Chapter

Pain, headache, and depression: a discussion

Richard C. Peatfield

in Migraine: A Spectrum of Ideas

Published in print March 1990 | ISBN: 9780192618108
Published online March 2012 | e-ISBN: 9780191724305 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780192618108.003.0021
Pain, headache, and depression: a discussion

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While structural causes of head, face, and dental pain must always be considered, the vast majority of patients seeking medical advice with such pains (and, indeed, with back pain too) have no demonstrable physical cause, if not for pain at all, then for the pain of the severity expressed in the consultation. Many of these are depressed, though responsiveness of this depression to drug treatment does not correlate consistently with depression rating-scale scores. In the study by Garvey et al. of 116 depressed out-patients, twenty-six complained of headaches before becoming depressed, and an additional thirty-seven developed headaches only when they became depressed. Other generalized somatic symptoms were commoner among this latter group than among those who experienced headache before their depression.

Keywords: dental pain; headache; depression; somatic symptoms; medical advice; drug treatment

Chapter.  2267 words. 

Subjects: Neuroscience

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