The effect of fibromyalgia syndrome on female patients diagnosed with chronic migraine

IF 1.8 4区 医学 Q3 CLINICAL NEUROLOGY Clinical Neurology and Neurosurgery Pub Date : 2024-09-23 DOI:10.1016/j.clineuro.2024.108573
Alper Mengi , Bengi Gül Türk , Ugur Uygunoglu
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Abstract

Objective

To compare pain, quality of life, sleep, anxiety and depression, central sensitization, and functionality between chronic migraine (CM) patients with comorbid fibromyalgia syndrome (FMS) and patients with CM alone.

Method

Thirty three female patients with CM and thirty three female patients with CM+FMS were enrolled in the study. Demographic and clinical characteristics of the patients were recorded. FM was diagnosed based on the 2016 American College of Rheumatology diagnostic criteria. All participants were evaluated with Allodynia Symptom Checklist, Short Form-36 (SF-36), Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale (HADS), Migraine Disability Assessment (MIDAS) and Headache Impact Test (HIT-6) questionnaires, and Central Sensitization Inventory (CSI). FM patients were also evaluated with Fibromyalgia Impact Questionnaire (FIQ).

Results

The average number of headache days was significantly higher in patients with CM+FMS (p = 0.006). Among migraine accompanying symptoms, the number of patients with phonophobia was significantly higher in patients with CM+FMS (p = 0.008). While CSI score was 39.0 ± 11.7 in CM patients, it was 52.2 ± 9.2 in CM+FMS patients. CSI scores were higher in CM+FMS patients (p < 0.001). SF-36 sub-cores, including physical function, energy/fatigue, emotional well-being, and general health scores, were lower in CM+FMS patients (p < 0.05). Sleep duration was significantly lower and use of medication to sleep was more common in same group (p < 0.05). FIQ score in CM+FMS patients was associated with quality of life scores, sleep quality, anxiety, and central sensitization scores (p < 0.05).

Conclusion

In patients with chronic migraine, FMS comorbidity negatively affects the quality of life and significantly increases central sensitization.
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纤维肌痛综合征对女性慢性偏头痛患者的影响
目的比较合并纤维肌痛综合征(FMS)的慢性偏头痛(CM)患者和单纯偏头痛患者的疼痛、生活质量、睡眠、焦虑和抑郁、中枢敏感性和功能。研究记录了患者的人口统计学特征和临床特征。根据 2016 年美国风湿病学会诊断标准对 FM 进行诊断。所有参与者都接受了过敏症状核对表、短表格-36(SF-36)、匹兹堡睡眠质量指数(PSQI)、医院焦虑抑郁量表(HADS)、偏头痛残疾评估(MIDAS)和头痛影响测试(HIT-6)问卷以及中枢敏感性量表(CSI)的评估。结果CM+FMS患者的平均头痛天数显著增加(p = 0.006)。在偏头痛伴随症状中,CM+FMS 患者中患有畏声症的人数明显较多(p = 0.008)。CM患者的CSI评分为(39.0 ± 11.7)分,而CM+FMS患者的CSI评分为(52.2 ± 9.2)分。CM+FMS患者的CSI评分更高(p < 0.001)。CM+FMS患者的SF-36分项,包括身体功能、能量/疲劳、情绪健康和一般健康评分均较低(p <0.05)。同组患者的睡眠时间明显较短,使用药物入睡的情况更为普遍(p < 0.05)。CM+FMS患者的FIQ评分与生活质量评分、睡眠质量、焦虑和中枢敏感性评分相关(p < 0.05)。
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来源期刊
Clinical Neurology and Neurosurgery
Clinical Neurology and Neurosurgery 医学-临床神经学
CiteScore
3.70
自引率
5.30%
发文量
358
审稿时长
46 days
期刊介绍: Clinical Neurology and Neurosurgery is devoted to publishing papers and reports on the clinical aspects of neurology and neurosurgery. It is an international forum for papers of high scientific standard that are of interest to Neurologists and Neurosurgeons world-wide.
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