Phobias, other psychiatric comorbidities and chronic migraine

Background: Comorbidity of chronic migraine (CM) with psychiatric disorders, mostly anxiety and mood disorders, is a well-recognized phenomenon. Phobias are one of the most common anxiety disorders in the general population. Phobias are more common in migraineurs than non-migraineurs. the clinical p...

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Detalhes bibliográficos
Autores: Corchs, Felipe, Mercante, Juliane P. P., Guendler, Vera Z., Vieira, Domingos S. [UNIFESP], Masruha, Marcelo R. [UNIFESP], Moreira, Frederico R., Bernik, Marcio, Zukerman, Eliova, Peres, Mario F. P. [UNIFESP]
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2006
País:Brasil
Recursos:Universidade Federal de São Paulo (UNIFESP)
Repositório:Repositório Institucional da UNIFESP
Idioma:português
OAI Identifier:oai:repositorio.unifesp.br:11600/29272
Acesso em linha:http://dx.doi.org/10.1590/S0004-282X2006000600012
http://repositorio.unifesp.br/handle/11600/29272
Access Level:Acceso aberto
Palavra-chave:headache
migraine
anxiety
phobias
Descrição
Resumo:Background: Comorbidity of chronic migraine (CM) with psychiatric disorders, mostly anxiety and mood disorders, is a well-recognized phenomenon. Phobias are one of the most common anxiety disorders in the general population. Phobias are more common in migraineurs than non-migraineurs. the clinical profile of phobias in CM has never been studied. Method: We investigated the psychiatric profile in 56 patients with CM using the SCID I/P interview. Results: Lifetime criteria for at least one mental disorder was found in 87.5% of the sample; 75% met criteria for at least one lifetime anxiety disorder and 60.7% of our sample fulfilled DSM-IV criteria for lifetime phobic avoidant disorders. Mood and anxiety scores were higher in phobic patients than in non-phobic CM controls. Number of phobias correlated with higher levels of anxiety and depression. Conclusion: Phobias are common in CM. Its recognition may influence its management. Early treatment may lead to better prognosis.