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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Migraine and Mental Health in a Population-Based Sample of Adolescents
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Migraine and Mental Health in a Population-Based Sample of Adolescents

机译：在基于人群的青少年样本中的偏头痛和心理健康

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摘要

Objective: To explore the relationship between migraine and anxiety disorders, mood disorders and perceived mental health in a population-based sample of adolescents. Methods: The Canadian Community Health Survey (CCHS) is a cross-sectional health survey sampling a nationally representative group of Canadians. In this observational study, data on all 61,375 participants aged 12-19 years from six survey cycles were analyzed. The relationships between self-reported migraine, perceived mental health, and mood/anxiety disorders were modeled using univariate and multivariate logistic regression. The migraine-depression association was also explored in a subset of participants using the Composite International Diagnostic Interview-Short Form (CIDI-SF) depression scale. Results: The odds of migraine were higher among those with mood disorders, with the strongest association in 2011-2 (adjusted odds ratio [aOR]= 4.59; 95% confidence interval [CI95%]= 3.44-6.12), and the weakest in 2009-10 (aOR= 3.06, CI95%= 2.06-4.55). The migraine-mood disorders association was also significant throughout all cycles, other than 2011-2, when the CIDI-SF depression scale was employed. The odds of migraine were higher among those with anxiety disorders, with the strongest association in 2011-2 (aOR= 4.21, CI95%= 3.31-5.35) and the weakest in 2010 (aOR= 1.87, CI95%= 1.10-3.37). The inverse association between high perceived mental health and the odds of migraine was observed in all CCHS cycles, with the strongest association in 2011-2 (aOR= 0.58, CI95%= 0.48-0.69) and the weakest in 2003-4 (aOR= 0.75, CI95%= 0.62-0.91). Conclusions: This study provides evidence, derived from a large population-based sample of adolescents, for a link between migraine and mood/anxiety disorders.
机译：目的：探讨偏头痛与焦虑障碍，情绪障碍与患者心理健康在基于人口的青少年样本中的关系。方法：加拿大社区卫生调查（CCHS）是一项对国家代表加拿大人的横断面健康调查。在这个观察到研究中，分析了来自六个调查周期的12-19岁的所有61,375名参与者的数据。自我报告的偏头痛，感知心理健康和情绪/焦虑症之间的关系是使用单变量和多变量的逻辑回归建模的。偏头痛抑郁协议也在参与者的子集中探讨了使用综合国际诊断访谈 - 短表（CIDI-SF）抑郁级。结果：偏头痛的几率在情绪障碍中较高，2011-2中最强的关联（调整的赔率比[AOR] = 4.59; 95％置信区间[CI95％] = 3.44-6.12），最弱的2009-10（AOR = 3.06，CI95％= 2.06-4.55）。在采用CIDI-SF抑郁尺度时，偏头痛 - 情绪紊乱协会在所有周期中也显着。偏头痛的几率在焦虑症中较高，2011-2（AOR = 4.21，CI95％= 3.31-5.35）和2010年最弱（AOR = 1.87，CI95％= 1.10-3.37）。在所有CCHS循环中观察到高感知心理健康和偏头痛几率之间的逆关节，2011-2中最强的关联（AOR = 0.58，CI95％= 0.48-0.69）和2003-4中最弱（AOR = 0.75，CI95％= 0.62-0.91）。结论：本研究提供了衍生自偏头痛和情绪/焦虑症之间的基于大量基于人群的青少年样本的证据。

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