[Psychiatric comorbidities decrease quality of life in chronic migraine patients].
BACKGROUND
Chronic migraine is a common, debilitating condition affecting quality of life and social functioning with significant impact. Migraine is highly comorbid with anxiety and mood disorders, but little is known about psychiatric comorbidities impact in the migraine patient quality of life.


METHODS
Fifty patients with chronic migraine diagnosed according to the International Headache Society (2004) were interviewed and met diagnostic criteria for mental disorders, according to the structured interview SCID-I/P and were evaluated by the SF-36 Health Survey questionnaire. Patients were divided in the following groups: chronic migraine with both mood and anxiety disorders, with only anxiety disorders, with generalized anxiety disorder, with only a mood disorder, and without psychopathology. The scores in the group without psychopathology were compared with the other groups. All eight domains of the SF-36 scale were compared in those groups.


RESULTS
Significantly lower (p<0.05) quality of life was found on all eight SF-36 domains for CM psychiatric comorbidity patients compared to no-co morbidity patients. On the SF-36 General Health domain alone, quality of life was not significantly lower for all four CM psychiatric comorbidity groups. On the SF-36 Physical Aspects domain alone, quality of life was not significantly lower only for the Anxiety Disorders group.


CONCLUSIONS
Chronic migraine comorbidity with mental disorder is a significant factor affecting patients' quality of life.
Mercante
Juliane Prieto Peres
JP
Instituto de Ensino e Pesquisa, Hospital Israelita Albert Einstein, Rua Maestro Cardim 887, 01323-001 São Paulo, SP, Brazil. julianeperes@terra.com.br
Bernik
Marcio Antonini
MA
Zukerman-Guendler
Vera
V
Zukerman
Eliova
E
Kuczynski
Evelyn
E
Peres
Mario Fernando Prieto
MF
D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D002908:Chronic Disease; D015897:Comorbidity; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D008881:Migraine Disorders / Q000453:epidemiology* / Q000523:psychology; D011788:Quality of Life; D011795:Surveys and Questionnaires