Clinical evidence suggests that chronic daily headache (CDH) occurs in association with psychopathologies: previous studies have focused particularly on migraine. To evaluate this association, we studied, using the DSM-IIIR criteria, a population of 88 patients (18M, 70F) affected by CDH (mean duration 7.4 +/- 8.7 years). We documented the presence of a psychiatric disorder in 90% of this population. The most frequent diagnosis was a comorbidity of anxiety and mood disorders. The comorbidity of psychiatric disorders and headache has important implications as far as treatment is concerned.
from the present study it seems clear that a certain degree of similarity exists between the PMDD and ED. However, whether or not these two disorders really share common ground from a physiopathological point of view still has to be clarified by more extensive studies.
A wide body of literature has identified obstetrical and gynecological consequences for the fetus and anorexia nervosa (AN) women during pregnancy. This mini review aims to analyze the effect of pregnancy on AN women, focusing on three specific and less well investigated domains of literature: the desire for pregnancy, weight modification and feelings experienced about pregnancy. The findings suggest that pregnancy may constitute an excellent time for case identification and treatment of AN women. Studies showed a higher prevalence of unplanned pregnancies, suggesting an underestimation of fertility during AN, together with specific trajectories of weight modification. Mixed feelings and higher depression risk were reported for AN women, especially post-partum, with a relapse risk, such as a revival of anorexic symptoms like restrictions, compensatory behaviors or other extreme weight-control modalities. Further studies are necessary on decision making about intentional pregnancy and feelings in AN women, with clearer guidelines for AN treatment during pregnancy.
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