بررسی فراوانی انواع سردرد و عوامل موثر بر آن در خانمهای مبتلا به اختلالات روانپزشکی مراجعه کننده به بیمارستان 22 بهمن در سالهای 91-

Subject Areas : علوم پزشکی

Mohsen Mahdi nejad ¹ , Nooshin Hemati ² , Hamid reza Arshadi ³

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Received: 2017-06-05 Accepted : 2017-06-05 Published : 2014-11-22

Keywords: migraine, Tension-type headache, Major depression disorder, Anxiety disorder,

Abstract :

Background: epidemiological studies have shown that there is a mutual relationship between psychiatric disorders and headaches. So that people with psychiatric disorders are more suffer from headache and patients with headache are more suffer from mental disorders. Objective: the aim of this study is determining prevalence of headache and its influencing factors in women with psychiatric disorders Method: This study was a cross - sectional investigation. Participants in the study included 175 female patients with psychiatric disorders, which are selected by random sampling. Data was collected through questionnaire and interview. Depression was diagnosed according to DSM4. And headache was diagnosed according to IHS criteria. Results: The mean age of the patients, was 38.2 year old and the highest frequency age range was 31-40 year old. Through 95 patients who had headache, patients with major depression and generalized anxiety disorder had the highest incidence of headaches. The prevalence of headache in patients with major depressive disorder was 63.6% that there was no significant difference in the prevalence of migraine and tension-type headache. The prevalence of headache in patients with anxiety disorders was 56.6%, that the most common headache was migrain. The prevalence of headache in patients with bipolar disorder was 37.2%, that the most common headache was migrain. The prevalence of headaches in patients with schizophrenia was 42.9%, that the most common headache was tension-type headache. most headaches (67.4%) start after the onset of psychiatric disorders that can confirm the role of creating or exacerbating headaches Discussion and conclusion: Finally, this study indicated that female patients with psychiatric disorders are commonly suffer from headache and this can have a significant impact on their quality of life and this study shoes that as we take psychiatric story from patients with headach we should also take the headache histories from psychiatric patients, to treat patients better.    

References:

1-Cumbie SA, Conley VMC, Burman ME. Advanced Practice nursing model for comprehensive care with chronic illness: model for promoting process engagement. Advances in Nursing Science: Nursing Care Management. 2004; 27: 70- 80.

2- Kaplan H, Sadouk B. Abstract of clinical psychiatry. First edition, publication of Hayyan.1996;153-158.

3- Yasamy MT, Sardarpour Goudarzi SH, AminEsmaeeli M, Mahdavi N, Ebrahimpour A & et al. practical Mental health for general And family particitioner. publication of Aramesh. Tehran. 2005;67-72.

4- Cross-national comparisons of the prevalence and correlates of mental disorder. WHO International Consortium in Psychiatric Epidemiology. Bull. World Health Organ. 2000; 78: 413-26.

5- Alonso J. Angermeyer MC, Bernert S, et al.prevalence of mental disorders in Europe: results from the European study of the epidemiology of mental disorders. (ESEMeD)project. Acta Psychiatr Scand Supp. 2004;420: 21-7.

6- Afshari Monfared G, BAgheriyazdi SA, Bolhari J. Epidemiologiy of mental disorders among referrals to public health clinics in Semnan. J teb & tazkieh. 1997; 10- 15.

7- Palahang H, Nasr M, Barahani MT, Shah Mohammadi D. Epidemiology of mental Iiiness in Kashan city . ndisheh va Raftar J.2003; 2: 19-27.

8- GHasemi GH R, Asadollahi GHA, Ahmadzadeh GH H, NAjmi B, PAlahang H. Prevalence of mental disorders in Esfahan city, research in medicine sciences J.1996; 190- 4.

9- Noorbala AA, BAgheri yazdi SA. Prevalence of psychiatric disorders in Tehran city, Hakim J. 1999; 2: 212-24.

10- Breslau N, Lipton RB, Stewaf WF, Schultz LR, Welch K. Depression-migraine linked to major depression. Neurology. 2003; 60: 1308- 12.

11- Fasmer OB. The prevalence of migraine in patients with bipolar and unipolar affective disorders. Cephalalgia. 2001;  21:894-899

12- Sadock Benjamin J, Sadock Virginia A.Synapsis of psychiatry.10th ed.Philadelphia:Wolters Kluwer/Lippincott&Wilkins.2007;791-812.

13- Gelder MG, Lopez-Ibor JJ, Andreasen N. New Oxford Textbook of Psychiatry. First edition. Oxford: Oxford University Press.2003;719-812.

14- Sadock Benjamin J, Sadock Virginia A.Comprehensive textbook of psychiatry.9th ed.Philadelphia:Wolters Kluwer/Lippincott Williams & Wilkins. 2009; 2: 2197-40.

15- Merikange KR, Steven DE, Meridangas SR. Tyramine conjugation deficit in migraine and depression, Journal of Biopsychiatry.1995; 38(11):730-736.

16- Pine D, Sicohen P, Brouch J. The association between major depression and headache, Journal of psychopharmacalogy.1996; 6(3):153-156.

17- Breslau N, Schulte LR, Stewart WF. Headache and major depression. Neurology.2000;54(2): 308-313

18- Holroyd KA, Stensland M, Lipehik G. Psychosocicl correlates and impact chronic tension- type headache, Headache.2000; 40(1): 3-16.

19- Endicott NA. Psycho physiological correlate of  bipolarity. I Affect disord. 1989; 17: 47-56

20- Gardner K. The genetic basis of migraine: how much do we know? Can J Neural Sci. 1999; 52:239-41

21- Gelernter J. Genetic of bipolar affective disorder: time of another reinvention? Am J Hum Genetic. 1995;56:1262-6.

22- Hargreaves RJ, Shephered SL. Pathophysiology of migraine new insights. Can J Neural Sci. 1999;26:12-19.

23- Shiah IS, Ko HC, Lu RB. Platelet 5-HT and plasma MHPG level in patient with bipolar1 and bipolar2 depression and normal controls.J Affect disord.1999; 52:101-10.

34- Merikangas KR, Stevens DE. Comorbidity of migraine and psychiatric disorders. Neurologic clinics. 1997; 17: 93-100.

35- Robins L. management of headache medication. Brain. 2000; 4(2): 33-9.

26- Kjernisted K, Bleau P, Earle R, Kennedy S, Ungar T. Beyond the blues: effective management of anxiety and depression. Medical post. 2003; 39(43):31-7.

27- Wren FJ, Scholle SH, Heo J.Pediatric mood and anxiety syndroms in primary care: who gets identified? Int J Psychiatry in medicine. 2003/2004; 33(1): 16.

28- Hettema JM, Neale MC, Kendeler K S. A review and meta-analysis of the genetic epidemiology of anxiety disorder. The Am J Psychiatry. 2001; 158(10): 1568-76

29- Lipton RB, Bigal ME.Migraine and other Headache Disorders.1st ed. New York: Taylor & Francis group; 2006. p.1-54

30- Simon RP, Greenberg DA, Aminoff MJ. Clinical neurology.7th ed. New York:McGraw Hill;2009.p.85-90

31- Luis EM. Migraine Headache. Am Fam Physician. 2002; 1: 1-5.

32- Adams RD. Headache and other craniofacial pains. In: Adams and Victor's. Principles of Neurology. 9th ed. NewYork: McGraw Hill Company; 2001.p.181-83.

33- Lance YW. Headache and face pain: migraine. In: Swash M.; Oxbury Y. Clinical Neurology. 2nd ed. NewYork: Churchill Livingstone; 1991.p.326-51.

34- Rasmussen BK, Stewart WF. Epidemiology of migraine. In: Olsen J, Tefelt P, Welch MA. The headache. 14th ed. Philadelphia: Lippincott Williams & Wilkins; 2000.p.227-35.

35- Goadsby PJ, Raskin NH. Headache.In:Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, et al. Harrison's principles of internal medicine.17th  ed.New York:McGraw Hill.2008; 1: 96-101.

36- Rapoport AM. Advanced therapy of headache. 2nd ed. London: B.C. Decker, Hamillton Louis; 1999.p.25-28.

37- International Classification of Headache Disorders, 2nd edition. Headache Classification Subcommittee of the International Headache Society. Cephalalgia. 2004;24(Suppl 1):8-152

38- Marcus DA. Migraine and tension type headaches: The questionable validity of current classification systems. Pain. 1992; 8(1): 28-36.

39- Silberstein SD, Lipton RB, Goadsby P. Headache in clinical practice. 2nd ed. London and York: Martin Dunitz; 2002.p.11-30.

40- سلطان زاده ا. بیماری‌های مغزو اعصاب و عضلات. تهران: نوردانش. 1380; 199.

41- Holey E, Cook E. Therapeutic massage. Philadelphia: WB Saunders; 1998. p. 33-92-94.

42- Mercante, JPP, Peres, MFP, and Bernik, MA. “Primary headaches in patients with generalized anxiety disorder.” Journal or Headache Pain. 2011 June; 12(3): 331–338.

43- Samaan Z, Farmer A, Cradoch N, et al. “Migraine in recurrent depression: case-control study,” Br J Psychiatry. 2009;194(4): 350-354.

44- R. Senaratne, M. Van Ameringen, C. Mancini, B. Patterson, and M. Bennett, “The prevalence of migraine headaches in an anxiety disorders clinic sample,” CNS Neuroscience and Therapeutics. 2010;16(2):76-82.

45- Dilsaver SC Franco Benazzi F, Oedegaard KJ, Fasmer OB, Akiskal KK, Akiskal HS. “Migraine headache in affectivly ill Latino adults of Mexican American origin is associated with bipolarity,” Prim Care Companion J Clin Psychiatry. 2009;11(6):302-306.

46- Ortiz, P. Cervantes, G. Zlotnik et al., “Cross-prevalence of migraine and bipolar disorder,” Bipolar Disorders. 2010;12(4):397-403.

47- Marchesi C, De Ferri A, Petrolini N, et al. “Prevalence of migraine and muscle tension headache in depressive disorders,” J Affect Disord. 1989;16:33-36.

48- R. S. McIntyre, J. Z. Konarski, K. Wilkins, B. Bouffard, J. K. Soczynska, and S. H. Kennedy, “The prevalence and impact of migraine headache in bipolar disorder: results from the Canadian Community Health Survey,” Headache. 2006;46(6):302-306.

49- K. J. Oedegaard and O. B. Fasmer, “Is migraine in unipolar depressed patients a bipolar spectrum trait?” Journal of Affective Disorders. 2005;84(2): 233–242.

50- فارسی ز.، جباری م.، مرکزی مقدم ن.، "بررسی فراوانی سردردهای میگرنی در بیماران مبتلا به اختلال افسردگی اساسی بستری در بیمارستان های تهران"، مجله علمی پژوهشی دانشگاه علوم پزشکی ارتش جمهوری اسلامی ایران. پاییز 84 ; 3(3) :629 – 633.

51- موسوی س.، تقوی ا.، مرکزی مقدم ن.، جباری م.، " بررسی فراوانی سردردهای میگرنی در بیماران بستری با تشخیص اختلال دو قطبی تیپ یک در بیمارستان 501 ارتش"، مجله علمی پژوهشی دانشگاه علوم پزشکی ارتش جمهوری اسلامی ایران. پاییز 83 ; 2(3) :395 – 399.

52- Fasmer OB, Oedegaard KJ. Clinical characteristics of patients with major affective disorders and comorbid migraine. World J Biol Psychiatry. 2001;2: 149-155

53- Dilsaver, SC et al. “Is a family history of bipolar disorder a risk factor for migraine among affectively ill patients?” Psychopathology. 2009;42(2):119.23.

54- Breslau N, Davis GC, Schultz LR, Peterson EL. Migraine and major depression. A longitudinal study. Headache. 1994;34:387–93.

55- Merikangas KR, Rasmussen BK. Migraine comorbidity. In: Olesen J, Tfelt-Hansen P, Welch KMA, editors. The headaches. Philadelphia, PA: Lippincott Williams & Wilkins; 2000. p. 235–42.

56- Breslau N, Schultz LR, Stewart WF, Lipton RB, Lucia V, Welch KMA. Headache and major depression: is the association specific to migraine?Neurology. 2000;54:308–13.

57- Breslau N, Lipton RB, Stewart WF, Schultz LR, Welch KMA. Comorbidity of migraine and depression. Neurology. 2003;60:1308–12.

58- Lance JW. Mechanisms and management of headache. Boston: Butterworth-Heinemann; 1993.p. 39-46.

59- Schoenen J, Wang W. Tension-type headache. In: Goadsby PJ, Silberstein SD, editors. Headache. Boston: Butterworth-Heinemann; 1997.p. 177–200.