phobias, other psychiatric comorbidities and chronic migraine fobias, outras comorbidades psiquiátricas e enxaqueca crônica

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ID: 219708
2006
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Abstract
BACKGROUND: Comorbidity of chronic migraine (CM) with psychiatric disorders, mostly anxiety and mood disorders, is a well-recognized phenomenon. Phobias are one of the most common anxiety disorders in the general population. Phobias are more common in migraineurs than non-migraineurs. The clinical profile of phobias in CM has never been studied. METHOD: We investigated the psychiatric profile in 56 patients with CM using the SCID I/P interview. RESULTS: Lifetime criteria for at least one mental disorder was found in 87.5% of the sample; 75% met criteria for at least one lifetime anxiety disorder and 60.7% of our sample fulfilled DSM-IV criteria for lifetime phobic avoidant disorders. Mood and anxiety scores were higher in phobic patients than in non-phobic CM controls. Number of phobias correlated with higher levels of anxiety and depression. CONCLUSION: Phobias are common in CM. Its recognition may influence its management. Early treatment may lead to better prognosis.
INTRODUÇÃO: As comorbidades psiquiátricas das enxaquecas crônicas são bem conhecidas. As fobias, transtorno ansioso mais comum, são mais prevalentes entre enxaquecosos do que entre não enxaquecosos. O perfil clínico de fobias em uma população enxaquecosa nunca foi estudado. MÉTODO: Estudamos aspectos psiquiátricos de uma população de 56 pacientes com enxaqueca crônica. RESULTADOS: Usando o SCID I/P para o DSM-IV, critérios diagnósticos para ao menos algum transtorno psiquiátrico durante a vida foram preenchidos por 87,5% de nossa amostra, 75% para ao menos um transtorno ansioso e 60,7% para condições fóbicas em algum momento de suas vidas. Os escores de ansiedade e humor foram maiores entre os fóbicos e o número de fobias teve correlação positiva com o grau de ansiedade e depressão. CONCLUSÃO: Fobias são comuns na enxaqueca crônica e seu reconhecimento poderia influenciar seu manejo e melhorar seu prognóstico.
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corchs2006arquivosphobias, Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Felipe Corchs, Juliane P.P. Mercante, Vera Z. Guendler, Domingos S. Vieira, Marcelo R. Masruha, Frederico R. Moreira, Marcio Bernik, Eliova Zukerman, Mario F.P. Peres
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Journal communications in computer and information science
Year 2006
DOI
10.1590/S0004-282X2006000600012
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000600012
Keywords
anxiety migraine headache neuropsychiatry biological psychiatry

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