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Migraine: A Spectrum of Ideas$
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Merton Sandler and Geralyn M. Collins

Print publication date: 1990

Print ISBN-13: 9780192618108

Published to Oxford Scholarship Online: March 2012

DOI: 10.1093/acprof:oso/9780192618108.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 27 July 2021

Pain, headache, and depression: a discussion

Pain, headache, and depression: a discussion

(p.259) 21. Pain, headache, and depression: a discussion
Migraine: A Spectrum of Ideas

Richard C. Peatfield

Oxford University Press

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

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