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Published on: June 2, 2014
Understanding migraine and psychiatric comorbidity
Elizabeth K Seng1, Cynthia D Seng
1aSaul R. Korey Department of Neurology, Albert Einstein College of Medicine, Ferkauf Graduate School of Psychology, Yeshiva University, New York City, New York bNeurological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Psychiatric disorders like depression and anxiety are common in migraine patients, impacting treatment. However, preventive therapies and behavioral treatments show promise for managing both conditions effectively.
Area of Science:
- Neurology
- Psychiatry
- Medical Research
Background:
- Psychiatric disorders frequently co-occur with migraine.
- Understanding this comorbidity is crucial for effective patient management.
- Migraine can also influence the experience and treatment of psychiatric conditions.
Purpose of the Study:
- To review current understanding of psychiatric disorders in migraine.
- To explore the bidirectional relationship between migraine and psychiatric conditions.
- To highlight implications for treatment planning and prognosis.
Main Methods:
- Literature review of recent studies on migraine and psychiatric comorbidity.
- Analysis of treatment outcomes for comorbid conditions.
- Examination of emerging behavioral therapies.
Main Results:
- Depression, anxiety, and bipolar disorders are highly associated with migraine.
- Comorbid psychiatric disorders may reduce response to acute migraine treatments.
- Preventive pharmacologic and behavioral therapies are effective for comorbid migraine and mood/anxiety disorders.
Conclusions:
- Anxiety and mood disorders are prevalent in migraine sufferers.
- Psychiatric comorbidity increases migraine severity and disability.
- Optimized treatment strategies are needed to improve care and reduce stigma for this population.
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