Babateen Omar, Althobaiti Fadi S, Alhazmi Mohannad A, Al-Ghamdi Eyad, Alharbi Faeqah, Moffareh Alshaymaa K, Matar Fay M, Tawakul Abdullah, Samkari Jamil A
Department of Physiology, Umm Al-Qura University, Makkah, SAU.
Department of Medicine, Umm Al-Qura University, Makkah, SAU.
Cureus. 2023 May 31;15(5):e39788. doi: 10.7759/cureus.39788. eCollection 2023 May.
Introduction Migraine is characterized by persistent headaches and a wide range of symptoms, such as nausea, vomiting, and photophobia. The chance of developing a chronic migraine might be increased by lifestyle variables like obesity, stress, and excessive medication use. According to previous studies in Saudi Arabia, migraines are more common there than they are globally. The study aimed to examine the migraine associations with depression, anxiety, and stress in the population of Makkah City, Saudi Arabia. Methods The study employed a descriptive cross-sectional design with a non-probability snowball sampling technique and an online questionnaire that included sociodemographic characteristics, the International Classification of Headache Disorders-3 (ICHD-3) criteria for migraine assessment, and the Depression, Anxiety, and Stress Scale-21 (DASS-21) measure for depression, anxiety, and stress. Results Our study included 418 participants, out of whom 73.7% were female and 26.3% were male. Regarding migraine, only 8.9% of participants met the ICHD-3 criteria for migraine headache screening, with a female predominance (78.4%). The study showed a high prevalence of depression, anxiety, and stress among the population (63.9%, 63.6%, and 55%, respectively), with females having a higher prevalence. Depression, anxiety, and stress had an equal prevalence of 78.4% among migraineurs, which was significantly higher than that of non-migraineurs. Conclusions The study found significant associations between migraine and depression, anxiety, and stress. This study provides insights into the association between these conditions. The study's findings suggest the need for screening and management of mental health conditions in patients with migraine. However, extensive efforts are needed to be applied in different cities and demographics for a more precise understanding of the association.
引言
偏头痛的特征是持续性头痛以及一系列症状，如恶心、呕吐和畏光。肥胖、压力和过度用药等生活方式因素可能会增加患慢性偏头痛的几率。根据沙特阿拉伯此前的研究，偏头痛在该国比全球更为常见。该研究旨在调查沙特阿拉伯麦加市人群中偏头痛与抑郁、焦虑和压力之间的关联。
方法
该研究采用描述性横断面设计，运用非概率滚雪球抽样技术，并通过一份在线问卷进行调查，问卷内容包括社会人口学特征、用于偏头痛评估的《国际头痛疾病分类第3版》（ICHD - 3）标准，以及用于测量抑郁、焦虑和压力的《抑郁、焦虑和压力量表 - 21》（DASS - 21）。
结果
我们的研究纳入了418名参与者，其中73.7%为女性，26.3%为男性。关于偏头痛，只有8.9%的参与者符合ICHD - 3偏头痛头痛筛查标准，女性占主导（78.4%）。研究表明该人群中抑郁、焦虑和压力的患病率较高（分别为63.9%、63.6%和55%），女性患病率更高。偏头痛患者中抑郁、焦虑和压力的患病率均为78.4%，显著高于非偏头痛患者。
结论
该研究发现偏头痛与抑郁、焦虑和压力之间存在显著关联。本研究为这些病症之间的关联提供了见解。研究结果表明需要对偏头痛患者的心理健康状况进行筛查和管理。然而，需要在不同城市和人群中做出广泛努力，以更精确地了解这种关联。
