White matter hyperintensities and self-reported depression in a sample of patients with chronic headache
| Autor: | Marco Innamorati, Francesco Marsibilio, Martina Fiorillo, Paolo Girardi, Paolo Martelletti, Lidia D'Alonzo, Alessandro Bozzao, Andrea Romano, Gianluca Serafini, Mario Amore, Denise Erbuto, Dorian A. Lamis, Andrea Negro, Maurizio Pompili |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Neurology Original Headache Disorders Clinical Neurology Poison control Severity of Illness Index self-reported depression Disability Evaluation Young Adult chronic headache Leukoencephalopathies Internal medicine Severity of illness medicine Humans Depression (differential diagnoses) Aged Aged 80 and over medicine.diagnostic_test Depression business.industry Brain Magnetic resonance imaging General Medicine Middle Aged Center for Epidemiologic Studies Depression Scale medicine.disease Magnetic Resonance Imaging Hyperintensity Anesthesiology and Pain Medicine age Mood disorders Physical therapy pwmhs Female dwmhs Self Report Neurology (clinical) business |
| Zdroj: | The Journal of Headache and Pain |
| ISSN: | 1129-2377 1129-2369 |
| DOI: | 10.1007/s10194-012-0493-y |
| Popis: | White matter hyperintensities (WMH) have been associated with mood disorders in psychiatric patients. In the present study, we aimed to assess whether WMHs are associated with depressive symptoms and different sensitivity of the behavioral inhibition (BIS), and activation (BAS) systems in patients with chronic headache. Participants were 85 adult outpatients (16 men and 69 women) with a diagnosis of chronic headache. All of the patients underwent brain magnetic resonance imaging (MRI) and were administered the BIS/BAS scales and the Center for Epidemiologic Studies Depression Scale. Above 40 % of patients had periventricular WMHs (PWMHs) and almost 98 % had deep WMHs (DWMHs). Patients with PWMHs reported fewer depressive symptoms than patients without PWMHs. Patients with more severe DWMHs (compared with patients with mild or without DWMH lesions) were older and reported lower scores on the drive dimension of the BIS/BAS scales. In multivariate analyses, patients with PWMHs were 1.06 times more likely to report fewer depressive symptoms than patients without PWMHs. WMH lesions in patients with chronic headache were associated with less depression severity. |
| Databáze: | OpenAIRE |
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