ASSESSMENT OF PSYCHOEMOTIONAL STATE IN CHRONIC HEADACHES: INTERGROUP ANALYSIS USING THE HADS SCALE
Abstract
Relevance. Headache is one of the most common medical conditions worldwide. Migraine, chronic tension-type headache, and medication-overuse headache significantly affect patients' quality of life. This study assessed the psychoemotional state of patients based on headache types. To evaluate anxiety and depression levels using the Hospital Anxiety and Depression Scale (HADS) and analyze psychological changes associated with different types of headaches. Materials and Methods. The study involved 315 patients divided into four groups: migraine with aura, migraine without aura, chronic tension-type headache (CTTH), and medication-overuse headache. Anxiety and depression levels were assessed using the HADS scale, and intergroup differences were statistically analyzed. Results and Discussion. The study revealed higher levels of anxiety and depression in the migraine with aura and chronic tension-type headache groups. Subclinical depression was more frequently observed in the migraine without aura group compared to other groups. Clinical anxiety and depression levels were also significantly high in the medication-overuse headache group, indicating a strong impact of pain on emotional well-being. Conclusion. Assessing the psychological state of patients with headaches, providing psychological support, and implementing therapy aimed at reducing anxiety and depression is crucial. Integrating neurological and psychological approaches in migraine and headache treatment is essential for effective management.
About the Authors
List of references
Al-Hashel, J., Ashkanani, H., Almutairi, O., Bokubar, F., Mubarak, S., Alwazzan, S., Alroughani, R., Youssry, D., Ahmed, S. (2020). Onabotulinumtoxin A Improves Psychological Aspects in Chronic Migraine Patients. Frontiers in Neurology, 11.
Almarzooqi, S., Chilcot, J., & McCracken, L. (2017). The role of psychological flexibility in migraine headache impact and depression. Journal of contextual behavioral science, 6, 239-243.
Emadi, F., Sharif, F., Shaygan, M., Shaygan, M., Sharifi, N., & Ashjazadeh, N. (2019). Comparison of Pain-Related and Psychological Variables between Acute and Chronic Migraine Patients, and Factors Affecting Headache Chronicity. International Journal of Community Based Nursing and Midwifery, 7, 192-200.
Gandolfi, M., Donisi, V., Marchioretto, F., Battista, S., Smania, N., & Del Piccolo, L. (2019). A Prospective Observational Cohort Study on Pharmacological Habitus, Headache-Related Disability and Psychological Profile in Patients with Chronic Migraine Undergoing OnabotulinumtoxinA Prophylactic Treatment. Toxins, 11.
Golovacheva, V., Golovacheva, A., Romanov, D., & Volodarskaya, E. (2024). [Mental disorders, social and demographic characteristics of patients with chronic and episodic migraine]. Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova, 124(1), 94-101.
Karbowski, M., & Nowicka, A. (2024). Experiencing Migraine and the Assessment of the Quality of Life in the Context of Feeling Ressentiment Considering Causes for Increasing Depression and Anxiety. Kwartalnik Naukowy Fides et Ratio.
Mansueto, G., De Cesaris, F., Geppetti, P., & Cosci, F. (2018). Protocol and methods for testing the efficacy of well-being therapy in chronic migraine patients: a randomized controlled trial. Trials, 19.
Onur, O., Ertem, D., Uludüz, D., & Karşıdağ, Ç. (2017). Cognitive behavioral therapy for chronic migraine. European Psychiatry, 41, S500-S500.
Ramsden, C., Faurot, K., Zamora, D., Palsson, O., MacIntosh, B., Gaylord, S., Taha, A., Rapoport, S., Joseph, R., Davis, J., & Mann, J. (2016). Targeted alterations in dietary n-3 and n-6 fatty acids improve life functioning and reduce psychological distress among chronic headache patients: secondary analysis of a randomized trial.
Zampieri, M., Tognola, W., & Galego, J. (2014). Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain. Arquivos de neuro-psiquiatria, 72(8), 598-602.
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.