Mental disorders, social and demographic characteristics of patients with chronic and episodic migraine

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OBJECTIVE

To compare socio-demographic, clinical and psychological characteristics and comorbid mental disorders in patients with chronic migraine (CM) and episodic migraine (EM).

MATERIAL AND METHODS

Eighty patients with migraine (40 with CM (16 men and 24 women, mean age 33.5±6.1 years) and 40 with EM (9 men and 31 women, mean age 31.4±5.7 years) were examined. All patients were interviewed and tested with psychometric methods. Socio-demographic and clinical-psychological characteristics were determined in all patients. The psychiatrist assessed the mental status of patients and diagnosed comorbid mental disorders according to the ICD-10 criteria.

RESULTS

Symptoms of depression, high levels of trait and state anxiety, and a tendency to emotional inadequacy of response were more common in CM patients than in EM patients (p<0.05). Mental disorders, predominantly of the anxiety-depressive spectrum, were more common in CM patients than EM patients (OR (95% CI)=2.54 (2.03 to 2.98, p<0.001). Seventy-five percent of CM patients had more than one psychiatric diagnosis, almost a quarter of CM patients had schizotypal disorder, which is significantly higher than in EM patients (OR (95% CI)=1.99; 1.03 to 2.42, p<0.001). There were more unmarried, single (without constant partner), unemployed, high-education patients in the CM group than in the EM group. The negative impact of headache on the daily activity of patients was significantly higher in the CM group than in the EM group (p<0.05).

CONCLUSION

Mental disorders and psychological features (anxiety, depression symptoms, a tendency to emotional inadequacy of response) are more common in CM patients than in EM patients. The presence of these factors may contribute to the chronification of migraine.

Keywords:

chronic migraine

episodic migraine

socio-demographic

clinical and psychological characteristics

anxiety

depression

comorbidity

mental disorders

Authors:

Golovacheva V.A.

Sechenov First Moscow State Medical University (Sechenov University)

ORCID: 0000-0002-2752-4109

Golovacheva A.A.

Sechenov First Moscow State Medical University (Sechenov University)

ORCID: 0000-0002-2845-7323

Romanov D.V.

Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

ORCID: 0000-0002-1822-8973

Volodarskaya E.A.

Vavilov Institute for the History of Science and Technology

ORCID: 0000-0001-9879-0036

Received:

04.04.2023

Accepted:

20.10.2023

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