Hubungan antara Gejala Gangguan Depresi dan Tension-Type Headache (TTH): Studi Eksploratif

Autor: Cecilia J. Setiawan, Henny Anggraini Sadeli, Tuti Wahmurti A. Sapiie
Jazyk: English<br />Indonesian
Rok vydání: 2013
Předmět:
Zdroj: Majalah Kedokteran Bandung, Vol 45, Iss 1, Pp 28-34 (2013)
Druh dokumentu: article
ISSN: 0126-074X
2338-6223
DOI: 10.15395/mkb.v45n1.92
Popis: The prevalence rate of depressive disorders is increasing, including those having comorbidity with physical illnesses. One of the medical conditions that has been related to depressive disorder is tension-type headache (TTH). This comorbidity is related to the chronic course of TTH. This research aims to know which kind of depressive symptoms are most frequently found in TTH patients and to analyze the correlation between those symptoms and the type of TTH. This was a cross sectional study on 32 TTH patients who visited the outpatient clinic of the Neurology Department of Dr. Hasan Sadikin Hospital Bandung during the period of November to December 2011 and who were diagnosed as having depressive disorder. They were examined using Hamilton Depression Rating Scale (HDRS). We correlated the scores of depressive disorder symptoms with the type of TTH, followed by mutivariable analysis to find the prevalence ratio of depressive disorder symptoms which correlated with the type of TTH. The results showed the prevalence rate of depressive disorder in TTH was 32/38 patients while the most frequent depressive disorder symptoms of the subjects were depressive mood, fatigue and psychological anxiety. Depressive mood and fatigue were positively correlated with the type of TTH (rs=0.411, p=0.019 and rs=0.379, p=0.032). Logistic regression analysis showed that only depressive mood increased the risk of chronic TTH with a prevalence ratio of 4.74 (IK 95% 1.24–18.02). In conclusions, depressive mood, which is the most frequent symptoms of depressive disorder, can be used in the early screening of depressive disorder in TTH patients and this symptom increased the risk of chronic TTH.
Databáze: Directory of Open Access Journals
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