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Updated: Jun 26, 2026

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Published on: June 2, 2014
The relationship between migraine and mental disorders in a population-based sample
Gregory E Ratcliffe1, Murray W Enns, Frank Jacobi
1Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada R3E 3N4.
Migraines are strongly linked to mental health conditions like depression and anxiety disorders. This large population study confirms a significant association between experiencing migraines and having mood or anxiety disorders.
Area of Science:
- Psychiatry
- Neurology
- Epidemiology
Background:
- Emerging evidence suggests a link between migraines and mental health disorders.
- Previous studies often used clinical or community samples, necessitating research on larger population-based data.
Purpose of the Study:
- To investigate the association between physician-diagnosed migraine and mental disorders using a large population-based sample.
- To examine the relationship between migraine prevalence and various mood and anxiety disorders.
Main Methods:
- Utilized data from the German Health Survey (1997-1999) with 4181 participants aged 18-65.
- Assessed lifetime and 12-month migraine history via self-report and physician diagnosis.
- Diagnosed past 12-month DSM-IV mental disorders using the Composite International Diagnostic Interview.
Main Results:
- Past-year migraine showed significant positive associations with depression, dysthymia, bipolar disorder, panic attacks, panic disorder, agoraphobia, and simple phobia (AORs 1.74-3.21).
- After adjusting for other mental disorders, associations remained significant for any anxiety disorder (AOR=1.82) and any mood disorder (AOR=1.61).
Conclusions:
- The study reinforces a strong association between migraines and mood and anxiety disorders.
- While causality cannot be inferred due to the cross-sectional design, findings contribute to existing literature.
- Highlights the importance of considering mental health comorbidities in migraine patients.
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