title: Study of psychiatric comorbidity in patients with headache using a short structured clinical interview in a rural neurology clinic in Western India.
abstract: BACKGROUND
  Psychiatric disorders are common in patients attending neurology clinics with headache. Evaluation of psychiatric comorbidity in patients with headache is often missed in the busy neurology clinics.
  
  
  OBJECTIVE
  To assess the prevalence of Axis-I DSM-IV psychiatric disorders in patients with primary headache disorders in a rural-based tertiary neurology clinic in Western India.
  
  
  METHODS
  : A cross-sectional observation survey was conducting assessing all patients with migraine, tension-type headache and chronic daily headache attending the Neurology Clinic of Shree Krishna Hospital, a rural medical teaching hospital in Karamsad, in Gujarat in Western India.
  
  
  METHODS
  A total of 101 consecutive consenting adults with headache were interviewed using Mini International Neuropsychiatric Interview (M.I.N.I.), a structured diagnostic clinical interview to assess prevalence of Axis-I DSM-IV psychiatric disorders.
  
  
  METHODS
  Descriptive statistics were calculated using SPSS software version 16 and a binomial regression model was used to study the relationship of psychiatric co-morbidity with patient-related factors.
  
  
  RESULTS
  49 out of 101 (48.5%) patients with headache suffered from depressive disorders (dysthymia or depression or suicidality), 18 out of 101 patients with headache (17.90%) suffered from anxiety related disorders (generalized anxiety disorder or agoraphobia or social phobia or panic disorder).
  
  
  CONCLUSIONS
  Axis-I psychiatric disorders are a significant comorbidity among patients with headache disorders. M.I.N.I. can be used as a short, less time consuming instrument to assess all patients with headache disorders.
authors.affiliation: Department of Neurology, Pramukhswami Medical College and Consultant Neurologist, Shree Krishna Hospital, Gujarat, India.
authors.forename: Soaham Dilip
authors.initials: SD
authors.lastname: Desai
authors.affiliation: Department of Neurology, Pramukhswami Medical College, Karamsad, Anand, Gujarat, India.
authors.forename: Radhika Himanshu
authors.initials: RH
authors.lastname: Pandya
keywords: Anxiety; depression; headache; migraine; tension-type headache