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Research Article

Prevalence of Depression and Quality of Life of Patients with Chronic Headache

Shanti Pokhrel, Rabin Bhandari, Dhana Ratna Shakya, Rupak Bhandari, Bijaya Gautam and Tarun Paudel*

Corresponding Author: Tarun Paudel, Prof. and HOD GP and Emergency medicine Gandaki Medical college, Nepal.

Received: August 25, 2024 ;    Revised: January 25, 2025 ;    Accepted: January 28, 2025 ;   Available Online: February 17, 2025

Citation: Pokhrel S, Bhandari R, Shakya DR, Bhandari R, Gautam B, et al. (2025) Prevalence of Depression and Quality of Life of Patients with Chronic Headache. J Nurs Midwifery Res, 4(1): 1-14.

Copyrights: ©2025 Pokhrel S, Bhandari R, Shakya DR, Bhandari R, Gautam B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Backgrounds: Headache is the symptoms of pain anywhere in the region of head or neck. Chronic headache is defined as the presence of headache more than 15 days per month for longer than 3 months. Frequent headache can affect the relationship, employment and other activities, with most migraine sufferers and around half of tension type headache sufferers reported limitation of activities, disability during a headache attack. Chronic headache is often associated with depression. There is high co-prevalence of migraine and depression. Chronic headache patient with depression showed reduced quality of life.

Objective: This study aimed to determine the prevalence of depression among patients presenting with chronic primary headache and to describe the quality of life in patients with chronic primary headache with depression and without depression.

Methods and Methodology: This is a descriptive cross-sectional study of 139 chronic primary headache patients at BPKIHS, Nepal from 2017 March to 2018 March among patient visiting GpOPD OF BPKIHS. Chronic primary headache defined by ICHD-3 criteria. Depression was assessed by BDI questionnaire and quality of life determined by WHOQOLBREF questionnaire. Consider sociodemographic, clinical, and individual variations that impact chronic headache patient.

Results: A total of 139 chronic headache patients visiting the general practice out patient’s department from March 2017 to March 2018 at B.P. Koirala Institute of Health Sciences were included in the study. Prevalence of depression was 45.3% and mean value of BDI score with depression was (20 ± 5). The median (IQR) BDI score was 12 (6, 18, Q1, Q3). The median values showed significant difference among patients with depression and no depression. Mean QOL score were higher in the group without depression patients in comparison to the groups with depression.

Conclusion: Chronic headache is often associated with depression. The prevalence of depression in chronic headache patients in the present study was 45.3%. This study suggested that patients with chronic primary headache with depression had poor QOL as compared to patients without depression.

Keywords: Chronic headache, Depression, Quality of life

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