Zusammenfassung
Hintergrund
Es wurde die Häufigkeit von Angst und Depressionen sowie der Einfluss der Kopfschmerzschwere auf diese Erkrankungen bei den Patienten der „Integrierten Versorgung (IV) Kopfschmerz in Bayern“ untersucht.
Material und Methoden
Die deutsche Version der Hospital Anxiety and Depression Scale (HADS-D) zum Screening von Angst und Depressionen sowie den Migraine Disability Assessment Questionnaire (MIDAS) zur Erfassung der Schwere der Kopfschmerzen bearbeiteten 181 Patienten mit Kopfschmerzen. Neben rein deskriptiven Auswertungen wurden Korrelationskoeffizienten nach Spearman berechnet.
Ergebnisse
Beim Depressions- bzw. Angstscreening erreichten 22,7 bzw. 44,7% der Patienten grenzwertige oder auffällige Ergebnisse; 19,3% hatten grenzwertige oder auffällige Werte in beiden Bereichen. Es zeigten sich für Angst sowie Depressivität signifikante Zusammenhänge zur Schwere der Kopfschmerzen.
Schlussfolgerungen
Die Ergebnisse bestätigen die Notwendigkeit eines interdisziplinären Vorgehens bei Patienten mit Kopfschmerzen, um eine erfolgreiche Therapie durchführen zu können. Mit dem Konzept der Integrierten Versorgung wird eine derartige Behandlung verwirklicht.
Abstract
Background
The prevalence of anxiety and depression and the influence of headache severity on these illnesses were examined in patients who were part of the managed care of headache in Bavaria.
Patients and methods
A total of 181 patients with headache were screened for anxiety and depression with the German version of the Hospital Anxiety and Depression Scale (HADS-D). Headache severity was evaluated using the Migraine Disability Assessment Questionnaire (MIDAS). Apart from purely descriptive evaluations, Spearman’s coefficients of correlation were calculated.
Results
Of the patients 22.7% and 44.7% obtained results at or above the limit of the normal range of depression and anxiety, respectively and 19.3% had results at or above the limit of the normal range for both illnesses. There were significant coefficients of correlation between the severity of headache and both anxiety and depression.
Conclusion
The results confirm the necessity for an interdisciplinary procedure in treating headache patients in order to achieve a successful therapy. Such a treatment can be realised with the concept of managed care.
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Felbinger, J., Reinisch, V., Sostak, P. et al. Angst und Depression bei Kopfschmerzpatienten. Schmerz 23, 33–39 (2009). https://doi.org/10.1007/s00482-008-0735-8
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DOI: https://doi.org/10.1007/s00482-008-0735-8