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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-03
Prevalence of Comorbidity of Depressive Disorders and Panic Disorder in Patients Diagnosed With Migraine (With and Without Aura)
Dr. Parul Sharma, Dr. Meghna Gupta
Published: March 7, 2020 | 184 163
DOI: 10.36347/sjams.2020.v08i03.006
Pages: 796-800
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Abstract
Migraine is a common neurological disorder and that be severely disabling during attacks, and has been observed to be associated with other psychiatric disorders like panic disorder and depressive disorders. The disease burden maybe magnified when psychiatric co morbidities are present [1]. Objective: In this study, we have tried to find out the prevalence and comorbidity of depressive disorders and panic disorder in patients diagnosed with migrainous headache, with and without aura, coming to psychiatry OPD of MMMC&H, Kumarhatti,Solan. Material and Methods: International Society for Headache, criterion (ICHD-3) [2] was applied to screen patients having migrainous headache (with and without aura). 220 such patients, who gave consent for the study, were selected for the study and MINI Scale [3] was applied to these patients to find out which of these, had a diagnosable comorbidity with panic disorder and depressive disorders. Observations: The prevalence of Panic Disorder was found to be 11.5% in cases of migraine without aura whereas it was 14.3% in cases of migraine with aura showing no significant association (p=0.665).Prevalence of Depression was found to be 29.2% in cases of migraine without aura whereas it was 64.3% in cases of migraine with aura, thus showing statistically highly significant association (p<0.001). Conclusion: Odds Ratio of panic disorder in cases of migraine with aura as compared to migraine without aura was 1.288( 95% CI : 0.409-4.059: p= 0.666), showing insignificantly more chances of Panic Disorder in cases of migraine with aura as compared to migraine without aura. Cases of migraine with aura had significantly higher odds of having depression as compared to cases without aura (OR: 4.371; 95% CI: 1.900-10-058: p = 0.001).