TO STUDY THE PREVALENCE OF DEPRESSION IN PATIENTS SUFFERING FROM HEADACHE IN PSYCHIATRY OPD IN A TERTIARY CARE INSTITUTE

Abstract

Background: Primary headache and psychiatric disorders are quite often comorbid, previous studies have reported that depression have bidirectional relationship with headache. The research in India in this field strikingly scarce. Aims: To investigate the subtypes of headache  and correlation with Depression in patients who comes in psychiatry OPD. Methodology: our study is a descriptive cross sectional study with 200 sample size. Patients with Headache in Headache Clinic of department of Psychiatry, MGMMC, Indore. Patient aged between 18-65 years , either sex. Diagnosis of headache was done clinically in accordance with International Classification of Headache disorders, while depression was diagnosed as per ICD-10. Semi-structured headache questionnaire, Hamilton Depression Rating Scale were used for assessment of samples. Results: Among 200 patients, there were 73(36.5%) males and 127 (63.5%) females. The mean  age was 33.35 ± 10.7 years. Tension type headache was 73.5%, Migraine was 22%,Mixed headache was 4.5%. Tension-type headache (73.5%) was the most predominate type of headache. Depression in primary headache was 68%. Depression was more in females (59.5%) than males(40.5%). It was also more in urban (60.3%) than semi urban areas (26.5%) & rural areas (13.2%). Conclusion: Patients with headache had higher comorbid depressive disorder. Screening patients with headache for depression and timely psychiatric intervention can go a long way in improving the quality of life of headache patients with comorbid depressive disorder.