Perceived stress in patients with migraine: a case-control study

Moon, Hye-Jin; Seo, Jong-Geun; Park, Sung-Pa

doi:10.1186/s10194-017-0780-8

Cited by 42 publications

(41 citation statements)

References 33 publications

(47 reference statements)

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“…The present study showed, for the first time to our knowledge, that individuals with PSS are more likely to suffer from migraine and increased psychological distress. Consistent with previous studies, 25,26 our findings demonstrate increased psychological distress in patients with migraine than in those without. We further showed that migraine and PSS were independently associated with psychological distress.…”

Section: Discussionsupporting

confidence: 93%

Possible association between photic sneeze syndrome and migraine and psychological distress

Sasayama

Asano²,

Nogawa³

et al. 2019

Neuropsychopharm Rep

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Background Photic sneeze syndrome (PSS) is a condition that causes sneezing when the eye is exposed to sudden bright light. Because alterations in the parasympathetic and trigeminal nerve systems have been implicated in PSS, and such systems are involved in migraine and stress‐related disorders, we examined the possible associations of PSS with migraine and psychological distress. Methods The presence of PSS and migraine was examined in 11 840 participants from the general population using a self‐report questionnaire. Psychological distress was assessed by the 6‐item Kessler Psychological Distress Scale (K6). Results The overall prevalence of PSS was 3.1%. Individuals with PSS were more likely to suffer from migraine (odds ratio = 1.97, P = 2.18 × 10–9), clinically relevant psychological distress (K6 score ≥ 5: odds ratio = 1.40, P = 0.00143), and severe psychological distress (K6 score ≥ 13: odds ratio = 1.49, P = 0.0486). Overall, K6 scores were significantly higher in those with PSS than in those without (P = 0.000013). Analysis controlling for sex and the presence of migraine showed that PSS was associated with higher K6 scores irrespective of sex or the presence of migraine. Conclusions The low prevalence of PSS identified in the present study may be due to the inadequate ability of the self‐report questionnaire to identify PSS. Despite such limitation, the present study suggests that individuals with PSS are more likely to suffer from migraine and psychological distress than those without PSS. PSS may be a potential target for the research of migraine and stress‐related disorders.

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Section: Discussionsupporting

confidence: 93%

Possible association between photic sneeze syndrome and migraine and psychological distress

Sasayama

Asano²,

Nogawa³

et al. 2019

Neuropsychopharm Rep

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“…In this scenario, citizens may have been exposed to high levels of stress and anxiety ( 2 ). The mental health impact of this unprecedented healthcare emergency might be especially significant for children who already were suffering from physical and/or psychosomatic conditions, as it is the case of pediatric population with migraine ( 3 , 4 ). Pediatric patients with migraine have been previously reported to be especially vulnerable to stressful and anxious encounters ( 3 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

Migraine Symptoms Improvement During the COVID-19 Lockdown in a Cohort of Children and Adolescents

Dallavalle

Pezzotti

Provenzi³

et al. 2020

Front. Neurol.

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Background: Pediatric migraine is among the most common primary or comorbid neurologic disorders in children. Psychological stressors are widely acknowledged as potential triggers involved in recurring episodes of pediatric migraine. As the COVID-19 emergency may have affected the levels of stress perceived by children and adolescents with migraine, the present study was aimed to understand the effect of COVID-19 emergency on symptoms intensity and frequency in pediatric patients. Methods: A cohort of 142 child and adolescent patients with a diagnosis of migraine was enrolled at the Child Neurology and Psychiatry Unit of the IRCCS Mondino Foundation in Pavia (Italy). Socio-demographic and clinical characteristics were obtained from medical records. An on-line survey was used to collect information on COVID-19 exposure, stress response to the lockdown period, anxious symptoms during COVID-19 emergency, as well as migraine symptoms intensity and frequency before and during the lockdown. Results: The great majority were outpatients ( n = 125, 88.0%), 52 (36.6%) had migraine with aura, whereas, 90 (63.4%) had migraine without aura. All the patients reporting worsening symptoms progression before COVID-19, had reduced intensity during the lockdown (χ 2 = 31.05, p < 0.0001). Symptoms frequency reduction was observed in 50% of patients presenting worsening symptoms before the lockdown, 45% of those who were stable, and 12% of those who were already improving. All patients who had resolved symptoms before COVID-19 were stable during the lockdown (χ 2 = 38.66, p < 0.0001). Anxious symptomatology was significantly associated with greater migraine symptoms frequency (χ 2 = 19.69, p < 0.001). Repeating the analysis separately for individuals with and without aura did not affect the findings and significant associations were confirmed for both the patients' subgroups. Discussion: A significant reduction of migraine symptoms intensity and frequency was observed in pediatric patients during the COVID-19 lockdown phase in northern Italy. The improvement in both intensity and frequency of the migraine symptoms was especially significant in patients who were stable or worsening before the lockdown. The reduction of symptoms severity during a period of reduced environmental challenges and pressures further highlights the need of providing effective training in stress regulation and coping for these patients.

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“…Stress is considered as an important factor for trigger and perpetuation of migraine headache [5]. The higher perceived stress scores observed in AY and CT groups indicate the impact of stress on the present study population.…”

Section: Discussionmentioning

confidence: 54%

“…An episode of migraine is triggered by several factors including stress which is either physical or mental in nature [4]. The subjective perception of the impact of stress is measured through perceived stress scale, and studies show a higher incidence of perceived stress in migraineurs [5].…”

Section: Introductionmentioning

confidence: 99%

Changes in MIDAS, Perceived Stress, Frontalis Muscle Activity and Non-Steroidal Anti-Inflammatory Drugs Usage in Patients with Migraine Headache without Aura following Ayurveda and Yoga Compared to Controls: An Open Labeled Non-Randomized Study

Hr³

2018

Ann Neurosci

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Background: There has been a significant increase in the use of complementary and integrative medicine to provide long-term healing solutions in migraine headache patients. Knowing the limitations of conventional medical approach, the present study evaluated the influence of two Indian traditional systems of medicine on migraine-related disability, autonomic variables, perceived stress, and muscle activity in patients with migraine headache without aura. Methods: Thirty subjects recruited to the Ayurveda and Yoga (AY) group underwent traditional Panchakarma (Bio-purification) using therapeutic Purgation followed by yoga therapy, while 30 subjects of control (CT) group continued on symptomatic treatment (non-steroidal anti-inflammatory drugs [NSAID’s]) for 90 days. Migraine disability assessment score, perceived stress, heart rate variability (HRV), and surface electromyography (EMG) of frontalis muscle were measured on day 1, day 30, and day 90 in both groups. Results: Significant reduction in migraine disability and perceived stress scores were observed in the AY group. The low-frequency component of the HRV decreased significantly, the high-frequency component increased and their ratio showed improved sympathovagal balance. The EMG showed decreased activity of the frontalis muscle in the AY group compared to the control group. Conclusion: The integrative approach combining Ayurveda and Yoga therapy reduces migraine-related disability, perceived stress, sympathetic arousal, and muscle tension.

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Perceived stress in patients with migraine: a case-control study

Cited by 42 publications

References 33 publications

Possible association between photic sneeze syndrome and migraine and psychological distress

Possible association between photic sneeze syndrome and migraine and psychological distress

Migraine Symptoms Improvement During the COVID-19 Lockdown in a Cohort of Children and Adolescents

Changes in MIDAS, Perceived Stress, Frontalis Muscle Activity and Non-Steroidal Anti-Inflammatory Drugs Usage in Patients with Migraine Headache without Aura following Ayurveda and Yoga Compared to Controls: An Open Labeled Non-Randomized Study

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