Prevalence and socio-demographic and clinical correlation of migraine in depressive disorder – A cross sectional study

Authors : Krishnadas N C, Fazal Ghafoor P A, Asfia Khaleel, Rajmohan Velayudhan, Raghuram T M

DOI : 10.18231/2455-8451.2018.0020

Volume : 4

Issue : 2

Year : 0

Page No : 78-81

Introduction: Studies have shown an association between migraine and psychiatric disorders like depression where a bidirectional etiology exists.
Aim: To study the prevalence of migraine among depressed patients and to correlate the severity of migraine and depression.
Methodology: The included 152 outpatients who were diagnosed with depressive disorder and recurrent depressive disorder using the ICD 10 diagnostic criteria. They were then given the Hamilton Depression Rating Scale (HAM-D). Migraine was diagnosed using the International Headache Society (IHS) diagnostic criteria of migraine and rated using the Migraine Disability Assessment Score (MIDAS). Data were analyzed using chi-square test, independent sample t test and Pearson’s correlation.
Results: The study included 152 patients with depression. There is a 35.5% prevalence of migraine was seen in depressed patients. In 75.9% of cases, migraine was previously un-diagnosed. There was a significant association between presence of migraine and female sex (?²= 5.32, p=0.02), student status (?² =; 1.5 p<0.001), low socio-economic status (?²=25.8p<0.001), current status of depression (?²=5.45; p=0.015), severity of depression (?²=38.3; p=0.023), non-psychotic depression (?²=23.6; p<0.001), death wishes (?²=21.8; p<0.001), fewer episodes of depression (t=2.34; p=0.02) and medical co-morbidity (?²=19.3; p<0.001).
Conclusion: The study clearly shows a high prevalence and non-detection of migraine in depressives and shows that non-psychotic depression, death wishes and medical co-morbidity significantly predicts migraine.

Keywords: Migraine, Depression, Headache, MIDAS, HDRS.

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