Abstract
BackroundThe aim of this study was to investigate the prevalence of migraine and associated psychiatric disorders among university students at Cumhuriyet University of Sivas in Turkey.MethodsA total of 1601 university students participated in this study and answered the questionnaires. The study was conducted in three stages: the self-questionnaire, the neurological evaluation, and the psychiatric evaluation. In the first stage, the subjects completed a questionnaire to assess migraine symptoms. In the second stage, the subjects who reported having migraines underwent a detailed neurological evaluation conducted by a neurologist to confirm the diagnosis. In the final stage, the subjects with migraines completed a psychiatric examination using the structured clinical interview for DSM IV-R Axis I.ResultsThe self-reported migraine prevalence rate was 13.7%, and the actual prevalence rate of migraine among the university students was calculated to be 10.6% (n = 169). When the results obtained with the SCID-I were examined, a current SCID-I psychiatric diagnosis was found in 39 (23.1%) of the 169 subjects with migraines. A total of 73 (43.2%) students with migraines had a lifetime SCID-I psychiatric diagnosis.ConclusionsThe results of this study indicate that migraines were highly prevalent among university students in Turkey with comorbid psychiatric disorders. Treatment strategies must be developed to manage these comorbidities.
Highlights
Migraine is an important health problem due to the frequency and accompanying morbidity, which includes disability and the loss of performance [1,2,3]
There have been university surveys evaluating the prevalence of migraines based on self-reports, but this study appears to be the first reporting the migraine prevalence in university students with a clinical interview for migraine and co-morbid psychiatric diagnoses
Psychiatric disorders are common in university students with migraines and correlate with the pain-related disability
Summary
Migraine is an important health problem due to the frequency and accompanying morbidity, which includes disability and the loss of performance [1,2,3]. Studies have shown consistently that migraineurs report a lower quality of life than do those without migraines and that these reductions extend to physical health, mental health, social functioning and academic performance [7,8]. Studies have shown significant associations between migraine and a variety of psychiatric disorders, including major depressive disorder, anxiety disorders and alcohol or drug abuse and dependence [11]. Anxiety, and chronic depression had a poor health-related quality of life. Migraine, specific phobias, and panic disorder were important and independent comorbidities predicting a poor health-related quality of life [12,13]. Migraine is prevalent among university students, previous studies have not adequately assessed comorbid psychiatric conditions among university students [14,15]. We selected our study population by field screening to add more patients who were not on therapy for psychiatric comorbidities
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