Elmazny Alaa, Magdy Rehab, Hussein Mona, Ismaeel Ahmed Yehia, Essmat Ahmed, Elbeltagy Karim Essam, Hussein Shrouk Mohamed Mohamed, Hassan Nahed Shaban, Elbehiry Nada Mamdouh, Osama Wesam, Abdelazeem Hebatallah N, Elshebawy Haidy
Internal Medicine Department- College of Medicine and Health Sciences, Arabian Gulf University, Manama, Bahrain.
Neurology Department- Faculty of Medicine, Cairo University, Cairo, Egypt.
J Headache Pain. 2025 Sep 1;26(1):189. doi: 10.1186/s10194-025-02107-y.
Lifestyle modifications and coping with migraine triggers have a crucial role in migraine management. This study aimed to assess the knowledge of patients with migraine about triggers, managing strategies for these triggers, and the counselling provided by physicians regarding these topics.
A cross-sectional study was conducted on individuals with a confirmed diagnosis of migraine through an online survey to assess their knowledge of common migraine triggers, whether the healthcare provider had discussed migraine triggers or recommended lifestyle modifications, and strategies followed to manage migraine triggers.
Five hundred fifteen patients with migraines responded to the survey, with a median age of thirty-one years. Only 43% thought they had sufficient knowledge about migraine triggers. Stress got the highest awareness level (93.4%), followed by sleep-related issues. About 40% of participants were aware of certain food triggers. While 63.1% of participants said their physicians had addressed lifestyle changes to help reduce migraines, only 28.3% reported actively managing their migraine triggers. The most frequently discussed aspect was sleep hygiene improvements (78.1%), followed by stress management techniques (68.7%), and dietary modifications (59.8%). Regarding the approaches applied for migraine management, following a consistent sleep schedule, stress management techniques, and a specific diet were reported by 54.0%, 49. 5%, and 34.0%, respectively. Moreover, only 18% keep a detailed migraine diary to track their triggers.
Addressing migraine triggers and coping strategies should be integrated into migraine management to reduce reliance on medications and activate personalized plans to optimize outcomes.
生活方式的改变以及应对偏头痛触发因素在偏头痛管理中起着至关重要的作用。本研究旨在评估偏头痛患者对触发因素的了解、针对这些触发因素的管理策略以及医生就这些主题提供的咨询。
通过在线调查对确诊为偏头痛的个体进行横断面研究，以评估他们对常见偏头痛触发因素的了解、医疗服务提供者是否讨论过偏头痛触发因素或推荐过生活方式改变，以及为管理偏头痛触发因素所采取的策略。
515名偏头痛患者对调查做出了回应，中位年龄为31岁。只有43%的人认为他们对偏头痛触发因素有足够的了解。压力的知晓率最高（93.4%），其次是与睡眠相关的问题。约40%的参与者知晓某些食物触发因素。虽然63.1%的参与者表示他们的医生提到过生活方式改变有助于减轻偏头痛，但只有28.3%的人报告积极管理偏头痛触发因素。讨论最多的方面是改善睡眠卫生（78.1%），其次是压力管理技巧（68.7%）和饮食调整（59.8%）。关于用于偏头痛管理的方法，分别有54.0%、49.5%和34.0%的人报告遵循一致的睡眠时间表、压力管理技巧和特定饮食。此外，只有18%的人详细记录偏头痛日记以追踪触发因素。
应将应对偏头痛触发因素和应对策略纳入偏头痛管理，以减少对药物的依赖，并启动个性化计划以优化治疗效果。
