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偏头痛患者手机过度使用与疼痛强度增加、日间嗜睡、睡眠质量差和生活质量下降的相关性:一项多中心、横断面比较研究。

Association of increased pain intensity, daytime sleepiness, poor sleep quality, and quality of life with mobile phone overuse in patients with migraine: A multicenter, cross-sectional comparative study.

机构信息

Department of Neurosurgery and Neurology, Jinnah Medical and Dental College, Karachi, Sindh, Pakistan.

Department of Neurology, University of California, Irvine, California.

出版信息

Brain Behav. 2022 Oct;12(10):e2760. doi: 10.1002/brb3.2760. Epub 2022 Sep 20.

Abstract

BACKGROUND

The number of regular smartphone users has increased dramatically worldwide. Headaches, followed by sleep difficulties, forgetfulness, dizziness, and other ailments, are among the most prevalent complaints among smartphone users during or after use. In addition, migraine is a debilitating disease and is the world's second leading cause of disability. Hence, we performed this study to determine how smartphone overuse influenced migraine patients' level of disability, pain intensity, sleep quality, and overall quality of life.

METHODS

In this observational study, the patients were divided into two groups high mobile phone use group (HMPUG) and the low mobile phone user group (LMPUG) using the Mobile Phone Problematic Use Scale. We assessed, for each group, patients' level of disability, pain intensity, sleep quality, daytime sleepiness, and quality of life through the Migraine Disability Assessment Scale, Visual Analogue Scale, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, and 24-h Migraine Quality of Life Questionnaire, respectively.

RESULTS

Our study showed that the respondents' average age was  27.59 (9.79) years. The average number of family members was 5.98 (2.3251). A total of 65.8% (n = 263) of the 400 participants were female, while 34.3 % (n = 137) were male. Greater pain intensity, poor sleep quality, and reduced medication effectivity were found in HMPUG compared to LMPUG (p < .05). However, increased duration of migraine and medication intake was reported in the LMPUG (p < .05).

CONCLUSION

We observed that smartphone overuse could worsen pain, sleep, and reduce treatment efficacy in individuals with migraine. Therefore, controlled smartphone use is recommended to avoid worsening symptoms.

摘要

背景

全球范围内,经常使用智能手机的人数急剧增加。在使用智能手机期间或之后,头痛、睡眠困难、健忘、头晕等是智能手机用户最常见的抱怨之一。此外,偏头痛是一种使人虚弱的疾病,是世界上第二大致残原因。因此,我们进行了这项研究,以确定过度使用智能手机如何影响偏头痛患者的残疾程度、疼痛强度、睡眠质量和整体生活质量。

方法

在这项观察性研究中,我们使用手机问题使用量表将患者分为高手机使用组(HMPUG)和低手机使用组(LMPUG)。我们分别通过偏头痛残疾评估量表、视觉模拟量表、匹兹堡睡眠质量指数、埃普沃斯嗜睡量表和 24 小时偏头痛生活质量问卷评估每组患者的残疾程度、疼痛强度、睡眠质量、白天嗜睡和生活质量。

结果

我们的研究表明,受访者的平均年龄为 27.59(9.79)岁。平均家庭成员数为 5.98(2.3251)人。在 400 名参与者中,共有 65.8%(n=263)为女性,34.3%(n=137)为男性。与 LMPUG 相比,HMPUG 患者的疼痛强度更大、睡眠质量更差、药物效果降低(p<0.05)。然而,LMPUG 患者报告偏头痛持续时间和药物摄入增加(p<0.05)。

结论

我们观察到过度使用智能手机可能会加重偏头痛患者的疼痛、睡眠问题,并降低治疗效果。因此,建议控制智能手机的使用,以避免症状恶化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ada3/9575598/20f5ad3de855/BRB3-12-e2760-g001.jpg

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