Abstract
Objective 1) To examine the relationship between migraine status and complete mental health (CMH) among a nationally representative sample of Canadians; 2) To identify significant correlates of CMH among those with migraine. Methods Secondary analysis of the nationally representative Canadian Community Health Survey – Mental Health (CCHS-MH) (N=21,108). Bivariate analyses and a series of logistic regression models were performed to identify the association between migraine status and CMH. Significant correlates of CMH were identified in the sample of those with migraine (N=2,186). Results Individuals without a history of migraine had 72% higher odds of being in CMH (OR=1.72; 95% CI=1.57, 1.89) when compared with those with a history of migraine. After accounting for physical health and mental health problems, the relationship between migraine status and CMH was reduced to non-significance, with both groups having an approximately equal likelihood of achieving CMH (OR=1.03; 05% CI=(0.92, 1.15). Among those with migraine, factors that were strongly associated with CMH were a lack of a history of depression, having a confidant, and having an income of $80,000 or more. Conclusion Clinicians and health care providers should also address co-occurring physical and mental health issues to support the overall well-being of migraineurs.
Highlights
The prevalence of negative mental health outcomes including suicidal thoughts and attempts is much higher among those with migraines 1-6
After accounting for physical health and mental health problems, the relationship between migraine status and Complete mental health (CMH) was reduced to nonsignificance, with both groups having an approximately equal likelihood of achieving CMH (OR=1.03; 05% CI=(0.92, 1.15)
The unadjusted analysis indicated that adults without migraines had 72% higher odds of CMH when compared to those with migraines (OR=1.72; 95% CI=1.57, 1.89)
Summary
The prevalence of negative mental health outcomes including suicidal thoughts and attempts is much higher among those with migraines 1-6. As demonstrated by a recent meta-analysis, migraine is linked to increased prevalence of mood, anxiety, and personality disorders, post-traumatic stress disorder (PTSD), and substance misuse co-occurring with PTSD or depression 1. Mood and anxiety disorders are estimated to be between two and three times more prevalent among individuals with migraine than those without this condition 1. Migraineurs with a comorbid psychiatric disorder experience significantly greater headacherelated disability and diminished quality of life compared to migraineurs without psychiatric comorbidities 7. Psychiatric comorbidities may be associated with poorer prognosis and clinical outcomes 1. Individuals with migraine and depression may have a greater risk of disease progression from episodic to chronic migraine 8
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