Open Access

Psychiatric disorders in chronic daily headache: detection by means of the SCID interview

  • Francomichele Puca,
  • Mario Guazzelli,
  • Vittorio Sciruicchio,
  • Giuseppe Libro,
  • Paola Sarchielli,
  • Susanna Russo,
  • Andrea Alberti,
  • Giorgio Zanchin,
  • Cinzia Schianchi,
  • Anna Pia Verri,
  • Giuseppe Nappi,
  • Rosanna Cerbo,
  • Teresa Catarci,
  • Giorgio Nider and
  • Giuliano Relja
The Journal of Headache and PainOfficial Journal of the Italian Society for the Study of Headaches1:0001S033.10194


The identification of possible individual or/and environmental factors responsible for the chronic evolution of headache has represented a critical issue in recent years. The goal of this research was to enroll adult chronic daily headache (CDH) sufferers and to seek for psychiatric disorders, as possible transformation factor, by means of a complex neuropsychological investigation. The psychiatric evaluation was performed using the Structured Clinical Interview (SCID), according to the DSM-IV diagnostic criteria. The overall prevalence of psychiatric disorders according to DSM-IV criteria was 66.1%. No statistical difference was found in psychiatric comorbidity according to gender (women, 68.9% men, 52,4%). The prevalence of psychiatric disorders was 69.7% in drug abusers (classified in accordance with clinical interview) and 57.1% in non-abusers (the difference was not statistically significant). Comparing the three subtypes of CDH, a psychiatric disorder was found in 50% of chronic tension-type headache patients, in 72.2% of those with chronic coexisting migraine and tension-type headache(CT vs. CCMT-TH, p<0.01) and in 70.3% of patients with chronic migraine.

Key words Chronic daily headachePsychiatric disordersSCIDDSM-IV