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TITLE:

A CROSS SECTIONAL STUDY TO ASSESS THE PREVALENCE OF DEPRESSION AND ANXIETY AMONG MIGRAINE PATIENTS

AUTHORS:

Dr. Saba Aziz, Dr Fabiha Faiz, Dr. Fahim

ABSTRACT:

Objective: Migraine is an episodic disease characterized by headache attacks and related symptoms. In Western countries, the most common chronic neurological disorder is migraine which affects 12% of population. It is a heterogeneous condition that results in a spectrum of obstacles between different subjects. The migraine disability can be serious and can be a serious burden for the patient and the community. The aim of this study was to determine the prevalence of depression and anxiety in migraine patients. Methods: A cross-sectional study was conducted in the Psychiatry Department of Jinnah Hospital, Lahore from June 2019 to October 2019.The patient was diagnosed as migraine and headache was included in the analysis. According to the designed criteria by International Headache Society the migraine diagnosis was made. Patients were included regardless of gender and age. Only subjects who met the inclusion criteria were included. If necessary, routine or relevant investigations were conducted. After the subjects were selected, the Depression Scale and Hospital Anxiety was applied to the patients. All results were calculated and saved in a designed format. The data were analyzed, tabulated and compiled using the 18 version of SPSS. Results: 65 women (63.8%) and 37 men (36.2%) were treated with migraine with a minimum age of 11 years and a maximum age of 71 years. Most of the patients (76%) are between 21 and 51 years of age. Psychiatric morbidity was found in 58 patients (56.8%) using the Urdu-approved version of the Depression Scale and Hospital Anxiety with a 11-21 score for depression and anxiety. Therefore, 44 subjects (42.91%) were not recommended for psychiatric treatment. From fifty eight patients with positive psychiatric cases, 23 were male and 35 (60%) were females. Of these, 25 (43%) had anxiety, 18 (31%) had depression and 15 (27%) had depression and anxiety. Of the fifty eight patients receiving psychiatric treatment, 80% were between 21 and 50 years of age. Conclusion: Migraine has a strong relationship with depression and anxiety. The prevalence of this association may be affected by age and gender. Key words: Migraine, HADS, depression, Anxiety.

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