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

An, Yu-Chin; Liang, Chih‐Sung; Lee, Jiunn‐Tay; Lee, Meei-Shyuan; Chen, Sy‐Jou; Tsai, Chia‐Lin; Lin, Guan‐Yu; Lin, Yu‐Kai; Yang, Fu‐Chi

doi:10.3389/fneur.2019.00598

Cited by 14 publications

(14 citation statements)

References 56 publications

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“…Other studies also reported that women had higher stress sensitivity and a higher risk for depression and anxiety compared to men with ocular prostheses. [ 9 , 22 , 23 ] Moreover, gender was the only factor significantly associated with somatization scores in this study, suggesting female patients appeared to somatic more. The reason may lie in that women patients are less likely to accept their current condition and responded negatively to their overall situations, thus leading to somatic complaints.…”

Section: Discussionmentioning

confidence: 51%

Psychological symptoms in anophthalmic patients wearing ocular prosthesis and related factors

Wang¹,

Li²,

Wang³

2020

Medicine

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Anophthalmic patients not only cause obvious functional deficits and facial deformities, but lead to poor psychological outcomes, although prosthesis wearing can offer improvements in psychological well-being to some extent. The study aimed to comprehensively evaluate the psychological symptoms and analyze related factors in anophthalmic patients wearing ocular prosthesis. Total of 150 anophthalmic patients and 120 control subjects were included in this cross-sectional study. Baseline characteristics survey and the symptom checklist-90 scale were completed by all participants to assess the psychological symptoms and analyze their related factors by multivariate analysis. The anophthalmic patients exhibited the increased levels of somatization, depression, anxiety, and hostility compared with control subjects. The most prominent symptom was hostility with the median score of 1.20. Female patients presented with higher somatization, depression, anxiety, and hostility. Marital status single was positively associated with depression, anxiety, and hostility symptoms. Lower education and cause of enucleation were related to higher levels of hostility. Anophthalmic patients wearing ocular prosthesis presented with more prominent hostility and somatization besides its higher depression and anxiety symptoms. The findings suggest that for female single anophthalmic patients with low education, especially caused by trauma, timely psychological assessment and intervention should be provided to avoid undesirable consequences.

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Section: Discussionmentioning

confidence: 51%

Psychological symptoms in anophthalmic patients wearing ocular prosthesis and related factors

Wang¹,

Li²,

Wang³

2020

Medicine

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“…Similarly, several observational studies demonstrate an association between stress and migraine symptom burden. Higher migraine frequency is associated with higher levels of perceived stress [ 40 ]. High job strain, resulting in lack of time for personal care and leisure, is associated with an increased odds of migraine [ 41 , 42 ].…”

Section: Resultsmentioning

confidence: 99%

Is there a causal relationship between stress and migraine? Current evidence and implications for management

et al. 2021

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Background The purpose of this narrative review is to examine the literature investigating a causal relationship between stress and migraine and evaluate its implications for managing migraine. Methods PubMed, PsycINFO and CINAHL were searched from 1988 to August 2021, identifying 2223 records evaluating the relationship between stress and migraine. Records were systematically screened. All potentially relevant records were thematically categorized into six mechanistic groups. Within each group the most recent reports providing new insights were cited. Results First, studies have demonstrated an association of uncertain causality between high stress loads from stressful life events, daily hassles or other sources, and the incidence of new-onset migraine. Second, major stressful life events seem to precede the transformation from episodic to chronic migraine. Third, there is some evidence for changes in levels of stress as a risk factor for migraine attacks. Research also suggests there may be a reversed causality or that stress-trigger patterns are too individually heterogeneous for any generalized causality. Fourth, migraine symptom burden seems to increase in a setting of stress, partially driven by psychiatric comorbidity. Fifth, stress may induce sensitization and altered cortical excitability, partially explaining attack triggering, development of chronic migraine, and increased symptom burden including interictal symptom burden such as allodynia, photophobia or anxiety. Finally, behavioral interventions and forecasting models including stress variables seem to be useful in managing migraine. Conclusion The exact causal relationships in which stress causes incidence, chronification, migraine attacks, or increased burden of migraine remains unclear. Several individuals benefit from stress-oriented therapies, and such therapies should be offered as an adjuvant to conventional treatment and to those with a preference. Further understanding the relationship between stress, migraine and effective therapeutic options is likely to be improved by characterizing individual patterns of stress and migraine, and may in turn improve therapeutics.

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“…Studies on stress adaptation in migraine patients are limited, yet perceived stress was reported to be higher in migraine patients with increased frequency of attacks (23). No signi cant difference was found in the 'Upset because of something that happened unexpectedly' subgroup in the perceived stress scale when patients with migraine were compared with the control group, while other subgroup scores were signi cantly higher in migraineurs (23). These results are in line with our data and support that the reaction to extraordinary, unexpected, and alarming stress could be different in migraine patients.…”

Section: Discussionmentioning

confidence: 99%

Migraine Patients Had Lower Covid-19 Phobia and PCL-5 Scores During Lockdown Period

Aktan

Toptan

Bolay

2021

Preprint

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Background: To examine the impact of the lockdown period of the pandemic on COVID-19 phobia and post-traumatic stress disorder in migraine patients.Methods: A total of 73 patients, including 39 migraine and 34 controls, completed the study during the lockdown period. The patients were evaluated by using Structured Headache Questionnaire, PCL-5 and COVID -19 Phobia Scale via the telephone-based telemedicine method.Results: Migraine patients had significantly lower scores in all subgroups of the COVID-19 Phobia Scale (mean = 42.33 ± 12.67) than those in the healthy control group (mean = 52.88 ± 13.18). PCL-5 scale scores in migraine patients were significantly lower (mean = 27.18 ± 14.34) compared to the healthy controls (Mean = 34.03 ± 14.36). Migraine attack frequency decreased or did not change in 67% of the patients during the lockdown period.Conclusion: Acute stress response to an extraordinary situation such as a pandemic may be more controlled in migraine patients, yet specific phobia and post-traumatic stress disorder have been reported more frequently in patients with migraine under normal life conditions. We interpreted that the life- long headache associated stress may generate tendency to a resilience and resistance to extraordinary traumatic events in migraine patients.

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

Cited by 14 publications

References 56 publications

Psychological symptoms in anophthalmic patients wearing ocular prosthesis and related factors

Psychological symptoms in anophthalmic patients wearing ocular prosthesis and related factors

Is there a causal relationship between stress and migraine? Current evidence and implications for management

Migraine Patients Had Lower Covid-19 Phobia and PCL-5 Scores During Lockdown Period

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