Study to Determine the Psychiatric Co-Morbidities Amid Patients Suffering from Primary Headache
Sarah Anwar, Manzoor Hussain, Hameedullah, Murad Ali, Amjad Ali, Ejaz Gul
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ABSTRACT
The most common complaint received at the outpatient departments (OPD) of Medicine and psychiatry is about having mild to severe headache, and the association of different psychological disorders with it.
Aim: The present study was destined to evaluate the comorbid effects of psychiatric disordersamong the adult patients withheadache to assess the fact that these two illnesses have a relationship between them or not.
Place and Duration: In the Psychiatry and Medicine department of Mardan Medical Complex for six months duration from July, 2020 to December, 2020.
Methods: From the Medicine and psychiatry OPD, 59 patients were selected for this study. For the determination of the types of headache, International Classification of Headache Disorders (ICHD-3) was used, and to analyze the psychological disabilities Mini International Neuropsychiatric Interview (MINI) was taken as reference. Subjective sampling was performed and data collection was done after conducting face to face interviews during the duration of 6 months. The age range of the subjects was 15-65 years, and the sample included patients of both genders.
Results: The major finding was the tension type headache was the most common among all, and around 62.7% patients having headache were suffering from some kind of mental health disorder, which included 39.2% patients suffering from depressive disorder, and 17.6 patients of anxiety disorders. After logistic regression analysis, it was concluded that if the duration and frequency of having a headache is high, the chances of suffering from any psychological disorder is also higher. (OR= 1.7)
Conclusion: This smaller scale study signifies the importance of conducting the similar research on a large scale so that the psychological interventions can be performed in the patients of headache.
Key Words: psychological disorders, headache, association.