[The comorbidity of major depressive disorder, dysthymic disorder and anxiety disorders with migraine]. / Comorbilidad de trastorno depresivo mayor, trastorno distimico y trastornos de ansiedad con migrana.

INTRODUCTION: Since migraine was first reported it has been associated with psychiatric disorders. This association has clinical repercussions and common genetic, environmental and psychological predisposing factors have been suggested. AIM: To determine the prevalence of anxiety disorders, major depressive disorder and dysthymic disorder as conditions that are comorbid to migraine in patients visiting due to headaches at the Pablo Tobon Uribe Hospital (Medellin, Colombia). PATIENTS AND METHODS: We conducted a cross-sectional analytical study that evaluated all patients aged between 18 and 65 years with migraine according to the International Headache Society criteria who visited during a one-year period. Psychiatric disorders were diagnosed using the Hospital Anxiety and Depression Scale, followed by a semi-structured interview according to criteria in the Diagnostic and Statistical Manual of Mental Disorders IV, Text Revision. RESULTS: A total of 89 patients with migraine were evaluated. The frequency of migraine with aura was 35.9% and that of migraine without aura was 25.8%. The prevalence of major depressive disorder was 21.3%; that of dysthymic disorder was 4.5%; generalised anxiety disorder was 14.6%; social phobia was 6.7%; specific phobia was 5.6%; panic disorder was 5.6%; post-traumatic stress was 4.5% and obsessive-compulsive disorder was 2.2%. Seventeen people (19.1%) had two mental disorders. CONCLUSIONS: Prevalence of the mental disorders evaluated in this group of patients was found to be high. This work suggests the need to evaluate possible common risk and aetiological factors, as well as multidisciplinary treatments for these comorbid states.

Comorbilidad de trastorno depresivo mayor, trastorno distímico y trastornos de ansiedad con migraña / The comorbidity of major depressive disorder, dysthymic disorder and anxiety disorders with migraine

Desde que la migraña fue descrita, se asoció a trastornos psiquiátricos. Esta asociación tiene repercusiones clínicas y se han sugerido factores predisponentes genéticos, ambientales y psicológicos comunes. Objetivo. Determinar la prevalencia de los trastornos de ansiedad, trastorno depresivo mayor y trastorno distímico comórbidos a la migraña,en pacientes de la consulta de cefaleas del Hospital Pablo Tobón Uribe (Medellín, Colombia). Pacientes y métodos. Es un estudio analítico transversal. Se evaluó a todos los pacientes con edades entre 18 y 65 años y migraña según criterios de la Sociedad Internacional de Cefaleas que asistieron a la consulta durante el período de un año. Para el diagnóstico de los trastornospsiquiátricos se usó la escala de ansiedad y depresión hospitalaria, seguida de una entrevista semiestructurada según criterios del Manual diagnóstico y estadístico de los trastornos mentales IV, tratado revisado. Resultados. Se evaluó a 89 pacientes con migraña. La frecuencia de migraña con aura fue del 35,9%, y la de migraña sin aura, del 25,8%. El trastornodepresivo mayor tuvo una prevalencia del 21,3%; el trastorno distímico, del 4,5%; el trastorno de ansiedad generalizada, del 14,6%; la fobia social, del 6,7%; la fobia específica, del 5,6%; el trastorno de angustia, del 5,6%; el trastorno por estrés postraumático,del 4,5%; y el trastorno obsesivo-compulsivo, del 2,2%. Diecisiete personas (19,1%) tenían dos trastornos mentales.Conclusiones. Se encontró una alta prevalencia de los trastornos mentales evaluados en este grupo de pacientes. Este trabajo sugiere la necesidad de evaluar posibles factores de riesgo y etiológicos comunes, así como tratamientos multidisciplinariospara estos estados comórbidos

Since migraine was first reported it has been associated with psychiatric disorders. This associationhas clinical repercussions and common genetic, environmental and psychological predisposing factors have been suggested.Aim. To determine the prevalence of anxiety disorders, major depressive disorder and dysthymic disorder as conditions that are comorbid to migraine in patients visiting due to headaches at the Pablo Tobón Uribe Hospital (Medellín, Colombia).Patients and methods. We conducted a cross-sectional analytical study that evaluated all patients aged between 18 and 65 years with migraine according to the International Headache Society criteria who visited during a one-year period. Psychiatric disorders were diagnosed using the Hospital Anxiety and Depression Scale, followed by a semi-structuredinterview according to criteria in the Diagnostic and Statistical Manual of Mental Disorders IV, Text Revision. Results. A total of 89 patients with migraine were evaluated. The frequency of migraine with aura was 35.9% and that of migraine withoutaura was 25.8%. The prevalence of major depressive disorder was 21.3%; that of dysthymic disorder was 4.5%; generalised anxiety disorder was 14.6%; social phobia was 6.7%; specific phobia was 5.6%; panic disorder was 5.6%; post-traumatic stress was 4.5% and obsessive-compulsive disorder was 2.2%. Seventeen people (19.1%) had two mental disorders. Conclusions.Prevalence of the mental disorders evaluated in this group of patients was found to be high. This work suggests the need to evaluate possible common risk and aetiological factors, as well as multidisciplinary treatments for these comorbid states