Depression

The frequency of Depression in the Headache of Migraine

THE FREQUENCE OF DEPRESSION IN THE EVIL OF TETE OF MIGRAINE

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AUTHOR:BHURGRIGHULAMRASOOL,BILAWAL,SHAMIM-UR-REHMAN,RAJ KUMAR, ANISREHMAN.

RESUME:

In these possible patients of migraineous of study that were registered wre showed the symptoms of dedpression.la  were the morbid considerable psychiatric character it there had discovered it necessay out all migranes aand treated them symptomatiquement.il proved that we should not jump the chaces of dpression in case of the sick especially female migraines.

The words keys: the migraine, the depression, the psychiatry, the males, the female, the group, tension.

INTRODUCTION:

&Quot; the migraine is a mysterious disorder characterized by beats the headache (feeling weightage, the abundance on the forehead), of ordinary restrictedto a side, that enters assaults during 4-48 hours and often is associated with the airsick, vomit, light sensitiveness, and solid, the dizziness, loosemotions and the other symptoms. "(Tripathi-2006)

" the migraine is the very common type of headache, with a prevalance of 10-12%,migraine nineteenth rows among disease" (cephalalgia 2004)

&Quot; the migraine is an inwich of complex disorder A LOT OF psychological,inviromental,biochemical,neurophysiologic,and the genetic factors play a role to the tiger assaults. The diagnosis is based on characetrized of headache and the associated symptoms specified the headache of internationl society" (westermanCJetal 2003)

&Quot; the typical headache is unilateral, twitching and can be non treated sedva¨re.si, the migraine assaults typically last 4 at 72 o'clock. The assaults are ordinary associates with the airsick, vomit, or the sensitiveness to seem, the light and or mouvement.en more of this, the migraine with will have it is characterized by the neurological, focal symptoms and passengers, that are of visual ordinary one, and can precede, can accompany, or can flow the headache assaults. "(stewart WF and Al 1994)

" Thereare two types of evil of taate.le of first migraine migraine without will have it (called beforehand the common migraine) is the harsh, unilateral headache and twitching that the length typically of 2 to 72 headaches of heures.ces are often aggrivated by the physical activity and nausea,vomiting,photophobia(hypersensitivity accompanied of light) and phonophobia (hypersensitivity sembler.approximativement 85% of patients with the migraine has not aura.dans Type with will have it (called beforehand the classical migraine), the visual, sensory Etre, and or the speech of cause or the disturbances motors. The most ordinarily these symptoms of prodromal are visual, arrive, roughly 20 to 40 minutes before the headache pain begins. In the fifteen percent of patients of migraine of which the headache is proceded by will have it, will have it that himself allows diagnostic.le the headache himself in the migraine with or without the will have is similaire.pour the two typesmigraines, the woman is three files MORE PROBABLE thanmen to test or the migraine type.

Migraine there is chance for family tenency, the female ones more are affected than the male, it develops unilateral, the variables in the beginning, characterized while twitching, twitch. the Group ther in the family chance, the males are more than the female ones than it develops during sleep, to behind or around the head, characterized in installments, assure.

The tension-type one-there is the family history, it develops understress, bilateralcharacterized by dull, the type of persistentent. (Richard D etal 2006)

&Quot; the Depression can means the symptom of sensation of said, meloncholic or the low level in the spirit, or it can mean the depression syndrome as characterized by the low mood, the pleasure lack, reduces energy and changes in the appetite, sleep and libidpolic. (Has. W. CLARE 1998)

&Quot; the depression from the standpoint significant clinic is often reffered to is as the major cause of inability and of succide.meddicalement the unexplained symptoms that can result from the depression include the chronic fatigue, the broadcasting pain, the weight loss and the decrease of wide chronic conginitive (deprssive pseudodementia). Dpression comorbid with a medical condition increases the associated inability, diminishes the adhesion to medical the treatment and rehiltation, and be able even shortet the research hope of vie.redcent suggests that the patients that have a major one The blow dies earlier that that does not do even when the severity of disease is checked. (Lloyd& sharpe MC 2002).

&Quot; it widely is accepted that the system of limbic has a role in the check and the expression of structures of edmotion.ces of a reverbrating (papez) the data of inwhich of cercuit of the various cortical sectors, especialy these to imply in the perception, are nourished in together with the given others of the system of brain and vertebral corde.production principally is hypothelmus, by to relax hormone, Autonomous of the stem of brain. The hypothelmus plays a party in hormonal disturbabce in the formation of reticular of dedpression.le and nuclie contol autonomous excited and the autonomous function, the two often are changed in the system of limbic of dedpression.le contains also sructures implied in the memory check, depressed patients express often their disorder in the terms of unfavorably to remember disorted of system of limbic of past edvednements.le can Regulating system for emotional edtats.Noradrenergic and of 5HT the brain, and the narrow link with system the axis of LHRA furnishes a pictures how a disturbance of these systems could be linked up in the depression. &Quot;(cantopher1991).

'The types of depression-c one' is dedpression.majeur probably one of the most of the common forms of depression, the interest lack, the walk about with the world weight on his or his shoulder, atate without hope, the interest lack in the activity and less than appetite and sexual weightloss.

The atypical experiences of somtimes of Depression Individuals of happiness, but the fatigue, awaken too late, eating to a fault depressio weightgain.typique can last for the months or one suffers can live with that forever.

Depression individual psychotic of psychotic dpression begins hearing and see imajinory solid by the things, visual voicesand that donot exists.

The dysthymia-individu characterized by sad, blue, or meloncholic. c' is a condition that the people are not even conscious of but just screw with daily, feel that life is without importance, dissatisfied, frightened and simply donot appreciates their lives.

The cyclothymia: the THIS IS extremely exuted, the people of emotional disorder that suffer from the cyclothymia have an extremely high rate of succide. "(Any Berhman 2004)

METHODES:

We interwiewed after informed consent hundred and two patients retrieving atMedical and the psychiatric external patients Departments to Muhammad the University Mirpurkhas sindh Medical, between March 2007 to April 2008. These patients were sorted for the presence of symptoms of depression in concomittently with the migraine/half headache in the symptoms taate.dedpressifs were measured by the ladder of depression and interview,weeping,lonlelessness,sadness,confusion clinic the principal questions were asked during interviewed in case of the migraine.

RESULTATS

: There were thirty seven males (36.27%) and sixty five female ones (63.72%) who was examined during the assaults of headache,17(45.9%)patients were shown depressive symptoms and 43 (66.1%) females was developed symptoms of depression in case of the migraine.

Recognize Summarized Treatment

 

Case

Include

Excluded

Total

N

Percent

N

Percent

N

Percent

The total cases of study * the depression Presence in migraineous the female patients

43

42.2%

59

57.8%

102

100.0%

The patients of Femal in the study * the depression Presence in migraineous the female patients

43

42.2%

59

57.8%

102

100.0%

The male patients in the study * the depression Presence in migraineous the female patients

37

36.3%

65

63.7%

102

100.0%

The total cases of study * the depression Presence in migraneous the male patients

17

16.7%

85

83.3%

102

100.0%

The patients of Femal in the study * the depression Presence in migraneous the male patients

17

16.7%

85

83.3%

102

100.0%

The male patients in the study * the depression Presence in migraneous the male patients

17

16.7%

85

83.3%

102

100.0%

DISCUSSION:

It was proved that the female ones were more than the male in our edtude.la  was 66.1% females,45.9% male depressive symptoms in the diagnostic cases of patients of female ones of migraines.majorited were malnourished and crying during to take history and these were parameters the principal depressive symptoms considered in case of the tables of summary of malades.de of migranious and in case of the diagrams it proved than What the male in this edtude.il means that the depressive symptoms were During the discussion in this stydy.

&Quot; a conclusions of recent research indicated that the treatment for the migraine and the major depression can take advantage of the patients with the two dedsordre.Astudy were directed on the people with the migraine or cut headahes aged between 25 to 55. When their psychiatric combordity was assed, resaercher found that the migraine risk in the individuals with the depression of mjor preexisting was three times highet that in the individuals with no history of major dedpression.plus the never major depression the people with the migraine preexisting were more than quintuple hiher than in the people with no history of evil of taate.cependant there was no relation between the major depression and the typical others of headaches sedva¨res" (MrMARY Ayres2003)

" a lot of migraines suffer noticed that of time in time, the migraine and the depression seem to go together and there is proof to support this, Nevertheless one does not know if treating the migraine affects depressive symptoms or treat the depression affects the migraine symptoms"(MMA2008)

&Quot; twitching the headaches of migraine and have related.Infact of major depression the one can increase the occurance of victims of autre.migraine was five more probable time than the individuals headache free to develop the major depression in the study directed by the systa¨me.ceux that of Health of ford of Henrry began the study with the depression was three more probable time to develop migraines.avec To the risk to suffer a first one. And the people that live with migrains seems British more to the risk for an initial attack of disorders of dedpression.les two are biological linked, the possibility with the chemical product of brain or the hormones. &Quot;(PT Equipe 2007).

&Quot; the general frequency of recurrent headaches didnot very significantly with the age, but the girls had headaches are the complaints of common soatic among the adolescent Norwegian one, especially among the filles" (ZwartJA etal 2004).

" the researchers examine 949 women with the migraine of their history of abuse, the characteristics of deprssion and headaches, forty percent of woman had more than 15 headaches of chronic headache in the month, and 72% retrieved severeheadache MEME related diability.physiquement and sexually the abuse retrieved in 38% of the womanand 12% reportedboth the physical and sexual abuse in Of pass. l' between the migraine and the depression well establishes, the mechanism of butthe is a twice certain.le as as probable an age of coninued of thebabuse of enfant.si 12, the woman with the migraine was five more probable time to retrieve the dedpression" (the science dily2007).

&Quot; the major depression increased the depression risk, the migraine also maame.ce the association bidirectionnelle, with every disorder increasing the risk for the other beginning, was not observed in comparison with the other harsh headaches, the two were considered proportional direcly to eachother. "(NBreslaw,et Al 2003)

It was proved that the type of basic migraine of headache of depression if it the non treated mechanism and even follows to the harsh cases of depression could take to the evil of taate.femelles of type of migraine more were affected than the corelated of migranous of doubt macles.aucun to the depression.

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