Desouky Dalia E, Zaid Hany A, Taha Azza A
1Department of Family and Community Medicine, College of Medicine, Taif University, Alsalama street, Taif city, Saudi Arabia.
2Department of Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Shibin El Kom, Egypt.
J Egypt Public Health Assoc. 2019;94(1):7. doi: 10.1186/s42506-019-0008-7. Epub 2019 Jan 29.
Studies done in Saudi Arabia showed a high prevalence of headache among university students. Limited research was done to assess the relationship between headache and psychiatric disorders. The aim of this study was to assess the prevalence and association between migraine, tension-type headache, and depression among Saudi female students in Taif University.
A cross-sectional study using self-administered questionnaires about headache and depression was conducted at the Taif University on 1340 female students in the academic year 2016-2017. The Beck Depression Inventory, the ID Migraine™ screening tool, and the criteria of the International Headache Society were used to investigate the depressive symptoms and headache types.
The self-reported headache prevalence was 68.4%, and the prevalence of migraine, tension-type headache (TTH), and depression was 32.5%, 29.5%, and 6.2%, respectively. The main migraine trigger was stress or anxiety; 86.6% of migraineurs had a positive family history, and only 11.9% sought medical care for headache. Of students with TTH, 61.1% reported family history and only 12.4% sought medical care. Paracetamol was the commonly used analgesic for all headache types. Medical students and students in older grades showed significantly higher levels of all headache types. Depression prevalence was significantly higher among migraineurs and students who suffered higher headache frequencies.
The study demonstrated a high prevalence of headache among the studied students and an association between headache and depression. The study calls for increasing awareness towards headache and the importance of seeking medical consultation. Management strategies should be planned for the observed headache and depression comorbidity.
在沙特阿拉伯进行的研究表明，大学生中头痛的患病率很高。评估头痛与精神障碍之间关系的研究有限。本研究的目的是评估塔伊夫大学沙特女学生中偏头痛、紧张型头痛和抑郁症的患病率及关联。
在2016 - 2017学年，对塔伊夫大学的1340名女学生进行了一项横断面研究，使用关于头痛和抑郁症的自填问卷。采用贝克抑郁量表、ID偏头痛™筛查工具以及国际头痛协会的标准来调查抑郁症状和头痛类型。
自我报告的头痛患病率为68.4%，偏头痛、紧张型头痛（TTH）和抑郁症的患病率分别为32.5%、29.5%和6.2%。偏头痛的主要诱发因素是压力或焦虑；86.6%的偏头痛患者有阳性家族史，只有11.9%因头痛寻求医疗护理。在紧张型头痛患者中，61.1%报告有家族史，只有12.4%寻求医疗护理。对所有头痛类型而言，扑热息痛是常用的镇痛药。医学生和高年级学生的所有头痛类型发生率显著更高。偏头痛患者和头痛发作频率较高的学生中抑郁症患病率显著更高。
该研究表明所研究学生中头痛患病率很高，且头痛与抑郁症之间存在关联。该研究呼吁提高对头痛的认识以及寻求医疗咨询的重要性。应针对观察到的头痛与抑郁症共病情况制定管理策略。
