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[Mental disorders, social and demographic characteristics of patients with chronic and episodic migraine]. / Psikhicheskie rasstroistva, sotsial'nye i demograficheskie kharakteristiki patsientov s khronicheskoi i epizodicheskoi migren'yu.
Golovacheva, V A; Golovacheva, A A; Romanov, D V; Volodarskaya, E A.
Afiliação
  • Golovacheva VA; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
  • Golovacheva AA; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
  • Romanov DV; Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
  • Volodarskaya EA; Mental Health Research Center, Moscow, Russia.
Article em Ru | MEDLINE | ID: mdl-38261290
ABSTRACT

OBJECTIVE:

To compare socio-demographic, clinical and psychological characteristics and comorbid mental disorders in patients with chronic migraine (CM) and episodic migraine (EM). MATERIAL AND

METHODS:

Eighty patients with migraine (40 with CM (16 men and 24 women, mean age 33.5±6.1 years) and 40 with EM (9 men and 31 women, mean age 31.4±5.7 years) were examined. All patients were interviewed and tested with psychometric methods. Socio-demographic and clinical-psychological characteristics were determined in all patients. The psychiatrist assessed the mental status of patients and diagnosed comorbid mental disorders according to the ICD-10 criteria.

RESULTS:

Symptoms of depression, high levels of trait and state anxiety, and a tendency to emotional inadequacy of response were more common in CM patients than in EM patients (p<0.05). Mental disorders, predominantly of the anxiety-depressive spectrum, were more common in CM patients than EM patients (OR (95% CI)=2.54 (2.03 to 2.98, p<0.001). Seventy-five percent of CM patients had more than one psychiatric diagnosis, almost a quarter of CM patients had schizotypal disorder, which is significantly higher than in EM patients (OR (95% CI)=1.99; 1.03 to 2.42, p<0.001). There were more unmarried, single (without constant partner), unemployed, high-education patients in the CM group than in the EM group. The negative impact of headache on the daily activity of patients was significantly higher in the CM group than in the EM group (p<0.05).

CONCLUSION:

Mental disorders and psychological features (anxiety, depression symptoms, a tendency to emotional inadequacy of response) are more common in CM patients than in EM patients. The presence of these factors may contribute to the chronification of migraine.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Mentais / Transtornos de Enxaqueca Tipo de estudo: Diagnostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male Idioma: Ru Revista: Zh Nevrol Psikhiatr Im S S Korsakova Assunto da revista: NEUROLOGIA / PSIQUIATRIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Federação Russa País de publicação: Federação Russa

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Mentais / Transtornos de Enxaqueca Tipo de estudo: Diagnostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male Idioma: Ru Revista: Zh Nevrol Psikhiatr Im S S Korsakova Assunto da revista: NEUROLOGIA / PSIQUIATRIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Federação Russa País de publicação: Federação Russa