• J Headache Pain · Jun 2011

    Primary headaches in patients with generalized anxiety disorder.

    • Juliane P P Mercante, Mario F P Peres, and Márcio A Bernik.
    • Anxiety Disorders Program, Institute of Psychiatry, HC-FMUSP, Sao Pãulo, Brazil. julianeperes@terra.com.br
    • J Headache Pain. 2011 Jun 1; 12 (3): 331338331-8.

    AbstractAlthough anxiety disorders and headaches are comorbid conditions, there have been no studies evaluating the prevalence of primary headaches in patients with generalized anxiety disorder (GAD). The aim of this study was to analyze the lifetime prevalence of primary headaches in individuals with and without GAD. A total of 60 individuals were evaluated: 30 GAD patients and 30 controls without mental disorders. Psychiatric assessments and primary headache diagnoses were made using structured interviews. Among the GAD patients, the most common diagnosis was migraine, which was significantly more prevalent among the GAD patients than among the controls, as were episodic migraine, chronic daily headache and aura. Tension-type headache was equally common in both groups. Primary headaches in general were significantly more common and more severe in GAD patients than in controls. In anxiety disorder patients, particularly those with GAD, accurate diagnosis of primary headache can improve patient management and clinical outcomes.

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