Frequency and Pattern of Headache in Medical Residents and Non-Medical Students in a Tertiary Care Teaching Hospital in North India

Tandon, Ravi; Bhoi, Sanjeev Kumar; Kalita, Jayantee; Misra, U. K.

doi:10.18410/jebmh/2018/129

Cited by 3 publications

(7 citation statements)

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“…Clinical specialties were the most common (736/1419, 51.9%), followed by surgical ones (610/1419, 43.0%) and diagnostic areas (73/1419, 5.1%). Most of the respondents (1001/1419, 70.5%) were in the first 2 years of their residency programs and had a median duty-hour per week of 60 (60-80) in the residency setting and of 9 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) in extra-residency work. Our sample includes residents in 50 of the 55 current medical specialties and from all regions of Brazil.…”

Section: Resultsmentioning

confidence: 99%

“…Likewise, stress and sleep deprivation were the most common triggers of headache attacks in medical residents. [9][10][11] The heavy workload and night shifts of residency programs are related to diurnal drowsiness and poor sleep quality, as well as low academic performance 40 and headache functional impact. 11 Female sex and anxiety were related to both migraine and headache severity.…”

Section: Discussionmentioning

confidence: 99%

“…Although headache is frequently associated with the abovementioned neuropsychiatric conditions 6 and is related to poor academic performance, 7,8 it is poorly studied in medical residents. To the best of our knowledge only 3 studies [9][10][11] have addressed this issue, but with small single-center samples.…”

Section: Introductionmentioning

confidence: 99%

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Headache in Medical Residents: A Cross‐Sectional Web‐Based Survey

et al. 2020

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Background Although a common complaint and related to factors frequently present in medical residency such as psychological distress, depression, and anxiety, headache is an issue poorly explored among medical residents. Methods This was a cross‐sectional study enrolling medical residents from all geographic regions of Brazil. We applied an online structured survey with demographic and residency program‐related questions, as well as validated tools to assess burnout, diurnal somnolence, anxiety, depression, and migraine. Results The link to the survey received 1989 clicks, of which 1421 individuals completed the questionnaire (71.4% of all clicks). The prevalence of at least 1 headache attack in the last 3 months was 1236/1419 (87.1%); migraine occurred in 400/1419 (28.2%). Frequent headache attacks (headaches occurring daily or often) were associated with female sex (OR = 1.80 [95%CI = 1.36‐2.37]), substantial weight gain (1.93 [1.38‐2.70]), migraine (5.49 [4.16‐7.24]), anxiety (1.45 [1.06‐1.98]), depression (1.98 [1.47‐2.67]), emotional exhaustion domain of burnout (1.49 [1.09‐2.04]), and diurnal somnolence symptoms (1.32 [1.00‐1.76]). Headaches with functional impact were associated with female sex (1.39 [1.10‐1.74]), clinical training areas (1.32 [1.06‐1.65]), anxiety (1.74 [1.38‐2.21]), an unsatisfactory work‐life balance (1.57 [1.17‐2.09]), the emotional exhaustion component of burnout (1.49 [1.14‐1.94]), and an unsatisfactory subjective learning curve (1.30 [1.02‐1.67]). Migraine was associated with female sex (3.10 [2.34‐4.13]), anxiety (2.53 [1.94‐3.31]), more than 60 hours duty‐hours in residency (1.66 [1.29‐2.15]), psychological abuse from patients (1.42 [1.06‐1.90]) and a clinical training area (1.34 [1.04‐1.73]). Conclusion Headaches among medical residents are frequent and are related not only to depression, anxiety, burnout, and diurnal somnolence, but also to aspects closely related to residency training such as the occurrence of mistreatment, longer duty‐hours, a poor work‐life balance, and an unsatisfactory learning curve.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Headache in Medical Residents: A Cross‐Sectional Web‐Based Survey

et al. 2020

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“…Global consensus affirms headache, which a chronic brain-originating neurovascular disorder as are current painful and debilitating condition affecting generally people of all ages indiscriminately (1,22). This consensus on headache (especially the primary forms) has been reported to be alarmingly very common among with life-style negatively impact the quality of life of university students (22,27,28).…”

Section: Discussionmentioning

confidence: 99%

Academic-related stress and prevalence of migraine and tension-type headaches amongst undergraduates of Delta State University, Abraka, Nigeria

Omogbiya¹,

Anachuna²,

Umukoro³

et al. 2020

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Objective: This study aimed at determining the prevalence of migraine and tension-type headaches amongst undergraduates of Delta State University (DELSU), Abraka, Delta State, Nigeria and its relationship with academic related-stress. Methods: A cross-sectional survey among 432 undergraduate students across the eleven Faculties of DELSU, Abraka, Nigeria, using questionnaires to determine the prevalence of migraine headache (MH) and tension-type headache (TTH). The data extrapolated were analyzed with SPSS statistical software (version 20). Results: MH was shown to have a high prevalence (198, 45.8%) among student of DELSU. Photophobia accompanied most MH episodes more than phonophobia, nausea, vomiting. Similarly, TTH was also very prevalent 237 (54.9%) amongst students of DELSU with females being more vulnerable than male. Spearman's correlation analysis revealed that the prevalence of MH and TTH is strongly associated to student's academic-related activities. Conclusion: Academic-related stress activities were major predisposing triggers for the prevalence of both headaches. Keywords: Abraka, academic-related stress activities, DELSU, migraine, stress, tension-type headache,

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“…Considering the prevalence of any headache in medical residents in the 2 single‐center small‐sample previous studies to be around 70‐80% (migraine in 25‐35%) 2,3 and the reports of poor academic performance related to headaches, 4 this may be a concern in this important period of medical training. Interestingly, data on headache on medical students are vast and point to a prevalence higher than that reported for residents, ranging from 81.5 to 92% 5,6 .…”

mentioning

confidence: 98%