the patients were subjected to specialists opinion ( e.g. , ophthalmologist , ent or medical specialist ) and relevant investigations ( e.g. , fundus , x - ray skull , c.t . the cases suffering from organic mental disorders , chronic psychiatric disorders , epilepsy or drug dependence were excluded from the study . out of 3245 patients seen during the study period , 100 ( 3.2% ) were suffering from migraine . maximum patients belonged to age - group of 31 - 40 years ( 40% ) followed by 21 - 30 years ( 22% ) . a majority of migraineurs were married ( 76% ) , illiterate or just literate ( 55% ) , hindus ( 86% ) and housewives ( 56% ) [ table 1 ] . socio - demographic characteristics of patients with migraine family history of migraine was present in 12% cases whereas family history of depression was present in 6% . maximum patients had a total duration of migraine as one to three years ( 40% ) followed by less one year duration ( 32% ) . the commonest frequency of migraine was 1 - 2/week ( 54% ) or 2 - 3/month ( 26% ) . the provoking factors were reported in 18 patients ( 18% ) [ table 2 ] . migraine without aura ( previously called common migraine ) was the commonest variety ( 81% ) followed by migraine with aura ( previously called classis migraine ) ( 17% ) and complications of migraine ( 2% ) ( only two cases reported complications due to migraine  both with fainting spells ) . the personality profile of the patients showed anankastic traits ( 25% ) , dysthymic traits ( 20% ) , histrionic traits ( 17% ) , anxious traits ( 14% ) , schizotypal traits ( 10% ) , cyclothymic traits ( 6% ) and others ( 8% ) . the physical comorbidity included hypertension ( 12% ) , cervical spondylosis ( 8% ) , refractive errors ( 7% ) , chronic sinusitis ( 3% ) and diabetes mellitus ( 2% ) . characteristic of migraine generalized anxiety disorder ( f41.1 ) was the commonest psychiatric diagnosis ( 34% ) followed by mixed anxiety and depressive disorder ( f41.2 ) ( 18% ) , 22 patients ( 22% ) did not have any psychiatric disorder [ table 3 ] . migraine is reported to be more common in persons between the age of 20 and 45 years . in the present study also , migraine was found to be more common among age group of 31 - 40 years ( 40% ) followed by 21 - 30 years of age ( 22% ) . this is also consistent with other studies[91416 ] and a majority of patients were married ( 76% ) . unilateral type of headache was much more common than the bilateral type and the headache was throbbing in nature in a majority of migraneurs . there is a wide range of age of onset of migraine reported in the literature ( 5 to 28 years ) with an average age at onset in mid - teens . they were fatigue , lack of adequate sleep , intake of alcohol , menstruation and oral contraceptives . the other provoking factors for migraine as reported in the literature e.g. , aged cheeses , caffeine , chocolate , concentrated sugar , dairy products , fermented , pickled food , fruits ( bananas , figs , raisins , pineapple etc . , ) vegetables ( onions , pea , pods , nuts , peanuts ) , yeast products , meats with nitrites , monosodium glutamate , saccharin etc . , could not be identified or reported by the patients in the present study . migraine without aura ( previously called common migraine ) was the commonest subtype seen ( in 81% ) . this is consistent with the reported findings that lifetime prevalence of migraine without aura is about 13% as compared to migraine with aura seen in less than 4% population . generalized anxiety disorder ( f41.1 ) was the commonest disorder followed by mixed anxiety and depressive disorder ( f41.2 ) and depressive episode ( f32 ) . mixed dissociative ( coversion ) disorders ( f44.7 ) ( fits and fainting ) were also seen among female migraineurs . previous clinical and community studies[1724 ] have also reported a strong association between migraine and depression as well as anxiety disorders and also vice - versa . the literature also indicates that patients with migraine are at reduced risk of suffering from anxiety , mood disorders and substance - related disorders compared with medication overuse headache sufferers . retrospective studies on the onset and course of these syndromes showed that the onset of anxiety generally preceded that of migraine whereas the onset of depression tended to occur after that of migraine . the studies on association of personality traits and migraine demonstrate increased prevalence of neuroticism - anxiety and depression as compared to healthy controls . but the present study , a cross sectional one , did not determine whether the onset of anxiety disorder and depression preceded or followed the migraine . health - related outcomes were worst in those with both migraines and a psychiatric disorder and intermediate in those with either condition alone . future long term follow up studies on larger sample are warranted to study this association . the present study confirms that majority ( 78% ) of patients with migraine had psychiatric disorders .
background : migraine is a common disorder which has psychiatric sequelae.objective:the objective of this study was to determine the clinical pattern and psychiatric comorbidity of migraine.materials and methods:100 cases of migraine seen over a period of one year were analysed to know the sociodemographic characteristics , clinical pattern and psychiatric morbidity.results:maximum patients were between 31 - 40 years of age group ( 40% ) , females ( 78.0% ) , married ( 76% ) and housewives ( 56.0% ) . family history of migraine was present in 12% cases . 
 average age of onset was 22 years . 
 unilateral and throbbing type of headache was most common . 
 the commonest frequency was one to two per week . 
 migraine without aura was commonest sub - type ( 80% ) . 
 generalized anxiety disorder ( f41.1 ) was the most common psychiatric disorder ( 34% ) , followed by mixed anxiety and depressive disorder ( f41.2 ) ( 18% ) and depressive episode ( f32 ) ( 14% ) . in 22% cases , 
 no psychiatric disorder could be elicited.conclusion:the present study confirms that majority patients with migraine had psychiatric disorders . 
 this needs timely detection and appropriate intervention to treat and control the migraine effectively .