Anxiety disorders in headache patients in a specialised clinic: prevalence and symptoms in comparison to patients in a general neurological clinic
Authors:
Open Access
- 6 February 2011
- journal article
- research article
- Published by Springer Nature in The Journal of Headache and Pain
- Vol. 12 (3) , 323-329
Abstract
Data from several studies indicate an association of headache with anxiety disorders. In this study, we assessed and differentiated anxiety disorders in 100 headache patients by using the PSWQ (Penn State Worry Questionnaire) screening tool for generalised anxiety disorder (GAD) and the ACQ (Agoraphobic Cognitions Questionnaire) and BSQ (Body Sensation Questionnaire) for panic disorder (PD). Control groups were constructed: (1) on the basis of epidemiological studies on PD and GAD in the general population and (2) by including neurological patients. 37.0% of headache patients had a GAD. 27% of headache patients met the score for PD in the BSQ, 4.0% in the ACQ. Significant results were obtained in comparison to the general population (p < 0.001) and with regard to GAD in comparison with a sample of neurological patients (p < 0.005). The BSQ significantly correlated with the number of medication days (p < 0.005). The results confirm the increased prevalence of GAD in headache patients. PD seems to increase the risk of medication overuse.Keywords
This publication has 44 references indexed in Scilit:
- Headache, anxiety and depressive disorders: the HADAS studyThe Journal of Headache and Pain, 2010
- Effect of high trait anxiety on mechanical hypersensitivity in male ratsNeuroscience Letters, 2009
- Anxiety and depression in headache patientsDer Schmerz, 2008
- Impaired Functioning and Quality of Life in Severe Migraine: The Role of Catastrophizing and Associated SymptomsCephalalgia, 2007
- Migraine Comorbidity ConstellationsHeadache: The Journal of Head and Face Pain, 2007
- The Epidemiology of Panic Attacks, Panic Disorder, and Agoraphobia in the National Comorbidity Survey ReplicationArchives of General Psychiatry, 2006
- Psychiatric Comorbidity in the Evolution From Migraine to Medication Overuse HeadacheCephalalgia, 2005
- Depression and anxiety associated with three pain conditions: results from a nationally representative samplePain, 2004
- Comorbidity of Depressive and Anxiety Disorders in Chronic Daily Headache and Its SubtypesHeadache: The Journal of Head and Face Pain, 2000
- The Penn State Worry Questionnaire and the Worry Domains Questionnaire: structure, reliability and validityClinical Psychology & Psychotherapy, 1999