Effect of Sex and Adaptation on Migraine Frequency and Perceived Stress: A Cross-Sectional Case-Control Study

被引:15
作者
An, Yu-Chin [1 ]
Liang, Chih-Sung [2 ]
Lee, Jiunn-Tay [3 ]
Lee, Meei-Shyuan [4 ]
Chen, Sy-Jou [1 ]
Tsai, Chia-Lin [3 ]
Lin, Guan-Yu [3 ]
Lin, Yu-Kai [3 ]
Yang, Fu-Chi [3 ]
机构
[1] Natl Def Med Ctr, Triserv Gen Hosp, Dept Emergency Med, Taipei, Taiwan
[2] Natl Def Med Ctr, Triserv Gen Hosp, Dept Psychiat, Taipei, Taiwan
[3] Natl Def Med Ctr, Triserv Gen Hosp, Dept Neurol, Taipei, Taiwan
[4] Natl Def Med Ctr, Sch Publ Hlth, Taipei, Taiwan
来源
FRONTIERS IN NEUROLOGY | 2019年 / 10卷
关键词
perceived stress; headache; migraine; frequency; adaptation; sex difference; QUALITY-OF-LIFE; TENSION-TYPE; DEPRESSION; HEADACHE; ANXIETY; PREVALENCE; INSTRUMENT; RESPONSES; DISEASE; MODEL;
D O I
10.3389/fneur.2019.00598
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Perceived stress has been related to migraine. The relationship between sex, migraine frequency, and severity of perceived stress remains unclear. We investigated perceived stress among migraineurs. Methods: This cross-sectional case-control study involved 577 clinical outpatients at a tertiary hospital in Taiwan. Demographic and clinical data, including migraine characteristics, were collected. Migraineurs were stratified by episode frequency, aura and sex, and analyses were controlled for confounding variables. Multivariable linear regressions were used to inspect whether migraine frequency (1-4, 5-8, 9-14, or >= 15 headache days per month) was associated with perceived stress as assessed by the Perceived Stress Scale (PSS). Results: Perceived stress was significantly higher in high frequency migraineurs (mean +/- standard deviation (SD), 23.3 +/- 8.7) than in low frequency migraineurs (mean +/- SD, 21.9 +/- 9.2; P < 0.05). After stratifying the analysis by sex, this result was observed in male subjects, but was insignificant in female subjects. In addition, the relationship between migraine frequency and perceived stress was not prominent in aura-present or -absent subgroups. Conclusions: Higher perceived stress was associated with higher migraine frequency, but not in chronic migraine and female subgroups. Adaptation to migraine and various psychiatric comorbidities may contribute to these associations.
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页数:8
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