Arquivos de neuro-psiquiatria · 2006
Phobias, other psychiatric comorbidities and chronic migraine.
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Corchs Felipe, Mercante Juliane P P, Guendler Vera Z, Vieira Domingos S, Masruha Marcelo R, Moreira Frederico R, Bernik Marcio, Zukerman Eliova, Peres Mario F P
Аннотация
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.
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.