The Development and Impact of Anxiety With Migraines: A Narrative Review

Kumar, Rajeswar; Asif, Shaik Mohammed; Bali, Anoushka; Dang, Ashujot Kaur; Gonzalez, Daniel A

doi:10.7759/cureus.26419

Cited by 8 publications

(11 citation statements)

References 57 publications

(95 reference statements)

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“…Individuals with and without anxiety had comparable prevalence rates of migraine, tension headache, and other types. These results contrast with a previous study by Kumar et al, which identified a positive association between anxiety and migraine [ 34 ]. This might be due to differences in the assessment of anxiety or sample characteristics.…”

Section: Discussioncontrasting

confidence: 99%

Headache Characteristics and Risk Factors Among Healthcare Providers in Al-Ahsa, Saudi Arabia

Alturaiki,

Aldawood,

Alghirash

et al. 2023

Cureus

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Introduction Headache is a considerable factor in decreased productivity and work efficiency. This study aims to measure the characteristics of headaches and the risk factors among healthcare providers in Al-Ahsa, Saudi Arabia. Methods This cross-sectional study included 353 healthcare providers from Al-Alhsa, Saudi Arabia. An online questionnaire was conducted to assess the demographic and occupational characteristics, headaches, numerous factors such as smoking, caffeine intake, physical activity, and medical conditions to determine their associations with headaches, as well as the impact of headaches on productivity. Results Among participants who reported headaches, 15.6% and 4.5% had been previously diagnosed with tension headaches and migraines, respectively. The mean duration of headaches was 7.09±18.16 hours; 38.5% of headaches were throbbing in nature, while 61.5% were pressing. The headache was on one side in 51.6% and accompanied by nausea and vomiting in 41.1% and 24.1%, respectively. Moreover, 53% and 41.9% experienced worsening of headaches by exercise and light, respectively. Tension headaches occurred more in older healthcare providers (P <0.05) and those who reported working night shifts (P=0.002). Healthcare providers with tension headaches reported having an intrusive leader and violence at work (P=0.038 and P=0.013, respectively). Caffeine consumption, emotional stress, and using oral contraceptive pills (OCP) were significantly correlated with migraine (P=0.023, P=0.017, and P=0.004, respectively). The reported headache affected the productivity of 62.59% of individuals. Conclusions Headache is common among healthcare providers in Al-Ahsa, Saudi Arabia. The study indicates that tension headache is associated with aging, night shifts, having an intrusive leader, and violence at work. In contrast, migraine is correlated with caffeine consumption, emotional stress, and OCP use. The productivity of healthcare providers is affected negatively by headaches.

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Section: Discussioncontrasting

confidence: 99%

Headache Characteristics and Risk Factors Among Healthcare Providers in Al-Ahsa, Saudi Arabia

Alturaiki,

Aldawood,

Alghirash

et al. 2023

Cureus

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“…These findings are similar to associations previously found between symptom patterns in CRS and mood disorders, 29 although comorbid migraine appears to have a significantly stronger effect size on QOL. Nevertheless, these results also illustrate the known general relationship between migraine and mood disorders in the setting of CRS 30–32 …”

Section: Discussionsupporting

confidence: 60%

“…Nevertheless, these results also illustrate the known general relationship between migraine and mood disorders in the setting of CRS. [30][31][32] These results have important implications for guiding clinical suspicions of comorbid migraine in these patients and influencing further studies on the pathophysiology behind the high prevalence of migraine in CRS patients. Given the negative association between nasal polyps and migraine in CRS, there may be utility in endotyping for CRS patients with migraine.…”

Section: Discussionmentioning

confidence: 89%

The Burden of Migraine on Quality of Life in Chronic Rhinosinusitis

et al. 2023

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ObjectiveTo determine the impact of comorbid migraine on quality of life (QOL) in chronic rhinosinusitis (CRS).MethodsA total of 213 adult patients with CRS were recruited. All participants completed the 22‐item Sinonasal Outcome Test (SNOT‐22), from which total and validated nasal, ear/facial pain, sleep, and emotional subdomain scores were calculated, and the 5‐dimension EuroQol general health questionnaire (EQ‐5D), from which the visual analogue scale (VAS) and health utility value (HUV) were calculated. The presence of comorbid migraine was determined by a score of ≥4 on the 5‐item Migraine Screen Questionnaire (MS‐Q).ResultsOf the participants, 36.2% were screened positive for having comorbid migraine. The mean SNOT‐22 score was 64.9 (SD: 18.7) in participants with migraine and 41.5 (SD: 21.1) in participants without migraine (p < 0.001). The mean EQ‐5D VAS and HUV were 60.2 (SD: 21.9) and 0.69 (SD: 0.18), respectively, in participants with migraine and 71.4 (SD: 19.4) and 0.84 (SD: 0.13), respectively, in participants without migraine (p < 0.001 for both). Higher ear/facial pain (OR = 1.22, 95% CI: 1.10–1.36, p < 0.001) and sleep (OR = 1.11, 95% CI: 1.04–1.18, p = 0.002) SNOT‐22 subdomain scores were positively associated with migraine. The SNOT‐22 item scores related to dizziness, reduced concentration, and facial pain, in descending order, were most associated with migraine. The presence of nasal polyps (OR = 0.24, 95% CI: 0.07 ‐ 0.80, p = 0.020) was negatively associated with migraine.ConclusionComorbid migraine may be relatively common amongst CRS patients, and its presence is associated with significantly worse QOL. Dizziness as a symptom in CRS patients may be particularly indicative of migraine.Level of evidence3 Laryngoscope, 2023

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“…It is also proven that individuals with prolonged migraine are more likely to experience psychiatric comorbidity than those with episodic migraine [6]. The research findings are consistent and demonstrate a higher chance of developing depression, bipolar disorders, a broad range of anxiety disorders, and posttraumatic stress disorder [7].…”

Section: Reviewsupporting

confidence: 52%

The Development of Psychiatric Illness and Chemoprophylaxis of Botulinum Toxin in Migraine: A Narrative Review

Dhengare¹,

Fulmali²

2022

Cureus

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A migraine is not just a headache. It is an extremely prevalent neurological condition marked by periodic episodes of unilateral headache, with more than 10 million cases yearly. Migraine often begins at the age of puberty. It substantially impacts the brain and, consequently, psychiatric behavior linked with frequent migraine attacks that may be moderate to severe in intensity. A crucial aspect of migraine variability is comorbidity with other neurological diseases, vascular diseases, and mental illnesses. Psychiatric disorders related to migraine include anxiety disorders, panic disorder, bipolar disorder, depression, etc. It is also estimated that people suffering from migraine are about five times more likely to develop depression than others without migraine. The stimulus for migraine is stress, lack of sleep, skipped meal or fasting, visual stimulation due to high intensity of light, auditory stimulus due to noise, and olfactory stimulus due to a pungent smell. A majority of patients suffer from migraine attacks triggered by noise, some due to visual stimulation, and a few due to perfumes or other odors that trigger their migraine. Diagnosis of this is primarily dependent on history taking and clinical evaluation. Migraine can be classified depending on whether an aura is present or absent. It can further be divided based on the frequency of headaches into episodic migraine or chronic migraine, which may be determined by the duration of the headache. The development of migraine is influenced by both genetics and the environment. It has a detrimental effect on children's quality of life. A comprehensive analysis of psychiatric illnesses in migraine contributes to early diagnosis and proper treatment of the disease. Also, having a healthy lifestyle (including exercise, a balanced diet, and enough sleep) seems to prevent and improve the condition. Headache in migraine is resistant to medical treatment but responds well to botulinum toxin. This review primarily focuses on the psychiatric issues like depression and anxiety that often accompany migraine. The article also highlights the effects of botulinum toxin on migraine.

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The Development and Impact of Anxiety With Migraines: A Narrative Review

Cited by 8 publications

References 57 publications

Headache Characteristics and Risk Factors Among Healthcare Providers in Al-Ahsa, Saudi Arabia

Headache Characteristics and Risk Factors Among Healthcare Providers in Al-Ahsa, Saudi Arabia

The Burden of Migraine on Quality of Life in Chronic Rhinosinusitis

The Development of Psychiatric Illness and Chemoprophylaxis of Botulinum Toxin in Migraine: A Narrative Review

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