Cebrino Jesús, Portero de la Cruz Silvia
Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Seville, Avda. Doctor Fedriani, S/N, 41009 Seville, Spain.
Department of Nursing, Pharmacology and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba, Avda. Menéndez Pidal, S/N, 14071 Córdoba, Spain.
Brain Sci. 2023 Nov 24;13(12):1630. doi: 10.3390/brainsci13121630.
Considering the significance of migraine and the limited amount of research conducted on its association with depression in population-based studies in Spain, this study aimed to determine the prevalence and change of depression from 2017 to 2020 among adults with migraine in Spain and to analyze the sociodemographic and health-related variables linked to depression in migraine sufferers. A cross-sectional study on 5329 adults with migraine from the Spanish National Health Survey 2017 and the European Health Survey in Spain 2020 was performed. Binary logistic regression was used to examine the factors related to depression. A total of 26.32% of people with migraine suffered from depression. No significant changes in that prevalence between 2017 and 2020 were observed. The risk factors associated with depression included being between the ages of 25 and 44 ( = 0.018), being separated or divorced ( = 0.033), being unemployed ( < 0.001), not engaging in recreational physical activity ( = 0.016), perceiving one's health as average, poor, or very poor ( < 0.001), experiencing moderate to severe pain in daily activities ( = 0.011, = 0.004, < 0.001, respectively), and having 1-2 or ≥3 chronic conditions ( = 0.003, < 0.001, respectively). Conversely, being married ( = 0.001) and alcohol consumption ( = 0.007) were identified as protective factors.
鉴于偏头痛的重要性以及在西班牙基于人群的研究中,关于偏头痛与抑郁症关联的研究数量有限,本研究旨在确定2017年至2020年西班牙成年偏头痛患者中抑郁症的患病率及变化情况,并分析偏头痛患者中与抑郁症相关的社会人口学和健康相关变量。对来自2017年西班牙国家健康调查和2020年西班牙欧洲健康调查的5329名成年偏头痛患者进行了横断面研究。采用二元逻辑回归分析与抑郁症相关的因素。共有26.32%的偏头痛患者患有抑郁症。2017年至2020年期间,该患病率未观察到显著变化。与抑郁症相关的危险因素包括年龄在25至44岁之间(P = 0.018)、分居或离婚(P = 0.033)、失业(P < 0.001)、不参加娱乐性体育活动(P = 0.016)、自认为健康状况为一般、较差或非常差(P < 0.001)、在日常活动中经历中度至重度疼痛(分别为P = 0.011、P = 0.004、P < 0.001)以及患有1 - 2种或≥3种慢性病(分别为P = 0.003、P < 0.001)。相反,已婚(P = 0.001)和饮酒(P = 0.007)被确定为保护因素。