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Year : 2019  |  Volume : 14  |  Issue : 4  |  Page : 283-287

A cross-sectional study of comorbid depression in patients with chronic tension-type headache in psychiatry outpatient

1 Department of Psychiatry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India
2 Department of Psychiatry, Panjabrao Deshmukh Memorial Medical College, Amravati, Maharashtra, India

Correspondence Address:
Dr. Ajinkya Ghogare
House Number 4, Shree Colony, Daryapur, Amravati - 444 803, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdmimsu.jdmimsu_107_19

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Context: Headache is one of the most common reasons for which patients seek medical attention. Headache is a common neurological disorder that ranks among the top 10 most disabling conditions for both men and women worldwide. Psychiatric comorbidities have been commonly observed in patients with tension-type headache (TTH) and that may be explained by affective distress, personality disorders, and maladaptive coping. Aim: The aim was to study the prevalence and severity of comorbid depression in patients with chronic TTH. Materials and Methods: The present cross-sectional study was conducted at a tertiary health-care center in Central India, with a sample size of 95. Data from selected study participants were recorded in a predesigned, semi-structured questionnaire. The Hamilton Depression Rating Scale (HDRS) was used to categorize depression. Results: Out of total 95 study participants, majority (45 [47.4%]) were in the age group of 31–40 years, with a mean age of 36.67 years, a standard deviation of 7.14 years, and range between 21 and 56 years. Higher proportions of female study participants (67 [70.5%]) were observed than male study participants (28 [29.5%]). A majority of the study participants were married (74 [77.9%]) and 57 (60.0%) were employed. The prevalence and severity of depression, according to the HDRS, was mild depression in 31 (32.6%), followed by moderate depression in 16 (16.8%), and severe depression among 3 (3.2%) cases. Conclusion: TTH is associated with comorbid depression in 52.6% of the study participants. Married patients had high frequency of depression. No other sociodemographic characteristics were associated with the presence of depression.

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