دورية أكاديمية

The impact of remission and coexisting migraine on anxiety and depression in cluster headache

التفاصيل البيبلوغرافية
العنوان: The impact of remission and coexisting migraine on anxiety and depression in cluster headache
المؤلفون: Kim, Byung-Su, Chung, Pil-Wook, Kim, Byung-Kun, Lee, Mi Ji, Park, Jeong Wook, Chu, Min Kyung, Ahn, Jin-Young, Bae, Dae Woong, Song, Tae-Jin, Sohn, Jong-Hee, Oh, Kyungmi, Kim, Daeyoung, Kim, Jae-Moon, Kim, Soo-Kyoung, Choi, Yun-Ju, Chung, Jae Myun, Moon, Heui-Soo, Chung, Chin-Sang, Park, Kwang-Yeol, Cho, Soo-Jin
المصدر: J Headache Pain
بيانات النشر: Springer Milan
سنة النشر: 2020
مصطلحات موضوعية: Research Article, psy, demo
الوصف: BACKGROUND: Our aim was to investigate the relationship between coexisting cluster headache (CH) and migraine with anxiety and depression during active cluster bouts, and how symptoms change during remission. METHODS: We analyzed data from 222 consecutive CH patients and 99 age- and sex-matched controls using a prospective multicenter registry. Anxiety or depression was evaluated using the Generalized Anxiety Disorder-7 (GAD-7) or Patient Health Questionnaire-9 (PHQ-9), respectively. Moderate-to-severe anxiety or depression was defined as a score of ≥10 at baseline (during a cluster bout). We assessed for changes in anxiety and depression during CH remission periods. RESULTS: Among the CH patients, the prevalence of moderate-to-severe anxiety and depression was seen in 38.2% and 34.6%, respectively. Compared with controls, CH patients were associated with moderate-to-severe anxiety and depression (multivariable-adjusted odds ratio [aOR] = 7.32, 95% confidence intervals [CI] = 3.35–15.99 and aOR = 4.95, 95% CI = 2.32–10.57, respectively). CH patients with migraine were significantly more likely to have moderate-to-severe anxiety and depression (aOR = 32.53, 95% CI = 6.63–159.64 and aOR = 16.88, 95% CI = 4.16–68.38, respectively), compared to controls without migraine. The GAD-7 and PHQ-9 scores were significantly reduced between cluster bout and remission periods (from 6.8 ± 5.6 to 1.6 ± 2.8; P < 0.001, and from 6.1 ± 5.0 to 1.8 ± 2.4; P < 0.001, respectively). CONCLUSIONS: Our results indicate that CH patients are at increased risk of anxiety and depression, especially in the presence of coexisting migraine. However, the anxiety and depression can improve during remission periods.
نوع الوثيقة: text
اللغة: English
العلاقة: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7257141Test/
الإتاحة: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7257141Test/
حقوق: undefined
رقم الانضمام: edsbas.70BC77AF
قاعدة البيانات: BASE