Most bothersome symptoms in patients with migraine: A hospital‐based study in Taiwan

Tu, Yi-Hsien; Wang, Yen-Feng; Yuan, Hsiangkuo; Tzeng, Yi-Shiang; Chen, Wei–Ta; Lai, Kuan‐Lin; Ling, Yu-Hsiang; Wang, Shuu Jiun

doi:10.1111/head.14308

Cited by 7 publications

(4 citation statements)

References 71 publications

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“…The present study found no significant association between migraine with aura and photophobia as the MBS. This is contradictory to the findings of a significant association between the two in the aforementioned Taiwanese study [ 7 ]. One possible reason for the discrepancy is the difference in the study settings.…”

Section: Discussioncontrasting

confidence: 99%

“…To date, only one Asian study has reported on the MBS in a population with migraine. A Taiwanese hospital study revealed that nausea was the most common MBS, followed by phonophobia and photophobia [ 7 ]. Our results are similar to those of this Taiwanese study, in that nausea was the most common MBS, followed by phonophobia.…”

Section: Discussionmentioning

confidence: 99%

“…The MBS can provide insights into the relationship between the accompanying symptoms and the burden of migraine. Studies have revealed that acute treatment optimization, migraine symptom severity, and visual aura (VA) differ significantly according to the MBS [ 1 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Most bothersome symptom in migraine and probable migraine: A population-based study

Kim,

Lee,

Lee

et al. 2023

PLoS ONE

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Recently, the most bothersome symptom has been recommended as a co-primary endpoint in clinical trials on the acute treatment of migraine. Probable migraine is a subtype of migraine that fulfills all but one criterion for migraine diagnosis. We aimed to compare the most bothersome symptom between probable migraine and migraine. This study analyzed data from a nationwide study conducted in Korea, and the most bothersome symptom was assessed by requesting the participants to select one of the four typical accompanying symptoms of migraine. Responses to acute treatment were evaluated using the migraine Treatment Optimization Questionnaire-6. Nausea was the most bothersome symptom, followed by phonophobia and vomiting in the migraine group (nausea, 61.8%; phonophobia, 25.3%; vomiting, 10.0%; and photophobia, 2.9%) and the probable migraine group (nausea, 82.2%; phonophobia, 9.5%; vomiting, 5.6%; and photophobia, 2.7%). In participants with migraine, vomiting (adjusted odds ratio = 6.513; 95% confidence interval, 1.763–24.057) and phonophobia (adjusted odds ratio = 0.437; 95% confidence interval, 0.206–0.929) were significantly associated with severe headache intensity and nausea was significantly associated with >3 headache days per 30 days (adjusted odds ratio = 0.441; 95% confidence, 0.210–0.927). Different patterns of associations were observed in probable migraine.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Most bothersome symptom in migraine and probable migraine: A population-based study

Kim,

Lee,

Lee

et al. 2023

PLoS ONE

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“…In addition to unilateral, throbbing pain, many different non‐headache symptoms occur during or between migraine attacks (Headache Classification Committee of the International Headache Society [IHS], 2018 ; Tu et al., 2022 ). Several studies have examined the association between migraine and cognitive function (Chen & Wang, 2018 ; Karsan & Goadsby, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Patients with episodic migraine without aura have an increased rate of delayed discounting

Wang,

Dai,

Gao

et al. 2024

Brain and Behavior

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ObjectiveThis study aimed to explore decision‐making impulsivity and its neural mechanisms in patients with episodic migraine without aura (EMoA).BackgroundPrevious evidence indicates increased impulsivity and altered reward processing in patients with chronic migraine and medication overuse; however, whether the same holds true for those with EMoA is unclear.MethodsPatients newly diagnosed with EMoA (n = 51) and healthy controls (HC, n = 45) were recruited. All participants completed delay discounting task, cognitive assessments, a questionnaire for headache profile, and resting‐state function magnetic resonance imaging scans. Resting‐state functional connectivity (RSFC) between the regions of interest and the entire brain was explored.ResultsPatients with EMoA showed a steeper subjective discount rate than HCs (F = 4.74, p = .032), which was positively related to a history of migraines (r = .742, p < .001). RSFC among the ventral striatum (vSTR), ventromedial prefrontal cortex, and occipital cortex was lower in patients with EMoA than in control groups, which was correlated with history (r′ = .294, p = .036) and subjective discount rate (r′ = .380, p = .006). Additionally, discounting rates and RSFC between the vSTR and occipital regions were significantly abnormal in the triptan group than the non‐triptan group. Mediating effect analysis indicated a significant mediating effect in the change in RSFC between the vSTR and occipital status, history of triptan use, and subjective discount rate.ConclusionThis study further elucidated that an increase in delayed discounting rate exists in patients with EMoA and is related to the abnormality of the value processing network.

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Other Potential Clinical Uses of Precision Tinted Lenses

Wilkins,

Evans

2024

Vision, Reading Difficulties and Visual Stress

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Most bothersome symptoms in patients with migraine: A hospital‐based study in Taiwan

Cited by 7 publications

References 71 publications

Most bothersome symptom in migraine and probable migraine: A population-based study

Most bothersome symptom in migraine and probable migraine: A population-based study

Patients with episodic migraine without aura have an increased rate of delayed discounting

Other Potential Clinical Uses of Precision Tinted Lenses

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