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Anxiety and Depression in Tension-Type Headache: A Population-Based Study
Tae-Jin Song1,2, Soo-Jin Cho3, Won-Joo Kim4
1Department of Neurology, Ewha Womans University School of Medicine, Seoul, Korea.
Plos One
|October 27, 2016
Summary
Anxiety and depression are more common in people with tension-type headache (TTH). These conditions worsen headache symptoms, highlighting the need for integrated care for TTH patients.
Area of Science:
- Neurology
- Psychiatry
- Epidemiology
Background:
- Tension-type headache (TTH) is a prevalent neurological disorder causing significant burden.
- Limited research exists on the comorbidity of anxiety and depression in TTH patients.
Purpose of the Study:
- To investigate the prevalence of anxiety and depression in Korean adults with TTH.
- To assess the clinical impact of comorbid anxiety and depression on TTH symptoms.
Main Methods:
- A two-stage clustered random sampling method recruited 2,695 Korean participants aged 19-69.
- Semi-structured interviews and validated questionnaires (Goldberg Anxiety Scale, PHQ-9) assessed headache, anxiety, and depression.
- Statistical analyses compared prevalence and clinical impact between TTH and non-headache groups.
Main Results:
- TTH was diagnosed in 21.2% of participants (n=570).
- Anxiety (9.5%) and depression (4.2%) were significantly more prevalent in TTH patients compared to non-headache participants (p < 0.001).
- Anxiety and depression were associated with higher Visual Analogue Scale (VAS) and Headache Impact Test-6 (HIT-6) scores, indicating increased headache severity and impact.
Conclusions:
- Anxiety and depression are significantly more prevalent in individuals with TTH.
- Comorbid anxiety and depression exacerbate TTH symptoms, underscoring the importance of addressing mental health in TTH management.
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