Güngen Belma Doğan, Aras Yesim Güzey, Gül Sıdıka Sinem, Acar Türkan, Ayaz Ayşe Burcu, Alagöz Aybala Neslihan, Acar Bilgehan Atılgan
Department of Neurology, Research and Training Hospital, Sakarya University, 54100, Sakarya, Turkey.
Marmara University, Istanbul, Turkey.
Acta Neurol Belg. 2017 Sep;117(3):687-694. doi: 10.1007/s13760-017-0790-y. Epub 2017 May 23.
Migraine is an episodic disease characterized by a throbbing and generally unilateral headache, often accompanied by nausea, vomiting and light and sound sensitivity. Migraine is known to affect one's quality of life; not only the person with migraine but also his/her family and social environment are affected by this condition. Our study aimed to evaluate the effects of maternal migraine on children's quality of life. The patient group comprised 70 mothers with migraine diagnoses and their 111 healthy children, while 50 healthy mothers and their 86 children were included in this study as the control group. The Visual Analog Scale (VAS), Migraine Disability Assessment Scale, Beck Depression Index (BDI) and Beck Anxiety Index (BAI) were used for evaluation of mothers; 3 to 7-year old KINDL and 7- to 17-year-old KINDL-R Quality of Life Scales were used to evaluate the quality of life of children. The SPSS 21.0 program was used for statistical analysis and p < 0.05 was assumed to be statistically significant. The mean age of the migraine group was 37.09 ± 6.94 years, and the mean age of the control group was 38.2 ± 4.5. Symptoms of depression and anxiety were more frequently found in subjects with migraine (p < 0.05). In comparison with the control group: 3 to 7-year old KINDL total scores, self-esteem and school subscales, 7- to 17-year-old KINDL total scores, self-esteem and the social relationships subscale scores were lower in migraine group. It was found to be significant that VAS, BDI and BAI scores of the mothers were negatively correlated with the children's quality of life. Our study concluded that the presence of migraine-type headache in mothers worsen the relations in school, self-esteem and quality of life in younger children and social relations, relations in school and quality of life in older children. The maternal age, disease severity, and anxiety and depression symptoms were shown to predict the quality of life in children. Performing preventive interventions by individually assessing bio-psycho-social elements for the treatment of mothers with migraine will preserve other family member's and especially children's quality of life.
偏头痛是一种发作性疾病，其特征为搏动性且通常为单侧的头痛，常伴有恶心、呕吐以及对光和声音敏感。众所周知，偏头痛会影响人的生活质量；不仅偏头痛患者本人，其家人和社会环境也会受到这种疾病的影响。我们的研究旨在评估母亲偏头痛对孩子生活质量的影响。患者组包括70名被诊断为偏头痛的母亲及其111名健康子女，而50名健康母亲及其86名子女被纳入本研究作为对照组。采用视觉模拟量表（VAS）、偏头痛残疾评估量表、贝克抑郁量表（BDI）和贝克焦虑量表（BAI）对母亲进行评估；使用3至7岁儿童生活质量量表（KINDL）和7至17岁儿童生活质量量表修订版（KINDL-R）来评估儿童的生活质量。使用SPSS 21.0程序进行统计分析，p < 0.05被认为具有统计学意义。偏头痛组的平均年龄为37.09 ± 6.94岁，对照组的平均年龄为38.2 ± 4.5岁。偏头痛患者中抑郁和焦虑症状更为常见（p < 0.05）。与对照组相比：偏头痛组3至7岁儿童生活质量量表总分、自尊和学校分量表得分，7至17岁儿童生活质量量表总分、自尊和社会关系分量表得分较低。发现母亲的VAS、BDI和BAI得分与孩子的生活质量呈负相关具有统计学意义。我们的研究得出结论，母亲患有偏头痛型头痛会使年幼儿童在学校的关系、自尊和生活质量以及年长儿童的社会关系、在学校的关系和生活质量变差。母亲的年龄、疾病严重程度以及焦虑和抑郁症状被证明可预测孩子的生活质量。通过单独评估生物 - 心理 - 社会因素对偏头痛母亲进行预防性干预，将有助于维持其他家庭成员尤其是孩子的生活质量。
