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Ocal R, Karakurum-Goksel B, Van M, Coskun O, Karaaslan C, Ucler S, Gokcay F, Celebisoy N, Sirin H, Kisabay Ak A, Saritas AS, Cerrahoglu Sirin T, Hasirci Bayir BR, Ekizoglu E, Orhan EK, Bayram D, Tanik N, Bicakci S, Ozturk V, Inan LE, Metin KM, Eren Y, Dora B, Oguz-Akarsu E, Karli N, Celik EU, Atalar AC, Gozubatik Celik RG, Mutluay B, Aydinlar EI, Yalinay Dikmen P, Semercioglu S, Emre U, Buldukoglu OC, Er B, Kilboz BB, Ibis S, Yagiz S, Koklu H, Kamaci I, Aliyeva G, Ates BE, Kara MM, Altunc FZ, Kaya I, Sisman C. Eating attitudes of migraine patients in Turkey: a prospective multi-center study. BMC Neurol 2024; 24:180. [PMID: 38811875 PMCID: PMC11134734 DOI: 10.1186/s12883-024-03672-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2024] [Accepted: 05/13/2024] [Indexed: 05/31/2024] Open
Abstract
BACKGROUND Migraine is a disease characterized by headache attacks. The disease is multifactorial in etiology and genetic and environmental factors play role in pathogenesis. Migraine can also be accompanied by psychiatric disorders like neurotism and obsessive compulsive disorder. Stress, hormonal changes and certain food intake can trigger attacks in migraine. Previous studies showed that eating attitudes and disorders are prevalant in patients with migraine. Eating disorders are psychiatric disorders related to abnormal eating habits. Both migraine and eating disorders are common in young women and personality profiles of these patient groups are also similar. A possible relationship which shows that migraine and eating habits are related can lead to a better understanding of disease pathogenesis and subsequently new therapeutic options on both entities. Association of migraine in relation to severity, depression and anxiety and eating habits and disorders were aimed to be investigated in this study. METHODS The study was designed as a prospective, multi-center, case control study. Twenty-one centers from Turkey was involved in the study. The gathered data was collected and evaluated at a single designated center. From a pool of 1200 migraine patients and 958 healthy control group, two groups as patient group and study group was created with PS matching method in relation to age, body-mass index, marital status and employment status. Eating Attitudes Test-26 (EAT-26), Beck's Depression Inventory (BDI) and Beck's Anxiety Inventory (BAI) were applied to both study groups. The data gathered was compared between two groups. RESULTS EAT-26 scores and the requirement for referral to a psychiatrist due to symptoms related to eating disorder were both statistically significantly higher in patient group compared to control group (p = 0.034 and p = 0.0001 respectively). Patients with migraine had higher scores in both BDI and BAI compared to control group (p = 0.0001 and p = 0.0001 respectively). Severity of pain or frequency of attacks were not found to be related to eating attitudes (r:0.09, p = 0.055). CONCLUSIONS Migraine patients were found to have higher EAT-26, BDI and BAI scores along with a higher rate of referral to a psychiatrist due to symptoms. Results of the study showed that eating habits are altered in migraine patients with higher risk of eating disorders. Depression and anxiety are also found to be common amongst migraine patients.
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Affiliation(s)
- Ruhsen Ocal
- Department of Neurology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
| | - Basak Karakurum-Goksel
- Faculty of Medicine, Department of Neurology, Baskent University, Turgut Noyan Adana Hospital, Adana, Turkey
| | - Mert Van
- Department of Neurology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
| | - Ozlem Coskun
- Faculty of Medicine, Department of Neurology, Gazi University, Ankara, Turkey
| | - Cihad Karaaslan
- Faculty of Mediciene, Department of Neurology, Kirikkale University, Kirikkale, Turkey
| | - Serap Ucler
- Prof. Dr. Cemil Tascioglu City Hospital, Department of Neurology, Istanbul, Turkey
| | - Figen Gokcay
- Faculty of Medicine, Department of Neurology, Ege University, Izmir, Turkey
| | - Nese Celebisoy
- Faculty of Medicine, Department of Neurology, Ege University, Izmir, Turkey
| | - Hadiye Sirin
- Faculty of Medicine, Department of Neurology, Ege University, Izmir, Turkey
| | - Aysin Kisabay Ak
- Faculty of Medicine, Department of Neurology, Celal Bayar University, Manisa, Turkey
| | - Aysegul Seyma Saritas
- Faculty of Medicine, Department of Neurology, Celal Bayar University, Manisa, Turkey
| | - Tuba Cerrahoglu Sirin
- Department of Neurology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Buse Rahime Hasirci Bayir
- Department of Neurology, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey
| | - Esme Ekizoglu
- Faculty of Medicine, Department of Neurology, Istanbul University, Istanbul, Turkey
| | - Elif Kocasoy Orhan
- Faculty of Medicine, Department of Neurology, Istanbul University, Istanbul, Turkey
| | - Derya Bayram
- Department of Neurology, Adana City Training and Research Hospital, Adana, Turkey
| | - Nermin Tanik
- Faculty of Medicine, Department of Neurology, Yozgat Bozok University, Yozgat, Turkey
| | - Sebnem Bicakci
- Faculty of Medicine, Department of Neurology, Cukurova University, Adana, Turkey
| | - Vesile Ozturk
- Faculty of Medicine, Department of Neurology, Dokuz Eylul University, Izmir, Turkey
| | | | - Kubra Mehel Metin
- Department of Neurology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Yasemin Eren
- Diskapi Training and Research Hospital, Department of Neurology, Ankara, Turkey
| | - Babur Dora
- Faculty of Medicine, Department of Neurology, Akdeniz University, Antalya, Turkey
| | - Emel Oguz-Akarsu
- Faculty of Medicine, Department of Neurology, Uludag University, Bursa, Turkey
| | - Necdet Karli
- Faculty of Medicine, Department of Neurology, Uludag University, Bursa, Turkey
| | - Emel Ur Celik
- Department of Neurology, Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey
| | - Arife Cimen Atalar
- Department of Neurology, Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey
| | - Rabia Gokcen Gozubatik Celik
- Istanbul Bakirkoy Prof Dr Osman Mental Health and Neurological Diseases Training and Research Hospital, Clinic of Neurology and Neurosurgery, Istanbul, Turkey
| | - Belgin Mutluay
- Istanbul Bakirkoy Prof Dr Osman Mental Health and Neurological Diseases Training and Research Hospital, Clinic of Neurology and Neurosurgery, Istanbul, Turkey
| | - Elif Ilgaz Aydinlar
- Faculty of Medicine, Department of Neurology, Acıbadem University, Istanbul, Turkey
| | - Pinar Yalinay Dikmen
- Faculty of Medicine, Department of Neurology, Acıbadem University, Istanbul, Turkey
| | - Sencer Semercioglu
- Department of Neurology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Ufuk Emre
- Department of Neurology, Istanbul Training and Research Hospital, Istanbul, Turkey
| | - Osman Cagin Buldukoglu
- Department of Gastroenterology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey
| | - Busra Er
- Prof. Dr. Cemil Tascioglu City Hospital, Department of Neurology, Istanbul, Turkey
| | - Bekir Burak Kilboz
- Prof. Dr. Cemil Tascioglu City Hospital, Department of Neurology, Istanbul, Turkey
| | - Seray Ibis
- Faculty of Medicine, Department of Neurology, Ege University, Izmir, Turkey
| | - Sibgetullah Yagiz
- Department of Neurology, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey
| | - Huzeyfe Koklu
- Department of Neurology, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey
| | - Ibrahim Kamaci
- Faculty of Medicine, Department of Neurology, Istanbul University, Istanbul, Turkey
| | - Gulshan Aliyeva
- Faculty of Medicine, Department of Neurology, Istanbul University, Istanbul, Turkey
| | - Basak Elcin Ates
- Faculty of Medicine, Department of Neurology, Cukurova University, Adana, Turkey
| | - Muge Mercan Kara
- Faculty of Medicine, Department of Neurology, Dokuz Eylul University, Izmir, Turkey
| | - Fatma Zehra Altunc
- Diskapi Training and Research Hospital, Department of Neurology, Ankara, Turkey
| | - Ilgin Kaya
- Faculty of Medicine, Department of Neurology, Akdeniz University, Antalya, Turkey
| | - Cagla Sisman
- Department of Neurology, Istanbul Training and Research Hospital, Istanbul, Turkey
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Moseholm E, Ameri S, Storgaard M, Pedersen G, Johansen IS, Katzenstein TL, Weis N. Psychiatric Diagnoses Among HIV-Exposed and HIV-Unexposed Uninfected Children: A Danish Nationwide Cohort Study. AIDS Patient Care STDS 2023; 37:469-479. [PMID: 37862077 DOI: 10.1089/apc.2023.0104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2023] Open
Abstract
This nationwide registry-based cohort study aimed to compare the risk of psychiatric diagnoses among HIV-exposed uninfected (HEU) children with a matched comparison group of HIV-unexposed uninfected (HUU) children, born in Denmark. We hypothesized that HEU children had an increased risk of psychiatric diagnoses and that this increased risk may differ by sex and age. All HEU children born in Denmark between year 2000 and 2020 were included. Each HEU child was matched by year of birth, maternal age at birth, and maternal immigration status to 10 HUU children. The primary outcome was risk of any psychiatric diagnosis (International Classification of Diseases, 10th Revision F00-F99). Incidence rate ratios (IRRs) were estimated using Poisson regression. Analyses stratifying by sex and age were also conducted. In total, 550 HEU children and 5500 HUU children were included. HEU children had an increased risk of any psychiatric disorder [IRR 1.45; 95% confidence interval (CI): 1.04-2.04] in the unadjusted analysis, but in the adjusted analysis, the risk was only significant for children aged 6-11 years [adjusted incidence rate ratio (aIRR) 1.93; 95% CI: 1.14-3.28]. Stratifying by sex, girls aged 6-11 years had an increased risk of any psychiatric disorder (aIRR 3.04; 95% CI: 1.27-7.28), while boys had an increased risk at age 12-20 years (aIRR 2.47; 95% CI: 1.18-5.17). In conclusion, HEU girls aged 6-11 years and HEU boys aged 12-20 years had an increased risk of any psychiatric disorder compared with HUU girls and boys, respectively. These findings highlight the importance of addressing the mental health needs of HEU children/adolescents.
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Affiliation(s)
- Ellen Moseholm
- Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Hvidovre, Denmark
- Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Sammy Ameri
- Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Hvidovre, Denmark
| | - Merete Storgaard
- Department of Infectious Diseases, Aarhus University Hospital, Skejby, Denmark
| | - Gitte Pedersen
- Department of Infectious Diseases, Aalborg University Hospital, Aalborg, Denmark
| | - Isik S Johansen
- Department of Infectious Diseases, Odense University Hospital, Odense, Denmark
| | - Terese L Katzenstein
- Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
| | - Nina Weis
- Department of Infectious Diseases, Copenhagen University Hospital, Hvidovre, Hvidovre, Denmark
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Wang X, Na W, Yang Y, Zhang W, Zhao J, Zhang T, Zhou Y, Liu H, Zhao D, Yu S. Should migraine without aura be further divided? A study of 1444 female patients with migraine without aura. J Headache Pain 2023; 24:20. [PMID: 36859169 PMCID: PMC9976374 DOI: 10.1186/s10194-023-01540-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 01/23/2023] [Indexed: 03/03/2023] Open
Abstract
To explore the possibility of further dividing migraine without aura (MWA), 1444 female patients fulfilled the criterion were recruited, and grouped basing on the association of MWA onset with menarche and childbirth (group J1, onset before menarche; group J2, onset between menarche and childbirth; group J3, onset after childbirth). By comparing migraine (side, location, aggravated by routine physical activity, NRS score, frequency, accompanying symptoms, with premonitory symptom (PS) and trigger, sum of PS and trigger) and migraine-related factors [chronic daily headache, medicine overused headache, body mass index (BMI), education level, exercise status, sleep status, consumption of tea/coffee/alcohol, patient health questionnaire-9 (PHQ-9) score and generalized anxiety disorder-7, (GAD-7) score)] among groups, it was found that the J1 group and the J2 group presented more typical migraine features than the J3 group; 2) the J3 group was more prone to emotion and sleep disorders, weight management issues, frequent migraine attacks and medication overuse. This study provided a basis for further dividing MWA. Genetic research should be conducted and treatment should be prescribed accordingly because the underlying pathogenesis may be different.
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Affiliation(s)
- Xiaolin Wang
- grid.414252.40000 0004 1761 8894Department of Neurology, The First Medical Center, The Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China
| | - Weinan Na
- grid.414252.40000 0004 1761 8894Department of Neurology, The First Medical Center, The Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China
| | - Ying Yang
- grid.414252.40000 0004 1761 8894Department of Neurology, The First Medical Center, The Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China
| | - Wenwen Zhang
- grid.414252.40000 0004 1761 8894Department of Neurology, The First Medical Center, The Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China
| | - Junxia Zhao
- grid.414252.40000 0004 1761 8894Department of Neurology, The First Medical Center, The Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China
| | - Tingting Zhang
- grid.414252.40000 0004 1761 8894Department of Neurology, The First Medical Center, The Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China
| | - Yuanji Zhou
- grid.414252.40000 0004 1761 8894Department of Neurology, The First Medical Center, The Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China
| | - Hua Liu
- grid.414252.40000 0004 1761 8894Department of Neurology, The First Medical Center, The Chinese People’s Liberation Army (PLA) General Hospital, Beijing, China
| | - Dong Zhao
- Department of Neurology, The First Medical Center, The Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
| | - Shengyuan Yu
- Department of Neurology, The First Medical Center, The Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
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