Headache, Depression and Anxiety Comorbidity in General Practice

  • Lelde Keiša (Speaker)
  • Aleksandra Mezecka-Oleinika (Co-author)
  • Ārija Ancāne (Co-author)

Activity: Talk or presentation types › Poster presentation

Description

Headache disorders are one of the major public-health concerns.The aim of the study was to find out the comorbidity of headache, depression and anxiety and how analgesics and pain intensity affect depression and anxiety.. This was a prospective study, carried out in a general practice and involved 116 adult respondents. Respondents were invited to complete a Generalized Anxiety Disorder Assessment (GAD-7), Patient Depression Questionnaire (PHQ-9), Visual analogue scale (VAS). Statistical analysis was performed with SPSS 22.0, we used The Mann-Whitney test and Chi-square test.. In total we included 116 respondents, 20.7% men and 79,3% women. The mean age of the group was 40.1, age group 23-72 years. Out of all respondents 68.1% had headaches (group1) and other did not (group2). Of these respondents with headache: 32.9% had chronic, 67,1% acute headache. Mean pain intensity was 4.67 (VAS). Mostly used analgesics were NSAI 74%, followed by non-opioid analgesics and triptans. During last month 59.5% of respondents took analgesics for 1-4 days. PHQ showed normal 49,1%, mild 25%, moderate 18.1%, moderately severe 5.2%, severe 2.6% depression among respondents. And normal 55.2%, mild 28.4%, moderate 12.9%, severe 3.4%. level of anxiety. Higher depression (p=0.01) and anxiety (p=0,03) score were significantly associated with headache. Data analysis indicated significantly higher score of VAS in group of chronic headaches, then in acute headaches(p=0.03). There was no statistically significant difference in depression (p=0.18) and anxiety (p=0.8) between respondents with an acute and chronic headache.. The results of the study show that a large number of respondents experience headaches. Also, patients with headaches have depression and anxiety as a comorbidity. The results are important to notice the possibility of the presence of depression and anxiety when working with headache patients, which would allow for faster management. 
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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