Allodynia is associated with a higher prevalence of depression in migraine patients

Cephalalgia ◽  
2014 ◽  
Vol 34 (14) ◽  
pp. 1187-1192 ◽  
Author(s):  
MA Louter ◽  
KJ Wardenaar ◽  
G Veen ◽  
WPJ van Oosterhout ◽  
FG Zitman ◽  
...  

Introduction There is a strong association between migraine and depression. The aim of this study is to identify migraine-specific factors involved in this association. Methods We conducted a cross-sectional study in a large, well-defined cohort of migraine patients ( n = 2533). We assessed lifetime depression using validated questionnaires, and diagnosed migraine based on the International Classification of Headache Disorders III-beta criteria. Multivariate regression analyses were conducted. Results Of the 2533 migraineurs that were eligible, 1137 (45%) suffered from lifetime depression. The following independent factors were associated with an increased depression prevalence: i) migraine-specific risk factors: high migraine attack frequency and the presence of allodynia, ii) general factors: being a bad sleeper, female gender, high BMI, being single, smoking, and a low alcohol consumption. Conclusion This study identified allodynia, in addition to high migraine attack frequency, as a new migraine-specific factor associated with depression.

Author(s):  
Nirmal S. Raveendran ◽  
Abinaya Ravi ◽  
Rock Britto ◽  
Saranya Sankar ◽  
Sharathkumar Ramachandran ◽  
...  

Background: Depression at any age needs attention. Geriatric population being most vulnerable, are more prone to many morbidities, physically and mentally. Geriatric depression is one among them which needs prompt attention. The objectives of the present study were to estimate the prevalence of geriatric depression and association of depression with various sociodemographic factors.Methods: A cross sectional study carried out among 300 geriatric subjects. A structured interview schedule was used to collect data.Results: The prevalence of depression was found to be 44.4%. Female gender, marital status, family type was found to be positively associated with depression.Conclusions: Geriatric depression in our study is found to be on little higher side. Lifestyle modifications and support from family members are needed to improve the quality of life of these people. 


2021 ◽  
Vol 70 (4) ◽  
pp. 311-320
Author(s):  
Bárbara Santos Pereira Neres ◽  
Maria Luiza Andrade Aquino ◽  
Vinicius Sousa Pietra Pedroso

ABSTRACT Objective: Depression and suicidal behavior have been described as major problems among medical students. The aim of this study was to assess the prevalence of depression and suicidal behavior among medical students of an institution and to investigate possible associated variables. Methods: The authors carried out a cross-sectional study through a self-administered questionnaire, including the Beck Depression Inventory (BDI) and the Beck’s Suicide Intent Scale (BSIS) instruments. The diagnosis of depression was based on an instrument adapted according to the DSM-IV and ICD-10 criteria. Logistic regression was performed to search for depression predictor variables. Results: In a total of 381 students, the prevalence of depression was 27.6%. Suicidal ideation of moderate to severe intensity was observed in 10.5% of the sample. About 6% of students had previously attempted suicide. Consumption of licit and illicit drugs was frequent among the participants, reaching 78% and 24% of the sample, respectively. The demand for specialized treatment was lower than expected among students with depression. Logistic regression revealed that female gender, reduced interpersonal contact with friends, reduced physical activity, difficulty in facing new situations and high perception of personal pressure were risk factors for depression. Conclusion: The prevalence of depression and suicidal behavior among medical students is higher than in the general population. There is a need for further studies to enable a better understanding of the risk factors and variables at play, which is fundamental for the development of early intervention strategies and support for students.


2021 ◽  
Vol 71 (5) ◽  
pp. 1865-69
Author(s):  
Mishal Iqbal ◽  
Mehak Iqbal ◽  
Nadia Iftikhar ◽  
Syed Hashim Ali Inam ◽  
Hamza Jamil ◽  
...  

Objective: To assess the psychological impact of COVID-19 pandemic on healthcare workers. Study Design: Cross sectional study. Place and duration of Study: Armed Forces Institute of Cardiology/National Institute of Health Diseases in June 2020. Methodology: A total of 317 healthcare professionals, of different designations, affiliated with different public and private sector hospitals in Pakistan participated in this project. They were asked to complete Depression, anxiety and stress scales-42 (DASS-42). Results: Out of 317 healthcare workers, 107 (33.75%), 111 (35.02%), 103(32.49%) were depressed, anxious and stressed respectively. Female gender was associated with a higher prevalence of depression, anxiety and stress. Conclusion: More than one third of healthcare workers were depressed, anxious or stressed during the COVID-19 pandemic. Two out of five female healthcare workers were suffering from depression, anxiety or stress.Keywords:,  , .


2020 ◽  
Vol 20 (3) ◽  
pp. 1416-1425
Author(s):  
Wafaa Ihab Hafez Elsawy ◽  
Aida Aly Reda Sherif ◽  
Medhat Salah El Din Attia ◽  
Nessrin Ahmed El- Nimr

Background: Depression is a common illness worldwide with high rate among medical students. The objectives were to estimate the prevalence of depression among medical students in Alexandria, and identify its correlates. Methods: A cross-sectional study design was used. The study was conducted at the Faculty of Medicine, Alexandria Uni- versity. Using a systematic random sampling technique, 390 students attending 4th, 5th, and 6th academic years were included. Data was collected using the Arabic version of the BDI-II and a predesigned structured self-administered questionnaire, including questions about the students’ personal and social characteristics and academic environment. Results: Moderate and severe depression accounted for 27.9% and 17.2%, respectively. Logistic regression analysis results showed that the independent predictors for moderate and severe depression were female gender, the presence of mental illness, not having someone to talk to when under stress, experiencing stressful life event(s) during the previous 6 months, not being satisfied with the socioeconomic level, reporting that the surrounding environment is not suitable for studying, not specifying a grade to achieve, and extreme dissatisfaction with the student’s result. Conclusion: Prevalence of moderate and severe depression was high among medical students, calling for actions to help those students and to prevent new cases. Keywords: BDI-II; depression; determinants; medical students; prevalence.


2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Raquel Mora-Relucio ◽  
Susana Núñez-Nagy ◽  
Tomás Gallego-Izquierdo ◽  
Alma Rus ◽  
Gustavo Plaza-Manzano ◽  
...  

The purpose was to evaluate the interexaminer reliability of experienced and inexperienced examiners on location and classification of myofascial trigger points (MTrPs) in two epicondylar muscles and the association between the MTrP found and the diagnosis of lateral epicondylalgia (LE). Fifty-two pianists (some suffered LE) voluntarily participated in the study. Three physiotherapists (one inexperienced in myofascial pain) examined, located, and marked MTrPs in the extensor carpi radialis brevis (ECRB) and extensor digitorum communis (EDC) muscles. Forearms were photographed and analyzed to establish the degree of agreement on MTrPs diagnosis. Data showed 81.73% and 77.88% of agreement on MTrP classification and 85.58% and 72.12% on MTrP location between the expert evaluators for ECRB and EDC, respectively. The agreement on MTrP classification between experienced and inexperienced examiners was 54.81% and 51.92% for ECRB and 50.00% and 55.77% for EDC. Also, agreement on MTrP location was 54.81% and 60.58% for ECRB and 48.08% and 48.08% for EDC. A strong association was found between presence of relevant MTrPs, LE diagnosis, and forearm pain when the examiners were experts. The analysis of location and classification of MTrPs in the epicondylar muscles through physical examination by experienced evaluators is reliable, reproducible, and suitable for diagnosing LE.


2017 ◽  
Vol 24 (03) ◽  
pp. 482-489
Author(s):  
Ambreen Malik Uttra ◽  
Malik Ghulam Muhammad Uttra ◽  
Abdul Rauf ◽  
Mehreen Malik Uttra ◽  
Umme Habiba Hasan ◽  
...  

Objectives: This study was conducted to assess the prevalence of depressionand associated risk factors among medical students at different levels (1st to 5th year) of theirMBBS course. Study Design: Cross-sectional study. Setting: Sargodha Medical College,Sargodha. Period: April to September 2016. Material and Methods: A sample of 200 medicalstudents (including 147 female and 53 male) was chosen by random sampling. PHQ-9 scalewas used to evaluate depression among participants. Data was collected on a speciallydesigned questionnaire containing sociodemographic and educational characteristics andwas analyzed using SPSS 16.0. Results: Out of 200 respondents, who participated in study,75.5% reached depression criteria. The age range of majority of students (53%) was 20-22 year.Factors such as female gender, year of medical college, staying in hostel, both pre and postexam depression, academic pressure, high competition, overburdened test schedules andworries about future were found to be significantly associated with depression. Conclusion:The results depict that frequency of depression among MBBS students during their academicyears is very high, making them highly susceptible individuals. This demands the necessityfor pervasive enactment of therapeutic measures by medical college administration, includingassessment, education and provision of mental health services.


2019 ◽  
Author(s):  
Enguday Tirfeneh ◽  
Mengesha Srah

Abstract Background depression is one of the most serious and prevalent mental illnesses that can result in serious disability and ending life by committing suicide and homicide. The risks of having depression are substantially higher in persons who have parental neglect when compared to the general population. Objective To detect prevalence of depression and its association with parental neglect among adolescents in governmental high schools at Aksum town, Tigray, Ethiopia 2019 Method A facility based cross-sectional study was conducted from January 1-30/2019 at Aksum town high schools. Public health questionnaire was used in this study to detect Depression. Study participants were selected using simple random sampling technique. Data was collected with face to face interview. Data was analyzed using statistical package for social science version 22. Bivariate and multivariate logistic regressions were used to see the association between depression and parental neglect. Adjusted Odds ratio at a p-value <0.05 with 95% confidence interval was taken to declare statistical significance of variables. Result A total of 624 students were participated in the study yielding a response rate of 99.05%. Prevalence of depression was found to be 36.2%. Depression among adolescents was found to have significant and strong association with parental neglect ((AOR=2.61, 95% CI (1.83, 3.72), p-value=0.000). Conclusion and recommendation In the current study the prevalence of depression is found to be high when compared to other population. Significant and strong association is also determined between parental neglect and depression. It is good if school teachers give emphasize for those students who seems psychologically unwell. It is better if school teachers exercise linking such students to school psychologists. It is good to conduct prospective cohort study to investigate temporal relationship between factors and depression. It is good if Aksum university comprehensive hospital start campaign which will teach about the effect of parental neglect on the adolescent’s mental health. Key words: Depression, high school, parental neglect


2021 ◽  
Vol 4 (Special2) ◽  
pp. 395-401
Author(s):  
Ann Mary Thomas ◽  
Babita Susan ◽  
Jacob Davies Kalliath ◽  
Vinu Cherian ◽  
Brilly M Rose ◽  
...  

Background: Elderly constitutes a vulnerable group for depression, as they are especially prone to suffer adverse consequences of a depressive episode and have greater rates of completed suicides. This study aims to estimate the prevalence and determinants of geriatric depression.  Methods: A cross-sectional study was done among 250 elderlies from 1st January 2019 to 1st January 2020 in the different rural blocks of Ernakulam district, India. The multistage sampling technique and the Geriatric Depression Scale (GDS-30) were used to collect the data. A score of 0 9 is considered "normal", 10 19 is labeled as "mildly depressed", and 20 30 as "severely depressed". Statistical analysis was performed using the IBM SPSS software. The Chi-square test /Fisher's exact test was used to study the association between the socio-demographic and behavioral variables with depression. Results: The mean age was 69.33 ± 7.41years and male: female ratio was 0.55: 1.The overall prevalence of depression was 52.4%. Advanced age over 70years [OR=2.04;95% CI, 1.227 – 3.394; P=0.006], female gender[OR=2.844;95% CI,1.663-4.865; P =<0.001], lack of gainful employment [OR=3.504; 95% CI, 1.833–6.699; P =<0.001], physical dependence [OR=0.365;95% CI,0.162–0.821; P =0.012], financial dependence [OR=0.388; 95% CI, 0.219–0.687; P =<0.001], presence of medical co morbidities [OR=0.428; 95% CI, 0.212–0.866; P =0.016],poor lifestyle including the lack of regular exercise [OR =2.020; 95% CI,1.174–3.473; P =0.010], addiction to alcohol [OR=4.932;95%CI,1.600-15.208; P =0.004] and addiction to tobacco smoking [OR=2.905;95%CI,1.273-6.628; P =0.009] and poor family support [OR= 5.180;95% CI,716–15.636; P = 0.002] were found to be significantly associated with depression. Conclusion: The prevalence of depression among the elderlies was high, and hence early diagnosis and prompt treatment are essential to reduce its burden in the community.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Enguday Tirfeneh ◽  
Mengesha Srahbzu

Background. Depression is one of the most serious and prevalent mental illnesses that can result in serious disability and ending life by committing suicide and homicide. The risks of having depression are substantially higher in persons who have parental neglect when compared to the general population. Objective. To detect prevalence of depression and its association with parental neglect among adolescents in governmental high schools at Aksum town, Tigray, Ethiopia, 2019. Method. A facility-based cross-sectional study was conducted at Aksum town high schools. A simple random sampling technique was applied. Data was collected with face-to-face interview. Data was analyzed using IBM Statistical Package for Social Science version 22. Bivariate and multivariate logistic regressions were done. Adjusted odds ratio at a p value < 0.05 with 95% confidence interval was taken to declare statistical significance of variables. Result. A total of 624 students were asked to participate with a response rate of 99.05%. Prevalence of depression was found to be 36.2%. Depression among adolescents was found to have significant and strong association with parental neglect (AOR=2.61, 95% CI 1.83, 3.72). Conclusion and Recommendation. In the current study, the prevalence of depression is found to be high when compared to other populations. Significant and strong association is also determined between parental neglect and depression. It is good if teachers give emphasis for those students who seem psychologically unwell. It is good if Aksum University comprehensive hospital starts a campaign which will teach about the effect of parental neglect on the adolescents’ mental health.


2016 ◽  
pp. 59-65 ◽  
Author(s):  
Van Mao Nguyen

Background: Lymphoma is one of the most ten common cancers in the world as well as in Vietnam which has been ever increasing. It was divided into 2 main groups Hodgkin and non – Hodgkin lymphoma in which non-Hodgkin lymphoma appeared more frequency, worse prognosis and different therapy. Objectives: - To describe some common characteristics in patients with non – Hodgkin lymphoma; - To determine the proportion between Hodgkin and non- Hodgkin lymphoma, histopathological classification of classical Hodgkin by modified Rye 1966 and non-Hodgkin lymphoma by Working Formulation (WF) of US national oncology institute 1982. Materials and Method: This cross-sectional study was conducted on 65 patients with Hodgkin and non- Hodgkin lymphoma diagnosed definitely by histopathology at Hue Central Hospital and Hue University Hospital. Results:. The ratio of male/female for the non-Hodgkin lymphoma was 1.14/1, the most frequent range of age was 51-60 accounting for 35%, not common under 40 years. Non - Hodgkin lymphoma appeared at lymph node was the most common (51.7%), at the extranodal site was rather high 48.3%. The non - Hodgkin lymphoma proportion was predominant 92.3% comparing to the Hodgkin lymphoma only 7.7%; The most WF type was WF7 (53.3%), following the WF6 18,3% and WF5 11,7%; The intermediate malignancy grade of non- Hodgkin lymphoma was the highest proportion accouting for 85%, then the low and the high one 8.3% and 6.7% respectively. Conclusion: The histopathological classification and the malignant grade of lymphoma for Hodgkin and non - Hodgkin lymphoma played a practical role for the prognosis and the treatment orientation, also a fundamental one for the modern classification of non - Hodgkin lymphoma nowadays. Key words: lymphoma, Hodgkin lymphoma, non-Hodgkin lymphoma, classication, grade, histopathology, lymph node


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