Ambwani Varsha, Uniyal Ravi, Rizvi Imran, Mishra Prabhakar, Paliwal Vimal Kumar
Senior Resident, Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Additional Professor, Department of Neurology, King George's Medical University, Lucknow, Uttar Pradesh, India.
J Assoc Physicians India. 2025 Jun;73(6):34-39. doi: 10.59556/japi.73.1019.
The majority of electronic (e)-consultations during the COVID-19 lockdown were for headache, which gave an impression of an increase in headache frequency during the lockdown. However, hospital consultation cannot provide a clear picture due to inherent selection bias.
This survey was aimed to evaluate the effect of COVID-19-related lockdown on headache in adults previously suffering from headache.
A 65-question-based online questionnaire was sent to adult participants suffering from headache and residing in total lockdown zones (pan-India) from May 17 to June 16, 2020. Multiple nominal regression was used to determine the predictors of change in headache frequency.
We included 689 patients (36.64 ± 10.82, range 18-89 years, females 60.4%). Headache frequency increased in 119 (17.2%), remained unchanged in 463 (67.2%), and decreased in 107 (15.5%). Predictors of increase in headache frequency were increased anxiety [generalized anxiety disorder scale (GAD)-7 score)] [ = 0.03, OR 1.07 (1.01-1.15)], poor sleep quality [Pittsburgh sleep quality index (PSQI) composite score] [ < 0.001, OR 1.18 (1.08-1.29)], increased time spent on daily household chores [ = 0.016, OR 2.06 (1.15-3.71)], use of mask [ < 0.001, OR 5.97 (3.28-10.89)], and emotional stress [ < 0.001, OR 2.90 (1.72-4.89)]. Predictors of decrease in headache frequency were marital status as single [ = 0.019, OR 1.81 (1.10-2.96)], decrease in time spent on daily household chores [ < 0.001, OR 6.67 (2.53-17.63)], and photophobia/phonophobia [ = 0.046, OR 1.64 (1.01-2.66)].
The majority reported no change in frequency of headache. Single status, time spent on household chores, use of mask, emotional stress, anxiety, and sleep quality were major predictors of change in headache frequency during the lockdown.
在新冠疫情封锁期间，大多数电子（e）咨询是关于头痛的，这给人一种封锁期间头痛频率增加的印象。然而，由于内在的选择偏倚，医院咨询无法提供清晰的情况。
本调查旨在评估新冠疫情相关封锁对既往患有头痛的成年人头痛的影响。
2020年5月17日至6月16日，向居住在全封锁区（全印度）且患有头痛的成年参与者发送了一份基于65个问题的在线问卷。采用多元名义回归来确定头痛频率变化的预测因素。
我们纳入了689例患者（36.64±10.82岁，年龄范围18 - 89岁，女性占60.4%）。头痛频率增加的有119例（17.2%），保持不变的有463例（67.2%），减少的有107例（15.5%）。头痛频率增加的预测因素包括焦虑增加[广泛性焦虑障碍量表（GAD）-7评分][ = 0.03，比值比（OR）1.07（1.01 - 1.15）]、睡眠质量差[匹兹堡睡眠质量指数（PSQI）综合评分][ < 0.001，OR 1.18（1.08 - 1.29）]、日常家务劳动时间增加[ = 0.016，OR 2.06（1.15 - 3.71）]、佩戴口罩[ < 0.001，OR 5.97（3.28 - 10.89）]以及情绪压力[ < 0.001，OR 2.90（1.72 - 4.89）]。头痛频率降低的预测因素包括单身婚姻状况[ = 0.019，OR 1.81（1.10 - 2.96）]、日常家务劳动时间减少[ < 0.001，OR 6.67（2.53 - 17.63）]以及畏光/畏声[ = 0.046，OR 1.64（1.01 - 2.66）]。
大多数人报告头痛频率没有变化。单身状况、家务劳动时间、佩戴口罩、情绪压力、焦虑和睡眠质量是封锁期间头痛频率变化的主要预测因素。
