Incidence of depression in migraine

FREQUENCY

of depression in MIGRAINE

.

AUTHOR: BHURGRIGHULAMRASOOL, Bilawal, SHAMIM-ur-Rehman, Raj Kumar, ANISREHMAN.

SUMMARY:

In this prospective study, patients were enrolled migraineous who wre the symptoms of depression manifested. There was considerable psychological morbidity was necessay you will find everything migraine aand she treated symptomatically. It turned out that we have the chace to handle the dpression especially in cases of female migraine patients.

Keywords: migraine, depression, psychiatry, men, women, cluster, tension.

INTRODUCTION:

“Migraine is a mysterious disease) characterized by pulsating headache (feeling of weight, fullness over the forehead, usually restrictedto a page in attacks on 4-48hours and is often accompanied by nausea, vomiting, light and sound sensitivity, dizziness, loose motions and other symptoms. “(Tripathi, 2006)

“Migraine is a very common type of headache, with a Prevalence of 10-12%, migraine rank 19 from the disease” (Headache 2004)

“Migraine is a complex disease inwich many psychological, inviromental playing biochemical, neurophysiological and genetic factors play a role in tiger attacks. The diagnosis is based on the basis indicated characetrized headache and associated symptoms Internationl Headache Society (westermanCJetal 2003)

“The typical headache is unilateral, throbbing and be strong. Untreated, migraine attacks last usually between 4 and 72 hours. The attacks are usually associated with nausea, vomiting or sensitivity to sound, light, or movement. In addition to this, migraine with aura is characterized by transient focal neurological symptoms that are characterized in general and can be visual, before, during or river, the headache attacks. “(Stewart WF et al 1994)

“Thereare two types of migraine headaches. The first migraine without aura () used as a common migraine is severe, unilateral, throbbing headache that usually takes 2 to 72 hours. Such headaches are often aggrivated by physical activity and accompanied by nausea, vomiting, photophobia sound (hypersensitivity to light) and phonophobia (hypersensitivity. About 85% of patients with migraine have no aura. The second type of migraine with aura (formerly called classical migraine) which are known ahead of headache with neurological symptoms, visual aura, and can cause sensory or speech or motor deficits. In general, these are harbingers are visual, occurs about 20 to 40 minutes before a headache starts. In the fifteen percent of migraine patients who were headache from aura, can diagnose the aura. The headache itself in migraine with or without aura is similar. typesmigraines For both, women are three folders thanmen more dependent on the type of migraine experience. < / p>

migraine

chance for families tenency there are more women than men are affected, she developed one-sided variables that occur in throbing characterized by vibrant. Cluster thermal opportunity in the family, are more men than women, it develops during sleep, to see behind or around the head, characterized by sharp, stable.

Tension-type family, there is the story, it develops under stress, sad, persistentent Type bilateralcharacterized. (Richard D et al 2006)

“Depression can mean symptom feeling told meloncholic or low in spirit, or it may be the syndrome of depression, as described by low mood, loss of enjoyment, reduced energy consumption and changes in appetite; Sleep labeled libidpolic. (AW CLARE 1998)

“Clinically significant depression is often cited as a major cause of disability and succide. medically unexplained symptoms that may lead to a depression, chronic fatigue, chronic widespread pain, weight loss and renal conginitive (deprssive pseudo-dementia). Dpression comorbid with a medical condition associated with increased disability, takes compliance with medical treatment and rehiltation, and can even shorted life expectancy. Recent studies suggest that patients who develop major depression after myocardial infarction, or soon to die sooner than stroke, not even when the severity of the disease is controlled. (Lloyd & Sharpe MC 2002).

“It is widely accepted that the limbic system has an important role in the control and expression of emotions. These structures from a reverbrating (Papez) cercuit inwhich to contributions from different cortical areas especially those that are fed into the perception, in cooperation with the other inputs from the brain and spinal system. performance is mainly from the hypothelmus by releasing hormones and the reticular formation of the brainstem and autonomic nuclie. hypothelmus That plays a role in hormonal disturbabce in depression. reticular formation and autonomic control nuclie awakened and autonomic function, which includes both often altered in depression. sructures The limbic system is also involved in the control of memory, depressed patients often have their disease in terms of negatively biased memories of past events. The limbic system can act as a settlement for emotional states. abuond noradrenergic and 5HT neurons in these areas of the brain, and the system of close connection with the LHRA axis represents a failure of the images, as these systems could in Depression be connected. “(cantopher1991).

‘types of depression. Major depression is probably one of the most common forms of depression, lack of interest, walk with the weight of the world on his shoulders, hopelessly Atate, lack of interest in sexual activity and less appetite and weight loss.

Atypical Depression-person somtimes experience of happiness, but tired, sleepy, overeating Weightgainer. depressio is typical for months, or one can suffer with him forever.

Psychotic Depression-hearing individuals begin psychotic dpression and to imajinory things sound, appearance, voice donot found there to be seen.

Dysthymia Individual characterized by sad, blue or meloncholic. It is a condition that people do not realize, but to live with a daily, know that life is unimportant, dissatisfied, anxious and simply donot enjoy their lives.

Manic Depression: It is highly emotional disturbance exuted people who suffer from manic depression, an extremely high rate of succide. “(All Berhman 2004)

Methods:

interwiewed to the consent one hundred and two patients on atMedical and outpatient psychiatric units Muhammad Medical College Mirpurkhas Sindh, between March 2007 and April 2008. These patients were screened for the presence of depressive symptoms concomittently with migraine / headache half in the head. Depressive symptoms were prompted by depression scale and clinical interview, crying, lonlelessness, sadness were measured, confusion major issues during the respondents in the cases of migraine.

RESULTS

: There were men thirty-seven (36. 27%) and sixty-five women (63. 72%), during the attacks examined by headache, 17 (45. 9%) patients had depressive symptoms, and apparently 43 (66. 1%) women have developed symptoms of depression in the cases of migraine.

Case Processing Summary

< br />

Cases

included

Total

N

percent

N

percent

N

percent

Total Cases of study * Presence of depression in female patients migraineous

43

42nd 2%

59

57th 8%

102

100th 0%

Femal patients in the Study * Presence of depression in female patients migraineous

43

42nd 2%

59

57th 8%

102

100th 0%

Male patients in the Study * Presence of depression in female patients migraineous

37

36th 3%

65

63rd 7%

102

100th 0%

Total Cases of study * Presence of depression in male patients migraneous

17

16th 7%

85

83rd 3%

102

100th 0%

Femal patients in the Study * Presence of depression in male patients migraneous

17

16th 7%

85

83rd 3%

102

100th 0%

Male patients in the Study * Presence of depression in male patients migraneous

17

16th 7%

85

83rd 3%

102

100th 0%

DISCUSSION:

It was proved that women have over men in our study. There were 66th 1% women, 45 9% for men depressive symptoms in diagnostic cases of migraine. Majority of women patients were malnourished and tears at the story, and these were important parameters considered in cases of depressive symptoms migranious patients. Summary tables and diagrams has been demonstrated that women were more affected than men in this study. This means that depressive symptoms were more present in women during the conversation in this stydy.

“A recent research suggests that widespread treatment for both migraine and depression, patients with both diseases. Astudy was conducted to benefit the people with migraine or sever headahes between 25to 55 years. If the psychiatric combordity assed was found Resaerch that the risk of migraine in patients with preexisting depression Mjor three Highet than subjects with no history of major depression was. more per Major depression is a risk of major depression in people with pre-existing migraine more than hiher than fivefold in those with no history of headaches. However, there was no association between depression and other types of severe headaches (MrMARY Ayres2003)
have noticed

“Many migraine sufferer, that at times, migraine and depression seem to go together, and there is strong evidence to support this, but it is not known whether the treatment of Migraine affects depressive symptoms or treatment of depression affected migraine symptoms “(MMA2008)

“Throbbing headache, and depression may be related. Infact in one can increase the incidence of others. migraine patients were five times more likely that the headache out free individuals to develop major depression in the study The Henrry Ford Health System. Those who started the study with depression were three times more likely to develop migraines. With Major depression is a greater risk of suffering a first time was migraie than non-dopressed individuals. And people who live with migraine seems to br a greater risk for a first attack of depression. Both are biological illnesses connected with the possibility of brain chemicals or hormones. “(PT Staff 2007).

“The incidence of recurrent headache didnot very significantly with age, but girls had soatic headaches are common complaints among Norwegian adolescents, 2004), especially among girls (ZwartJA et al.

“Researchers survey 949 women with migraine about their history of abuse, deprssion and headache characteristics, forty percent of women had chronic headaches for more than 15 headaches a month, and 72% reported very severeheadache diability context. has been physically and sexually abused reported in 38% of womanand 12% reportedboth physical and sexual abuse in the past. The relationship between migraine and depression is well established, butthe mechanism is un certain. The study found a woman with migraine with larger deprssion twice as likely as a child. If thebabuse coninued were aged 12 years, the woman with migraine five times more likely to report depression (Science dily2007).

“Major depression increases increase the risk of depression, migraine and the same. This two-way connection with the individual diseases, the risk for the development of others, not observed in relation to other severe headaches, were both as Situated direcly proportional to each other. “(NBreslaw, et al 2003)

It has been demonstrated that migraine type of headache foundations of depression if left untreated, the same mechanism to follow the severe cases of depression can lead to migraine headaches. Women were more affected than men. No doubt migranous corelated to depression.

Literature:

Each Behrman (2004) Electroboy: A Memoir of Mania, by Random House, published 16sep2004 types of depression, medical review board.

Nbreslau, Schultz, Stewart, RBS Lipton (2000), headaches and major depression is the association specefic of migraine? Neurology 2000 54,308. American Academy of neuology.

Ayres married woman in order to relieve the burden of headache informed by facilitating awareness and promote Resaerch ‘

Mary Kay betz; headaches consultant.

N wroclaw Lipton RB Stewart, 2003; comorbidity of migraine and depression, examined the possible etiology and prognosis, Neurology 2003,60-13-12 American Academy of Neurology.

Science Daily (September-6-2007) “Child abuse is more common in women with migraine, depression as women with migraine suffer alones’American Academy of Neurology.

Zwart JA, Dyb, Hotman TZ, Stover LJ, Sandt 2004′The prevalence of migraine and tension headaches among adolsent in Norway. Cephalalgia2004 May 24 (5). 373-9

K. Dtripathi 2003′migraine drug therapy, fundamentals of medical pharmacology, 5th Edition,

DP Headache Classification Subcommittee of the International Headache Society. 2. Reprint headache 2004,24:1-160

Western CJ, Rosina AF, Deveris vde coteau pa, “The prevalence and manifestation of hereditary telangiectasia hemmorrhage, a family screening. Am J Genet A2003 116 324-28.

Stewart WF, Schechter, AR rasssmussin BK’migraine prevalence, a review of population-based study Neurology 1994-44 817-23.

Richard. Dhowland marry j mycek, 2006′drugs used in the treatment of migraine “, Pharmacology, illustered lipponcottes.

A. Watts, Clare 1998′clinincal Medicine, 4th Parveen kumar Reprint psychological medicine

Lloyd GG SHRPEMC Davidson priniples and practices of medicine 19th Edition 2004 affective depression

T Cantopher neurology neuroanatomy of depression depression medicine digest 1998 7-8.