title: Phobias, other psychiatric comorbidities and chronic migraine.
abstract: BACKGROUND
  Comorbidity of chronic migraine (CM) with psychiatric disorders, mostly anxiety and mood disorders, is a well-recognized phenomenon. Phobias are one of the most common anxiety disorders in the general population. Phobias are more common in migraineurs than non-migraineurs. The clinical profile of phobias in CM has never been studied.
  
  
  METHODS
  We investigated the psychiatric profile in 56 patients with CM using the SCID I/P interview.
  
  
  RESULTS
  Lifetime criteria for at least one mental disorder was found in 87.5% of the sample; 75% met criteria for at least one lifetime anxiety disorder and 60.7% of our sample fulfilled DSM-IV criteria for lifetime phobic avoidant disorders. Mood and anxiety scores were higher in phobic patients than in non-phobic CM controls. Number of phobias correlated with higher levels of anxiety and depression.
  
  
  CONCLUSIONS
  Phobias are common in CM. Its recognition may influence its management. Early treatment may lead to better prognosis.
authors.affiliation: Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Felipe
authors.initials: F
authors.lastname: Corchs
authors.forename: Juliane P P
authors.initials: JP
authors.lastname: Mercante
authors.forename: Vera Z
authors.initials: VZ
authors.lastname: Guendler
authors.forename: Domingos S
authors.initials: DS
authors.lastname: Vieira
authors.forename: Marcelo R
authors.initials: MR
authors.lastname: Masruha
authors.forename: Frederico R
authors.initials: FR
authors.lastname: Moreira
authors.forename: Marcio
authors.initials: M
authors.lastname: Bernik
authors.forename: Eliova
authors.initials: E
authors.lastname: Zukerman
authors.forename: Mario F P
authors.initials: MF
authors.lastname: Peres
mesh_terms: D000328:Adult; D002908:Chronic Disease; D015897:Comorbidity; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000523:psychology*; D010698:Phobic Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D012720:Severity of Illness Index