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Migraine headaches and panic attacks.

W F Stewart1, M S Linet, D D Celentano

  • 1Department of Epidemiology, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, Maryland 21205.

Psychosomatic Medicine
|September 1, 1989
PubMed
Summary
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Individuals with panic disorder or panic syndrome experience more frequent and severe headaches, including migraines. This suggests a potential link between these conditions, impacting younger populations.

Area of Science:

  • Neurology
  • Psychiatry
  • Epidemiology

Background:

  • Migraine and panic attacks are common, often emerging in early life.
  • Both conditions may share underlying physiological abnormalities.
  • Understanding their co-occurrence is crucial for effective management.

Purpose of the Study:

  • To investigate the association between panic disorder/syndrome and headache occurrence.
  • To assess the prevalence of migraine symptoms in individuals with panic symptoms.
  • To explore gender differences in this relationship.

Main Methods:

  • Population-based telephone survey of approximately 10,000 subjects aged 12-29.
  • Utilized an abbreviated National Institute of Mental Health Diagnostic Interview Survey to assess panic disorder and panic syndrome.

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  • Collected data on headache frequency, duration, and migraine symptoms.

    • Main Results:

    • Subjects with panic disorder or panic syndrome reported significantly more frequent and longer-lasting headaches.
    • Panic disorder/syndrome was associated with substantially higher rates of migraine symptoms.
    • Males with panic disorder were 7 times more likely to report migraine headaches.

    Conclusions:

    • Panic disorder and panic syndrome are strongly associated with increased headache frequency and migraine symptoms.
    • A significant proportion of migraine headaches in young adults may be linked to panic-related conditions.
    • Further research into shared pathophysiology is warranted.