Migraine prevalence, alexithymia, and post-traumatic stress disorder among medical students in Turkey

Balaban, Hatice; Sönmezer, Murat; Şentürk, İlteriş Ahmet; Kavakçı, Önder; Çınar, Ziynet; Dikici, Ayfer; Topaktaş, Suat

doi:10.1007/s10194-012-0452-7

Cited by 61 publications

(58 citation statements)

References 46 publications

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“…It was found that the prevalence of migraine was comparable between medical and non‐medical students, which is contradictory to previous findings that more medical students suffer from migraine because they endure more psychological and physical stressors . However, this may be misleading if additional influential factors are not considered.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of migraine in university students: a systematic review and meta‐analysis

Wang

Zhou

Sun

et al. 2015

Euro J of Neurology

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Our aim was to determine the prevalence of migraine amongst university students. Migraine is highly prevalent amongst university students, but the exact frequency remains inconsistent between studies. PubMed, Embase and Google Scholar databases were used to identify studies dealing with the prevalence of migraine amongst university students published between 1 January 1988 and 31 August 2014. The pooled migraine prevalence was calculated using DerSimonian and Laird's random-effects model. Heterogeneity of the results was investigated using subgroup analysis and the trend of migraine prevalence according to the publication year and sample size was determined by cumulative analysis. Data were combined from 56 independent studies, analysing a total of 34,904 students. The pooled migraine prevalence was 16.1% [95% confidence interval (CI) 13.6%-18.9%]: 11.3% (95% CI 8.8%-14.4%) amongst male students and 21.7% (95% CI 18.0%-25.8%) amongst female students. Subgroup analysis revealed that diagnostic criteria (P < 0.0001) and gender distribution (P = 0.004) significantly affected migraine prevalence. Cumulative analysis found that the 95% CI became narrower with ascending publication year and sample size. Many studies agree that migraine is highly prevalent amongst university students, but diverse methodologies lead to substantial heterogeneity in the results. It is shown that gender and diagnostic criteria significantly influence the migraine prevalence and may partially explain the heterogeneity between studies.

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Section: Discussionmentioning

confidence: 99%

The prevalence of migraine in university students: a systematic review and meta‐analysis

Wang

Zhou

Sun

et al. 2015

Euro J of Neurology

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“…In general population studies, 22‐26% of those with migraine fulfilled PTSD criteria, as compared to only 5% of those without headache and 14% of those with nonmigraine headache or no headache . Not surprisingly, in special populations with headache disorders (eg, pain clinic patients, veterans, and medical students) PTSD prevalence rates have been estimated at higher rates, approximately 22‐59% …”

Section: Introductionmentioning

confidence: 99%

The Impact of Post‐Traumatic Stress Disorder on the Burden of Migraine: Results From the National Comorbidity Survey‐Replication

et al. 2015

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Background Post-traumatic stress disorder (PTSD) has been linked with migraine in prior studies. Objective To evaluate the individual and joint burdens of migraine and PTSD in a population-based cohort. Methods The National Comorbidity Survey-Replication (NCS-R) is a general population study conducted in the United States from February 2001–April 2003. PTSD and migraine were assessed, and four groups defined based on their migraine and PTSD status. The four groups included those with no migraine and no PTSD (controls, n=4535), those with migraine and without PTSD (migraine alone, n=236), those with PTSD and without migraine (PTSD alone, n=244), and those with both migraine and PTSD (mig+PTSD, n=68). Logistic and Poisson regression models were used to assess the association between dichotomous/multilevel outcome variables indicating financial, health, and interpersonal burdens and each migraine/PTSD group. Results Compared to controls, those with Mig+PTSD were more likely to be in the low poverty index (48% vs 41%, AOR 2.16; CI: 1.10, 4.24) and were less likely to be working for pay or profit in the past week (50% vs 68%, AOR 0.42; CI: 0.24, 0.74) but not those with migraine or PTSD alone. Additionally, the number of days where work quality was cut due to physical or mental health or substance abuse in the past month was greater in all groups compared to controls: (1) migraine alone: mean 2.57 (SEM 0.32) vs mean 1.09 (SEM 0.08) days, ARR=2.39; CI: 2.19, 2.62; (2) PTSD alone: mean 2.43 (SEM 0.33) vs mean 1.09 (SEM 0.08) days, ARR=2.09; CI: 1.91, 2.29; (3) mig+PTSD: mean 8.2 (SEM 0.79) vs 1.09 (SEM 0.08) days, ARR 6.79; CI 6.16, 7.49; and was over 2.5-fold greater in those mig+PTSD than migraine alone (mean 8.0 [SEM 0.79] vs 2.6 days [SEM 0.72], ARR 2.77; CI: 2.45, 3.14). The likelihood of having difficulty getting along or maintaining a social life was also increased in all groups relative to controls: (1) migraine alone: 21% vs 5.4%, AOR 4.20; CI: 2.62, 6.74; (2) PTSD alone: 18% vs 5.4%, AOR 3.40; CI: 2.40, 4.82; (3) Mig+PTSD: 39% vs 5.4%, AOR 9.95; CI: 5.72, 17.32, and was 2-fold greater in those with Mig+PTSD as compared to those with migraine alone (AOR 2.32; CI: 1.15, 4.69). Conclusions These findings support the need for those who treat migraine patients to be aware of the comorbidity with PTSD, as these patients may be particularly prone to adverse financial, health, and interpersonal disease burdens.

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“…In a sample of medical students in Turkey, migraine was associated with alexithymic personality traits and comorbid psychiatric disorders [4]. There is also evidence of a positive association between alexithymia, depression and anxiety in migraine patients.…”

Section: Introductionmentioning

confidence: 99%

Alexithymia and its impact on quality of life in a group of Brazilian women with migraine without aura

Vieira

Gomes

et al. 2013

J Headache Pain

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Background: Migraine is a type of primary headache widely known for its impact on quality of life of patients. Although the psychological aspects of the disease are receiving increasing attention in current research, some of them, as alexithymia, are still seldom explored. This study aimed to provide evidence on the relationships between markers of depression, anxiety, alexithymia, self-reflection, insight and quality of life in migraine.

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Migraine prevalence, alexithymia, and post-traumatic stress disorder among medical students in Turkey

Cited by 61 publications

References 46 publications

The prevalence of migraine in university students: a systematic review and meta‐analysis

The prevalence of migraine in university students: a systematic review and meta‐analysis

The Impact of Post‐Traumatic Stress Disorder on the Burden of Migraine: Results From the National Comorbidity Survey‐Replication

Alexithymia and its impact on quality of life in a group of Brazilian women with migraine without aura

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