to significant mood and anxiety disorders. These psychiatric issues can worsen headache frequency and impact daily life, necessitating comprehensive patient evaluations.

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Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Chronic daily headache (CDH) and medication overuse headache (MOH) are prevalent neurological conditions.
  • The comorbidity between headache disorders and psychiatric conditions is increasingly recognized.

Purpose of the Study:

  • To estimate the occurrence of mood, anxiety, and disability disorders in patients with CDH and MOH.
  • To explore the relationship between psychiatric symptoms and headache characteristics.

Main Methods:

  • A 16-month observational study involving 300 patients with CDH and MOH.
  • Data collection included interviews, anamnestic data, relative reports on behavior and daily rhythms, and psychometric tests.

Main Results:

  • A significant correlation was found between headache and mood disorders, impacting work, social, and family life.

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  • Patients exhibited high anxiety, depressive symptoms, and alexithymia.
  • Anxiety and depression were found to facilitate headache onset, with persistent pain increasing vulnerability to psychiatric issues.

    • Conclusions:

    • Patients with CDH and MOH frequently present with comorbid psychiatric disorders.
    • Psychopathological evaluations are crucial for comprehensive headache management.
    • The bidirectional relationship between headache and psychiatric conditions warrants further investigation.