FREQUENCY

depression migraine

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Author: BHURGRIGHULAMRASOOL, Bilawal, Shamim-ur-Rehman, Raj Kumar, ANISREHMAN

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SUMMARY

In this prospective study of patients who were enrolled migraineous wre manifested symptoms of psychiatric morbidity was significantly depression.There was necessay all headaches treated aand find symptomatically.It proved that we can not ignore the Chace of dpression in cases of migraine in particular in women.



Key words: migraine, depression, psychiatry, men, women, cluster, tension

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INTRODUCTION:

“Migraine is a disease caused by mysterious pulsating headache (feeling rations, fullness in the forehead), characterized restrictedto usually on one side that comes in attacks during 4-48 hours and is often with nausea, vomiting, sensitivity to light and sound, dizziness, loose motions and other symptoms. (Tripathi, 2006)

“Migraine is a very common type of headache, with a prevalence of 10-12% of migraine is 19 among all diseases”

(Headache 2004)

“Migraine is a complex disease Inwich inviromental many psychological, biochemical, neurophysiological and genetic factors play a role in tiger attacks. The diagnosis is based on headache and associated symptoms indicated characetrized Company Internationl headache” ( westermanCJetal 2003)

“The typical headache is unilateral, throbbing, and can severe.If untreated, the migraine usually lasts 4-72 hours. The attacks are usually with nausea, vomiting, or sensitivity to sound, Light and movement.In or supplement this is migraine with aura by focal neurological symptoms that usually visual and can occur before, during or flow from the pain attacks marked the head. “(Stewart WF et al 1994)

Thereare two types of migraine without aura headaches.The first migraine (formerly called migraine) is severe, unilateral headache that the pulse lasts usually 2 to 72 are often headache hours.These aggrivated by physical activity and accompanied by nausea, vomiting, photophobia (hypersensitivity to light) and phonophobia (hypersensitivity to sound.Approximately 85% of patients with migraine have called migraine aura.In second type with aura (previously classic migraine) headaches with neurological symptoms preceded auras that be visual, sensory and / or speech output or cause the most. often, these early symptoms may be visual appearance starts about 20 to 40 minutes before the headache. ran in five percent of migraine patients with headache of the Aura, the Aura allows even headaches diagnosis.The in migraine with or without aura is similar.For two typesmigraines three cases, women rather thanmen either type of migraine experience.

developed

migraine chance he affected tenency family, women more than men, he sided variables at the beginning, marked by pulsation, heat throbing.Cluster random family, men are more than the females, they developed during the sleep, the back or around the head by

strong, stable labeled.

voltage type is the history of the family, he developed under stress, bilateralcharacterized persistentent by blunt type. (Richard D et al 2006)

‘could mean depression is a symptom of the feeling that meloncholic or poor in spirit, or the syndrome of depression is characterized depression, lack of enjoyment, reduced energy and mean changes in appetite, sleep and libidpolic. (AWCLARE 1998)

significant

“Clinical depression can often lead one of the main causes of disability and succide.Medically unexplained symptoms of depression are referred to as chronic fatigue, chronic widespread pain, weight loss and impairment conginitive (pseudo-comorbidity deprssive Dpression). refers to a disease is a disability increased, decreased compliance with medical treatment and rehiltation and can even search shorted expectancy.Recent life suggests that patients with major depressive disorder die shortly after a myocardial infarction or stroke, earlier than even if the severity the disease is controlled. (Lloyd & Sharpe MC 2002).



“It is generally accepted that the limbic system plays a role in the control and expression of structures from a emotion.These reverbrating (Papez) cercuit inwhich inputs from several cortical regions, particularly in the perception are involved, along with other inputs to the brain and spinal system cord.Output hypothelmus fed mainly due to hormones and the brain stem reticular formation and self-nucleation. The hypothelmus plays a role in hormonal disturbabce depression.The reticular formation and self-contol nucleation and aroused autonomic function, which contains both are often altered in the limbic system also depression.The structure is in the control group displayed memory involved depressed patients often express their fears about the memories of past negative Disorted events.The limbic system as a Regulatory Framework for the emotional and 5HT neurons in these brain areas states.Noradrenergic abuond, and a close link with the system of action LHRA axis provides images affect these systems could be related to depression. “(cantopher1991).

depression.Major types of depression is probably one of the most common forms of depression, lack of interest, on foot with the weight of the world on his shoulder sound, ATAT desperate lack of interest in sexual activity and decreased appetite and weight loss.



atypical depression-Somtimes people experience happiness, but fatigue, sleepiness, hyperphagia depressio weightgain.typical can take months or suffering can live forever with him.



-psychotic depression psychotic start dpression the individual to hear and see things imajinory sound and visual Voices donot exist.



dysthymia, the feel of each meloncholic.it sad, blue or marked is a condition that people are not even aware of, but live each day, life is unimportant, dissatisfied, anxious, and all just life donot enjoy.



Manic Depression: It is strongly exuted, affective disorders, suffer from manic depression, have an extremely high rate of succide (All Berhman 2004)

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METHODS:

We

Consent hundred and two patients atMedical reports and psychiatric outpatient Muhammad Medical College Mirpurkhas Sindh, between March 2007 and April 2008.These patients were interwiewed the presence of symptoms of depression concomittently tested with migraine half / head.Depressive symptoms of depression scale and clinical interview were measured, cry, lonlelessness, sadness, confusion was raised important issues during interviews with migraine.

results

: There was thirty-seven men (36.27%) and sixty-five women (63.72%) who were studied during attacks of headache, were 17 (45.9%) patients with symptoms of depression and 43 (66.1%) women developed symptoms of depression in cases of migraine.


treatment summary

business

included

excluded

Total

N

percent

N

percent

N

percent

case study *

total presence of depression in female patients migraineous

43

42.2%

59

57.8%

102

100.0%

Female patients in the study * presence of depression in female patients migraineous

43

42.2%

59

57.8%

102

100.0%

Male patients in the study * presence of depression in female patients migraineous

37

36.3%

65

63.7%

102

100.0%

case study *

total presence of depression in male patients migraneous

17

16.7%

85

83.3%

102

100.0%

Female patients in the study * presence of depression in male patients migraneous

17

16.7%

85

83.3%

102

100.0%

Male patients in the study * presence of depression in male patients migraneous

17

16.7%

85

83.3%

102

100.0%

DISCUSSION:

There is evidence that women were more likely than men in our study.There 66.1% women, 45.9% of depressive symptoms in male diagnosis of female patients and malnourished migraines.Majority tears in the creation of history and were the most important of depressive symptoms seen in migranious patients.From summary tables and charts has been shown that women are more affected than men in this study.It means that depressive symptoms were more common in women during the interviews in this stydy.



“One result of recent research has shown that the treatment for both migraine and depression, the patient can both disorder.Astudy on people with migraine or benefit has been carried out headahes break at the age of 25to 55.When combordity their psychiatric ass Resaerch found that the risk of migraine in people with pre-existing depression Mjor Highet was three times that there was depression in people with pre-existing migraine in persons with no history of major depression never depression.More great risk Major more than five times than hiher those without a history of headaches.However there was no relationship between major depression and other types of severe headache (MrMARY Ayres2003)

“Many migraine sufferers have noticed that sometimes, migraine and depression seem to go together and there is strong evidence, but it is unclear whether migraine affects on the treatment of symptoms of depression or depression treatment affects symptoms migraine “(MMA2008)

Throbbing headache, and depression can have related.Infact the frequency of the attacks were five times more likely to increase other.Migraine than those without the headaches of developing major depression at study of the Ford Henrry system.Those Health Study, which Depression began were performed three times more likely to develop severe depression migraines.With more was at risk, a migraie first time that non-individuals dopressed. And people who live with migraine at greater risk appear for a first attack of the biological disturbances depression.Both are br with possible brain chemical or hormone. “(PT Employees 2007).



“The frequency of recurring headaches didnot very significantly with age, but girls had a headache are common complaints among young Norwegian soatic, particularly among girls” (2004 Zwartjes and al).



researchers examined 949 women with migraine about their history of abuse, deprssion and characteristics of headaches, forty percent of women reported chronic headaches for more than 15 headache during the month, and 72% very severeheadache diability.Physically connection and sexual abuse in 38% to 12% scoppata reportedboth physical and sexual abuse in the association between migraine and depression has been reported, is good past.The established, the mechanism is butthe certain.The UN study found women with migraine, the great deprssion were twice as likely thebabuse child.If coninued age of 12 years, women were five times more likely to report migraine with depression (Science dily2007).



“Major depression increases the risk of depression, migraine and same.The bidirectional, with each disorder increasing the risk of developing other, was not observed with other severe headaches were two as direcly proportional to the side. (NBreslaw , et al 2003)

It was proven that the nature of the bases migraine depression untreated, could monitor the same mechanism in severe cases of depression lead to type headache.Females migraines were more than doubt males.No migranous core translated affected depression.

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Migraine