A CROSS SECTIONAL STUDY ON THE COMORBIDITY OF MIGRAINE AND DEPRESSION

Objectives: The aim of our research work is to study & compare the rate and causes of coexisting depression in diagnosed cases of migraine. Material and Methods: This research work is a decline review of Patient at Bahawal Victoria hospital Lahore from October 2017 to October 2018. In this research we study two type of patient 1st is Migraine with Depression cases (MWD) and 2nd is Migraine without depression as controls (MC). We compare our research study with International Headache Society criteria and Urdu version of Hospital Anxiety and Depression Scale. Results: one hundred were the all participants of this research work forty migraines patients were study in MWD and other forty were study in the MC. In both cases the female patients are common: in MWD seventy-two percent were female patients in MC cases seventy-eight percent is female patient. the average age of fifty-two percent patients between thirty-one to forty-year-old. Female patients compared to MC the maximum age of fifty-eight percent patients were 21-30-year-old. The maximum age of male patient in both cases of MWD & MC belonged to 22-30 year and forty-six and fifty-six percent respectively. MWD reported that 50% patients suffered from migraine attacks on the other hand only eighteen percent patients of MC suffered for ten year or more respectively. (P-value =<0.01). 90% (n=36) of MWD reported maximum disorder during the headache as compared to the sixty-two point five percent of MC. the sixty-two point five percent of MWD patient had four or more attacks per month compare to fifty-five percent of MC having only one attack per month or no attack. (P-value =0.001). Conclusions: Migraines with long history and high frequency might benefit from psychiatric evaluation and addition of antidepressant drugs to their therapeutic regimen.