Title: Evaluation of depression status among migraine patients during COVID-19 pandemic situation in Dhaka: A Hospital Based Cross Sectional Study by using DASS 21 Scoring System

Authors: Dr Md. Nazmuz Zaman Palash, Dr Kazi Mahbub Alam, Dr Syed Abdullah Sa-ad, Dr Khandakar Ashikur Zaman Imon, Dr Md. Naim Ibna Bashar, Dr Farin Tamanna

 DOI: https://dx.doi.org/10.18535/jmscr/v10i2.24

Abstract

This study was conducted to evaluate the depression status among migraine patients during COVID 19 pandemic situation in Dhaka. This was a cross sectional study which was taken at the outdoor of Bangabandhu Sheikh Mujib Medical University (BSMMU). This study was conducted in January to November 2021. Total 300 respondents with migraine and mental health problem were included in this study. DSS-21 scoring system was used as study tools in this study. Among 300 respondents 261 (87%) were female and 39(13%) were male. Among 261 female participants the prevalence of normal, mild, moderate, severe and extremely severe depression is reported respectively 12.7%, 38.7%, 27.3%, 4.3% and 4.0%; among 39 male participants the prevalence of normal, mild, moderate, severe and extremely severe depression is reported respectively 2.0%, 8.3%, 2.3%, 0.3% and 0.0%. No extremely severe depression male patient had found. The mean period for migraine suffering was reported 3.3982 years ±SD ±4.42. The prevalence of depression for normal, mild, moderate, severe, and extremely severe is respectively 14.7%, 47.0%, 29.7%, 4.7% and 4%. The mean and ±SD for depression is 1.36±0.928.The prevalence of Anxiety for normal, mild, moderate, severe, and extremely severe is respectively 7%, 8%, 53%, 10.7% and 21.3%. The mean and ±SD for anxiety is 2.31±1.107. Therefore patients need to maintain proper lifestyle to protect from anxiety and depression to control migraine problem. There are 5 socio-demographic factors were associated with depression which were statistically significant (age p=0.035, education p=0.000, residence p=0.000, occupation p=0.000 and monthly income p=0.000). Moreover type of migraine (p=0.003), and anxiety (p=0.000), were significantly associated with depression. Female are more prone to depression than male. Rich people have less depression than poor. Patients need to maintain proper lifestyle to protect from anxiety and depression to control migraine problem.

Keywords: Depression, Migraine Patients, DSS-21 Scoring System.

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Corresponding Author

Dr Md. Nazmuz Zaman Palash

Medical Officer, Neurology, Bangabandhu Sheikh Mujib Medical University Hospital (BSMMU)