Study On The Mental Health State In Common Primary Headache Sufferers

Objective:To study the mental health level of the patients,who suffered from primary headache including migraine and tension-type headache (TTH) in the neurology clinic of Baogang Hospital.Methods:98 cases of migraine and 116 cases of TTH from April 2013 to October 2014,who were diagnosed according to the 2th edition diagnostic criteria of primary headache by International Classification of Headache.All the medical data including age,gender,headache frequency,degree,clinical course and duration of attack.The Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) were used to evaluate anxiety and depression,and digital grading methods of visual analogue scale(VAS) were used to evaluate the degree of headache.Result:The incidence of the female were higher than that of the male in both kinds of headache,while there was no difference between the gender distribution of the migraineurs and that of the TTH patients.The age,headache degree,frequency and duration of attack were also analyzed in the two groups.There was a significant difference in them(P<0.05).There was no difference in the scores of HAMD and HAMA in migraineurs and TTH patients(P<0.05),which indicated that the patients with migraine and TTH were suffered from anxiety and depression.The scores of HAMA and HAMD were not correlated with the type of headache and the frequency of attack.The scores of HAMA and HDMA in migraineurs and TTH patients were correlated with the age,gender,headache degree,duration of attack and headache course(P<0.05).The scores of HAMA and the scores of HDMA in both groups were analyzed.There was a positive correlation between the scores(P<0.05).Conclusion The migraineurs and TTH patients were accompanied by anxiety and depression.There was no difference of anxiety and depression in the migraineurs and TTH patients.The female were easier to suffer from the migraine and TTH.There was significant difference in age,frequency,duration,headache degree between the two groups.The mental health problems such as anxiety and depression of the migraine and TTH patients had no correlation with headache type and frequency,but correlated with age,gender,duration of attack,headache degree and clinical course.Therefore,primary headache should be diagnosed and treated as early as possible.Decreasing the duration of headache,the degree and course of headache,paying attention to and treat the mental health level of the patients,especially the female patients,can greatly improve the life quality of the patients of primary headache.