A Review of Screening Tools for Psychiatric Comorbidity in Headache Patients.
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| Title: | A Review of Screening Tools for Psychiatric Comorbidity in Headache Patients. |
|---|---|
| Authors: | Maizels, Morris, Smitherman, Todd A., Penzien, Donald B. |
| Source: | Headache: The Journal of Head & Face Pain. Oct2006 Supplement 3, Vol. 46, pS98-S109. 11p. 5 Charts. |
| Subjects: | Systematic Screening for Behavior Disorders, Headache, Mental depression, Anxiety, Comorbidity, Patients |
| Abstract: | Psychiatric comorbidity, especially depression and anxiety, has been well documented in patients with primary headache disorders. The presence of psychiatric comorbidity in headache patients is associated with decreased quality-of-life, poorer prognosis, chronification of disease, poorer response to treatment, and increased medical costs. Despite the prevalence and impact, screening for psychiatric disorders in headache patients is not systematically performed, either clinically or in research studies, and there are no guidelines to suggest which patients should be screened or in what manner. We review a variety of screening methods and instruments, focusing primarily on self-report measures and those available in the public domain. Informal verbal screening may be sufficient in a primary care setting, but should include screening for both anxiety and depression. Explicit screening for anxiety is important, as anxiety may have a more significant impact on headache than does depression and may occur in the absence of clinical depression. Formal screening with instruments that can identify a variety of psychiatric disorders is appropriate for patients with daily headache syndromes, patients who are refractory to usual care, and patients referred for specialty evaluation. Limitations of screening instruments include the influence of transdiagnostic symptoms and the need for confirmatory diagnostic interview. The following instruments appear most suitable for use in headache patients: for depression, the Patient Health Questionnaire Depression Module, the Beck Depression Inventory-II, or the Beck Depression Inventory-Primary Care; for anxiety, the Beck Anxiety Inventory and the Generalized Anxiety Disorder 7-item Scale; and for multidimensional psychiatric screening, the Patient Health Questionnaire or Primary Care Evaluation of Mental Disorders. [ABSTRACT FROM AUTHOR] |
| Copyright of Headache: The Journal of Head & Face Pain is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 22567047 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A Review of Screening Tools for Psychiatric Comorbidity in Headache Patients. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Maizels%2C+Morris%22">Maizels, Morris</searchLink><br /><searchLink fieldCode="AR" term="%22Smitherman%2C+Todd+A%2E%22">Smitherman, Todd A.</searchLink><br /><searchLink fieldCode="AR" term="%22Penzien%2C+Donald+B%2E%22">Penzien, Donald B.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Headache%3A+The+Journal+of+Head+%26+Face+Pain%22">Headache: The Journal of Head & Face Pain</searchLink>. Oct2006 Supplement 3, Vol. 46, pS98-S109. 11p. 5 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Systematic+Screening+for+Behavior+Disorders%22">Systematic Screening for Behavior Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Headache%22">Headache</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Patients%22">Patients</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Psychiatric comorbidity, especially depression and anxiety, has been well documented in patients with primary headache disorders. The presence of psychiatric comorbidity in headache patients is associated with decreased quality-of-life, poorer prognosis, chronification of disease, poorer response to treatment, and increased medical costs. Despite the prevalence and impact, screening for psychiatric disorders in headache patients is not systematically performed, either clinically or in research studies, and there are no guidelines to suggest which patients should be screened or in what manner. We review a variety of screening methods and instruments, focusing primarily on self-report measures and those available in the public domain. Informal verbal screening may be sufficient in a primary care setting, but should include screening for both anxiety and depression. Explicit screening for anxiety is important, as anxiety may have a more significant impact on headache than does depression and may occur in the absence of clinical depression. Formal screening with instruments that can identify a variety of psychiatric disorders is appropriate for patients with daily headache syndromes, patients who are refractory to usual care, and patients referred for specialty evaluation. Limitations of screening instruments include the influence of transdiagnostic symptoms and the need for confirmatory diagnostic interview. The following instruments appear most suitable for use in headache patients: for depression, the Patient Health Questionnaire Depression Module, the Beck Depression Inventory-II, or the Beck Depression Inventory-Primary Care; for anxiety, the Beck Anxiety Inventory and the Generalized Anxiety Disorder 7-item Scale; and for multidimensional psychiatric screening, the Patient Health Questionnaire or Primary Care Evaluation of Mental Disorders. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Headache: The Journal of Head & Face Pain is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/j.1526-4610.2006.00561.x Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: S98 Subjects: – SubjectFull: Systematic Screening for Behavior Disorders Type: general – SubjectFull: Headache Type: general – SubjectFull: Mental depression Type: general – SubjectFull: Anxiety Type: general – SubjectFull: Comorbidity Type: general – SubjectFull: Patients Type: general Titles: – TitleFull: A Review of Screening Tools for Psychiatric Comorbidity in Headache Patients. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Maizels, Morris – PersonEntity: Name: NameFull: Smitherman, Todd A. – PersonEntity: Name: NameFull: Penzien, Donald B. IsPartOfRelationships: – BibEntity: Dates: – D: 02 M: 10 Text: Oct2006 Supplement 3 Type: published Y: 2006 Identifiers: – Type: issn-print Value: 00178748 Numbering: – Type: volume Value: 46 Titles: – TitleFull: Headache: The Journal of Head & Face Pain Type: main |
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