Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2025
Psychiatric symptoms and quality of life in patients with Idiopathic Intracranial Hypertension- A cross-sectional study.
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Sharma Vaishali, Sahoo Swapnajeet, Avti Pramod, Ray Sucharita, Chakravarty Kamalesh
Аннотация
OBJECTIVE: Patients with Idiopathic Intracranial Hypertension (IIH) frequently have co-existent psychiatric symptoms and poor quality of life. There is very limited literature evaluating these aspects among patients with IIH. We aimed to evaluate the psychiatric symptoms and quality of life in patients IIH using validated screening instruments.
METHODS: In this cross-sectional study, 60 newly diagnosed IIH patients and 40 age- and gender-matched healthy controls were enrolled. Headache severity was assessed through HIT-6 and MIDAS questionnaires. Patient Health Questionnaire-9, Patient Health Questionnaire-15, General Anxiety Disorder-7, WHO Disability Assessment Scale, and WHO Quality of Life Bref were used for the screening of depression, somatization, anxiety, disability, and quality of life respectively.
RESULTS: The mean age of patients was 36.62 ± 9.47 years, with 88 % being female. IIH patients had higher BMI of 27.81 ± 5.24 and had a MIDAS Score of 27.71 ± 20.5 and 51.50 ± 13.40 HIT-6 Score. Compared to controls, IIH patients had significantly higher scores on depression (PHQ-9), somatization (PHQ-15), and anxiety (GAD-7) (all p < 0.001), along with greater disability (WHODAS 2.0, p < 0.001) and poorer QOL (WHOQOL-BREF, p = 0.002). Depression and somatization positively correlated with BMI, and depression showed a significant association with headache severity (MIDAS, HIT-6).
CONCLUSION: Psychiatric symptoms and impaired QOL are common in IIH patients and are linked to both disease severity and BMI. These factors may all contribute to a higher disease burden. IIH patients should be screened for coexisting psychiatric issues to ensure effective management alongside routine medical care.
METHODS: In this cross-sectional study, 60 newly diagnosed IIH patients and 40 age- and gender-matched healthy controls were enrolled. Headache severity was assessed through HIT-6 and MIDAS questionnaires. Patient Health Questionnaire-9, Patient Health Questionnaire-15, General Anxiety Disorder-7, WHO Disability Assessment Scale, and WHO Quality of Life Bref were used for the screening of depression, somatization, anxiety, disability, and quality of life respectively.
RESULTS: The mean age of patients was 36.62 ± 9.47 years, with 88 % being female. IIH patients had higher BMI of 27.81 ± 5.24 and had a MIDAS Score of 27.71 ± 20.5 and 51.50 ± 13.40 HIT-6 Score. Compared to controls, IIH patients had significantly higher scores on depression (PHQ-9), somatization (PHQ-15), and anxiety (GAD-7) (all p < 0.001), along with greater disability (WHODAS 2.0, p < 0.001) and poorer QOL (WHOQOL-BREF, p = 0.002). Depression and somatization positively correlated with BMI, and depression showed a significant association with headache severity (MIDAS, HIT-6).
CONCLUSION: Psychiatric symptoms and impaired QOL are common in IIH patients and are linked to both disease severity and BMI. These factors may all contribute to a higher disease burden. IIH patients should be screened for coexisting psychiatric issues to ensure effective management alongside routine medical care.