Alcohol Use Disorder in Patients with Chronic Migraine: A Retrospective, Observational Study

被引:0
作者
Moskatel, Leon S. [1 ]
Zhang, Niushen [1 ]
机构
[1] Stanford Univ, Dept Neurol & Neurol Sci, Palo Alto, CA 94305 USA
关键词
Chronic migraine; Alcohol; Alcohol use disorder; Depression; Anxiety; Post-traumatic stress disorder; POSTTRAUMATIC-STRESS-DISORDER; AUSTRALIAN NATIONAL-SURVEY; ANXIETY DISORDERS; MENTAL-HEALTH; COMORBIDITY; HEADACHE; DEPRESSION; WELL; PREVALENCE;
D O I
10.1017/cjn.2024.10
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: The relationship between migraine and alcohol consumption is unclear. We assessed the association between chronic migraine and alcohol use disorder(AUD), relative to chronic disease controls, and in conjunction with common comorbidities. Methods: We conducted a retrospective, observational study. The primary outcome was the odds ratio for AUD in patients with chronic migraine or with chronic migraine and additional comorbidities relative to controls. Results: A total of 3701 patients with chronic migraine, 4450 patients with low back pain, and 1780 patients with type 2 diabetes mellitus met inclusion criteria. Patients with chronic migraine had a lower risk of AUD relative to both controls of low back pain (OR 0.37; 95% CI: 0.29-0.47, p < 0.001) and type 2 diabetes mellitus (OR 0.39; 95% CI: 0.29-0.52, p < 0.001). Depression was associated with the largest OR for AUD in chronic migraine (OR 8.62; 95% CI: 4.99-14.88, p < 0.001), followed by post-traumatic stress disorder (OR 6.63; 95% CI: 4.13-10.64, p < 0.001) and anxiety (OR 3.58; 95% CI: 2.23-5.75, p < 0.001). Conclusion: Patients with chronic migraine had a lower odds ratio of AUD relative to controls. But in patients with chronic migraine, those with comorbid depression, anxiety, or PTSD are at higher risk of AUD. When patients establish care, comorbid factors should be assessed and for those at higher risk, AUD should be screened for at every visit.
引用
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页码:767 / 777
页数:11
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