Skip to main content

Advertisement

Log in

Psychological variables in chronic migraine with medication overuse before and after inpatient withdrawal: results at 1-year follow-up

  • Oral Communication
  • Published:
Neurological Sciences Aims and scope Submit manuscript

Abstract

Investigations on psychological variables and migraine have confirmed a strong association between migraine and depression or migraine and anxiety disorders. In particular patients suffering from chronic migraine with medication overuse have an elevated risk of mood and anxiety disorders, which may compromise treatment efforts. The aim of this study was to investigate a group of patients suffering from CM with medication overuse before and after inpatient withdrawal program after a long-term follow-up to examine clinical indexes and psychological variables changes in particular anxiety and depression by using Spielberger State-Trait Anxiety Inventory (STAI) 1, 2 and Zung Self-rating Depression Scale (Zung) tests, in order to verify if a specific psychological pattern in these patients is present, and if changes in psychological variables correspond with clinical improvement. The changes of clinical indexes and of psychological parameters are discussed and analyzed in order to address the most adequate therapeutic strategy for this kind of patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Headache Classification Subcommittee of the International Headache Society (2004) The international classification of headache disorders, 2nd edition. Cephalalgia 24(Suppl 1):9–160

    Google Scholar 

  2. Mathew NT, Stubita E, Nigam MP (1982) Transformation of episodic migraine into daily headache: analysis of factors. Headache 22:66–68

    Article  PubMed  CAS  Google Scholar 

  3. Radat F, Sakh D, Lutz G, El Amrani M, Ferreri M, Bousser MG (1999) Psychiatric comorbidity is related to headache induced by chronic substance use in migraineurs. Headache 39:477–480

    Article  PubMed  CAS  Google Scholar 

  4. Juang KD, Wang SJ, Fuh JL, Lu SR, Su TP (2000) Comorbidity of depressive and anxiety disorders in chronic daily headache and its subtypes. Headache 40:818–823

    Article  PubMed  CAS  Google Scholar 

  5. Scher AI, Lipton RB, Stewart W (2002) Risk factors for chronic daily headache. Curr Pain Headache Rep 6:486–491

    Article  PubMed  Google Scholar 

  6. Radat F, Swendsen J (2005) Psychiatric comorbidity in migraine: a review. Cephalalgia 25:165–178

    Article  PubMed  CAS  Google Scholar 

  7. Lantéri-Minet M, Radat F, Chautart MH, Lucas C (2005) Anxiety and depression associated with migraine: influence on migraine subjects’ disability and quality of life, and acute migraine management. Pain 118:319–326

    Article  PubMed  Google Scholar 

  8. Hering R, Glover V, Pattichis K, Catarci T, Steiner TJ (1993) 5HT in migraine patients with medication-induced headache. Cephalalgia 13:410–412

    Article  PubMed  CAS  Google Scholar 

  9. Grazzi L, Andrasik F, D’Amico D, Leone M, Usai S, Kass SJ, Bussone G (2002) Behavioral and pharmacologic treatment of transformed migraine with analgesic overuse: outcome at 3 years. Headache 42:483–490

    Article  PubMed  Google Scholar 

  10. Zwart JA, Dyb G, Hagen K, Ødegård KJ, Dahl AA, Bovim G, Stovner LJ (2003) Depression and anxiety disorders associated with headache frequency. The Nord-Trøndelag Health Study. Eur J Neurol 10:147–152

    Article  PubMed  Google Scholar 

  11. Silberstein SD, Lipton RB (2000) Chronic daily headache. Curr Opin Neurol 13:277–283

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest statement

The authors declare that they have no conflict of interest related to the publication of this manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Susanna Usai.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Usai, S., Grazzi, L., D’Amico, D. et al. Psychological variables in chronic migraine with medication overuse before and after inpatient withdrawal: results at 1-year follow-up. Neurol Sci 30 (Suppl 1), 125–127 (2009). https://doi.org/10.1007/s10072-009-0066-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10072-009-0066-2

Keywords

Navigation