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The possibility of a close relationship between depression and headache has been investigated by many authors; and supported by clinical, biochemical and pharmacological findings. In the present study the features of headaches were investigated in a sample of 58 depressed inpatients, selected according to Feighner's diagnostic criteria. Head pain was found in over 50% of the depressed, with a greater incidence within the psychogenic group. On the other hand headache did not correlate with the nuclear symptoms of depression (depressed mood, guilt, retardation, inadequacy); it correlated with tension and somatic anxiety. The authors conclude that headache, as a symptom of depressive syndrome, must be considered only an accessory component of depression, but not a central feature of the syndrome.
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