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Headache: a marker of depression.

M K Chung¹, D E Kraybill

¹Montgomery Family Practice Residency Program, Norristown, Pennsylvania.

The Journal of Family Practice

|October 1, 1990

Summary

Headaches are a significant indicator of depression in primary care, with 63% of patients showing high prevalence. Frequent headaches strongly correlate with depression severity, suggesting a need to address depression itself.

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Area of Science:

Primary Care Medicine
Psychiatry
Neurology

Background:

Headache is a common chief complaint in family practice.
Depression is a prevalent mental health condition often underdiagnosed in primary care settings.

Purpose of the Study:

To investigate the prevalence of depression in patients presenting with headaches in an outpatient family practice.
To determine the relationship between headache frequency, duration, and depression severity.

Main Methods:

Utilized the Zung Self-Rating Depression Scale (SDS) to assess depression levels in patients with headaches.
Analyzed the correlation between headache characteristics (frequency, duration) and Zung SDS scores.
Performed item analysis on the Zung SDS to identify key indicators of depression.

Main Results:

A high prevalence of depression (63%) was observed in patients with headaches.
A statistically significant relationship was found between headache frequency and depression levels (P = .03).
74% of patients with daily headaches had clinically significant depression; Zung SDS scores correlated with headache duration (P < .05).

Conclusions:

Headache serves as a crucial marker for depression in primary care.
Clinicians should consider screening for and treating depression in patients with persistent headaches.
Future research could develop abbreviated screening tools for depression based on key Zung SDS items.

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