Symptoms of depression and anxiety, and screening for mental disorders in migrainous patients.
The purpose of this clinic-based study was the assessment of symptoms of depression, anxiety, and non-specific psychiatric disorders amongst patients with migraine, compared with healthy subjects and with individuals with a non-neurological chronic disease. A cross-sectional study was carried out in which 178 individuals (migraine 51; psoriasis 35; healthy 92) were submitted to three scales: MADRS (depression), STAI-T (anxiety) and SRQ (screening for mental disorders). The subjects with migraine and psoriasis were from the Out-patient Clinics of Headache and of Dermatology, and the healthy volunteers were persons who were accompanying out-patients in the same hospital. Scores were analysed by manova and by association analysis and logistic regression. Scores of all instruments were higher in the migrainous group, but the univariate analysis of association (using cut-offs) showed significance only for suspicion of mental disorders (SRQ). By logistic regression, variables with strongest association to migraine were gender, education, and SRQ in decreasing order.
Kowacs
F
F
Serviço de Neurologia e Pós-Graduação em Medicina, Clínica Médica, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul School of Medicine, Brazil. fkowacs@yahoo.com
Socal
M P
MP
Ziomkowski
S C
SC
Borges-Neto
V F
VF
Toniolo
D P
DP
Francesconi
C R M
CR
Chaves
M L F
ML
D000328:Adult; D000367:Age Factors; D001007:Anxiety / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D004522:Educational Status; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008403:Mass Screening; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D008881:Migraine Disorders / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D011565:Psoriasis / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D012647:Self-Assessment; D012737:Sex Factors