Epidemiology of the psychiatric comorbidities of headache

Kathleen B. Mullin, Dawn C. Buse, C. Mark Sollars, Richard B. Lipton

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

“Comorbidity” refers to the occurrence of two conditions in the same individual at a frequency greater than would be expected by chance. [1] Migraine is comorbid with a number of medical, neurologic, and psychiatric disorders. Examples of medical comorbidities include asthma, [2] coronary heart disease, [3] and chronic pain disorders. [4–7] Neurologic comorbidities include stroke and epilepsy, [8] and psychiatric comorbidities include anxiety, depression, panic disorder, and bipolar disorder. [9,10,] Comorbidities are best studied in representative samples because the prevalence of disease and the association among disorders is sometimes altered in clinic-based samples. This phenomenon, known as Berkson bias, can lead to under-estimates or over-estimates of the rates of co-occurrence for various disorders. Berkson bias arises when patterns of symptoms influence patterns of care seeking for a range of medical disorders. For example, someone with migraine and depression may be more likely to seek medical care with complaints of head pain and sadness than someone who experiences only one of these disorders. Clinic-based studies of comorbidities are useful for generating hypotheses about comorbidities and for characterizing patient groups. They cannot be relied upon to determine if two conditions are actually occurring together with frequency greater than chance.

Original languageEnglish (US)
Title of host publicationThe Neuropsychiatry of Headache
PublisherCambridge University Press
Pages1-8
Number of pages8
ISBN (Print)9781139206952, 9781107026209
DOIs
StatePublished - Jan 1 2010

Fingerprint

Headache
Psychiatry
Comorbidity
Epidemiology
Migraine Disorders
Depression
Somatoform Disorders
Panic Disorder
Nervous System Diseases
Bipolar Disorder
Chronic Pain
Nervous System
Coronary Disease
Epilepsy
Asthma
Anxiety
Stroke

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Mullin, K. B., Buse, D. C., Mark Sollars, C., & Lipton, R. B. (2010). Epidemiology of the psychiatric comorbidities of headache. In The Neuropsychiatry of Headache (pp. 1-8). Cambridge University Press. https://doi.org/10.1017/CBO9781139206952.002

Epidemiology of the psychiatric comorbidities of headache. / Mullin, Kathleen B.; Buse, Dawn C.; Mark Sollars, C.; Lipton, Richard B.

The Neuropsychiatry of Headache. Cambridge University Press, 2010. p. 1-8.

Research output: Chapter in Book/Report/Conference proceedingChapter

Mullin, KB, Buse, DC, Mark Sollars, C & Lipton, RB 2010, Epidemiology of the psychiatric comorbidities of headache. in The Neuropsychiatry of Headache. Cambridge University Press, pp. 1-8. https://doi.org/10.1017/CBO9781139206952.002
Mullin KB, Buse DC, Mark Sollars C, Lipton RB. Epidemiology of the psychiatric comorbidities of headache. In The Neuropsychiatry of Headache. Cambridge University Press. 2010. p. 1-8 https://doi.org/10.1017/CBO9781139206952.002
Mullin, Kathleen B. ; Buse, Dawn C. ; Mark Sollars, C. ; Lipton, Richard B. / Epidemiology of the psychiatric comorbidities of headache. The Neuropsychiatry of Headache. Cambridge University Press, 2010. pp. 1-8
@inbook{91626fed44b9489fb4d9ce49098e389c,
title = "Epidemiology of the psychiatric comorbidities of headache",
abstract = "“Comorbidity” refers to the occurrence of two conditions in the same individual at a frequency greater than would be expected by chance. [1] Migraine is comorbid with a number of medical, neurologic, and psychiatric disorders. Examples of medical comorbidities include asthma, [2] coronary heart disease, [3] and chronic pain disorders. [4–7] Neurologic comorbidities include stroke and epilepsy, [8] and psychiatric comorbidities include anxiety, depression, panic disorder, and bipolar disorder. [9,10,] Comorbidities are best studied in representative samples because the prevalence of disease and the association among disorders is sometimes altered in clinic-based samples. This phenomenon, known as Berkson bias, can lead to under-estimates or over-estimates of the rates of co-occurrence for various disorders. Berkson bias arises when patterns of symptoms influence patterns of care seeking for a range of medical disorders. For example, someone with migraine and depression may be more likely to seek medical care with complaints of head pain and sadness than someone who experiences only one of these disorders. Clinic-based studies of comorbidities are useful for generating hypotheses about comorbidities and for characterizing patient groups. They cannot be relied upon to determine if two conditions are actually occurring together with frequency greater than chance.",
author = "Mullin, {Kathleen B.} and Buse, {Dawn C.} and {Mark Sollars}, C. and Lipton, {Richard B.}",
year = "2010",
month = "1",
day = "1",
doi = "10.1017/CBO9781139206952.002",
language = "English (US)",
isbn = "9781139206952",
pages = "1--8",
booktitle = "The Neuropsychiatry of Headache",
publisher = "Cambridge University Press",

}

TY - CHAP

T1 - Epidemiology of the psychiatric comorbidities of headache

AU - Mullin, Kathleen B.

AU - Buse, Dawn C.

AU - Mark Sollars, C.

AU - Lipton, Richard B.

PY - 2010/1/1

Y1 - 2010/1/1

N2 - “Comorbidity” refers to the occurrence of two conditions in the same individual at a frequency greater than would be expected by chance. [1] Migraine is comorbid with a number of medical, neurologic, and psychiatric disorders. Examples of medical comorbidities include asthma, [2] coronary heart disease, [3] and chronic pain disorders. [4–7] Neurologic comorbidities include stroke and epilepsy, [8] and psychiatric comorbidities include anxiety, depression, panic disorder, and bipolar disorder. [9,10,] Comorbidities are best studied in representative samples because the prevalence of disease and the association among disorders is sometimes altered in clinic-based samples. This phenomenon, known as Berkson bias, can lead to under-estimates or over-estimates of the rates of co-occurrence for various disorders. Berkson bias arises when patterns of symptoms influence patterns of care seeking for a range of medical disorders. For example, someone with migraine and depression may be more likely to seek medical care with complaints of head pain and sadness than someone who experiences only one of these disorders. Clinic-based studies of comorbidities are useful for generating hypotheses about comorbidities and for characterizing patient groups. They cannot be relied upon to determine if two conditions are actually occurring together with frequency greater than chance.

AB - “Comorbidity” refers to the occurrence of two conditions in the same individual at a frequency greater than would be expected by chance. [1] Migraine is comorbid with a number of medical, neurologic, and psychiatric disorders. Examples of medical comorbidities include asthma, [2] coronary heart disease, [3] and chronic pain disorders. [4–7] Neurologic comorbidities include stroke and epilepsy, [8] and psychiatric comorbidities include anxiety, depression, panic disorder, and bipolar disorder. [9,10,] Comorbidities are best studied in representative samples because the prevalence of disease and the association among disorders is sometimes altered in clinic-based samples. This phenomenon, known as Berkson bias, can lead to under-estimates or over-estimates of the rates of co-occurrence for various disorders. Berkson bias arises when patterns of symptoms influence patterns of care seeking for a range of medical disorders. For example, someone with migraine and depression may be more likely to seek medical care with complaints of head pain and sadness than someone who experiences only one of these disorders. Clinic-based studies of comorbidities are useful for generating hypotheses about comorbidities and for characterizing patient groups. They cannot be relied upon to determine if two conditions are actually occurring together with frequency greater than chance.

UR - http://www.scopus.com/inward/record.url?scp=84928061835&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84928061835&partnerID=8YFLogxK

U2 - 10.1017/CBO9781139206952.002

DO - 10.1017/CBO9781139206952.002

M3 - Chapter

SN - 9781139206952

SN - 9781107026209

SP - 1

EP - 8

BT - The Neuropsychiatry of Headache

PB - Cambridge University Press

ER -