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Psychiatric comorbidity in chronic daily headache
A P Verri1, A Proietti Cecchini, C Galli
1University Centre for Adaptive Disorders and Headache, Section of Pavia, Italy. verri@cpbim1.unipv.it
Cephalalgia : an International Journal of Headache
|April 9, 1998
Summary
Chronic daily headache (CDH) is strongly linked to psychiatric disorders, with 90% of patients experiencing a mental health condition. Anxiety and mood disorders were the most common comorbidities, impacting treatment strategies.
Area of Science:
- Neurology
- Psychiatry
- Clinical Medicine
Background:
- Clinical evidence indicates a link between chronic daily headache (CDH) and psychopathologies.
- Previous research has primarily focused on migraine in relation to psychiatric comorbidities.
Purpose of the Study:
- To evaluate the association between chronic daily headache (CDH) and psychiatric disorders.
- To identify the prevalence and types of psychiatric disorders in patients with CDH.
Main Methods:
- Studied a population of 88 patients diagnosed with chronic daily headache (CDH).
- Utilized Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised (DSM-IIIR) criteria for psychiatric diagnoses.
- Assessed patients for the presence of psychiatric disorders.
Main Results:
- A psychiatric disorder was documented in 90% of the studied CDH population.
- The most frequent diagnosis was a comorbidity of anxiety and mood disorders.
- The mean duration of CDH in the study population was 7.4 years.
Conclusions:
- There is a high prevalence of psychiatric disorders in patients with chronic daily headache (CDH).
- The comorbidity of psychiatric disorders and headache has significant implications for treatment planning.
- Further research is warranted to understand the complex relationship between CDH and mental health conditions.