Background: The term chronic daily headache is applied when the headache frequency is ≥15days a month for ≥3 months. Chronic daily headache (CDH) is mainly associated with psychiatric comorbidity. The role of serotonergic system in migraine is documented in hypothesis. Hence; we planned the present study to assess the association of psychiatric morbidity in patients with Chronic Daily Headache. Materials & methods: The present study included assessment of psychiatric morbidity among patients with Chronic Daily Headache in Tertiary Care Population. Patients were diagnosed with chronic daily headache and its subtypes. Two psychiatry comorbidity associations were assessed in this study in patients who fulfilled criteria of chronic daily headache. Those psychiatry comorbidities are Depression and Anxiety. The Hamilton Depression Rating Scale (HAM-D) was used to assess the severity of depressive disorder. All the results were evaluated by SPSS software. Results: Psychiatric Comorbidity was present in 75.5% of patients, Highest in age group of 31-40, 41-50 year age group. Lowest in 51-60 year age group CTTH has more associated psychiatry comorbidity than CM. Conclusion: Psychiatric comorbidity is significantly associated with CDH. CDH’s subtype chronic migraine (CM) & Chronic Tension Type Headache (CTTH) are associated with psychiatric comorbidity in 65.8% and 90% patients respectively.
Key words: Chronic Daily Headache, Morbidity, Psychiatric
Corresponding Author: Dr. S.P. Agiwal, Principal Specialist (M.D. Psychiatry), Mahatma Gandhi Hospital, Bhilwara, Rajasthan, India.
This article may be cited as: Agiwal SP. Chronic Daily Headache with Associated Psychiatric Comorbidity in Tertiary Care Population. J Adv Med Dent Scie Res 2018;6(4):26-28.