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 ()

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.    

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