A study on impact of anxiety in migraine

Migraine is a common type of primary headache. Anxiety is seen more commonly in migraineur's than general population. Presence of Anxiety inmigraineur's also significantly effect the quality of life. The present study was done to look for the presence of anxiety among migraine patients and normal individuals and also to compare quality of life in migraineur’s with and without anxiety. Materials and Methods: In this case control study 127 individuals with migraine and 30 age and sex matched healthy individuals were studied. The International Headache Society's International Classification of Headache Disorders, 3rd Edition, (ICHD-III) was followed to diagnose Migraine with or without aura. Head ache impact test was used to assess severity of headache. Migraine disability assessment scale (MIDAS) was used to assess migraine related disability. Mini-International Neuropsychiatric Interview (M.I.N.I.) PLUS questionnaire was used to screen for the presence of anxiety. Hamilton Anxiety Rating Scale was used for assessing severity of anxiety. WHO Quality of Life -BREF questionnaire was used to assess quality of life. Results: Anxiety was present in 36(28.34%) with migraine while 3(5%) in control group had anxiety. In females anxiety was found in 33.7% while in males anxiety was found in 15.78%. Quality of life was significantly affected in those with anxiety. Conclusion: The occurrence of anxiety as comorbid condition with migraine is common. Anxiety is more common in females. The quality of life is negatively impacted in those with comorbid anxiety.