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Shared comorbidity of depression, migraine, insomnia, and fibromyalgia in a population-based sample

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2024-07-09 15:32
조회수
187
Issue Date
2024-06
Type
Article

Authors: Wonwoo Lee ; Hye Jung Shin ; In Kyung Min ; Chang Soo Kim ; Kyung Min Kim ; Kyoung Heo ; Min Kyung Chu

Citation: JOURNAL OF AFFECTIVE DISORDERS, Vol.354 : 619-626, 2024-06

Journal Title: JOURNAL OF AFFECTIVE DISORDERS

ISSN: 0165-0327

Issue Date: 2024-06

MeSH: Comorbidity ; Cross-Sectional Studies ; Depression / epidemiology ; Fibromyalgia* / epidemiology ; Headache ; Humans ; Migraine Disorders* / diagnosis ; Migraine Disorders* / epidemiology ; Quality of Life ; Sleep Initiation and Maintenance Disorders* / epidemiology

Keywords: Comorbidity ; Headache ; Mood disorder ; Pain ; Sleep disturbance

Abstract: Background: Depression, migraine, insomnia, and fibromyalgia are reportedly comorbidities. Nevertheless, no study has evaluated the comorbidity of all four of these disorders. This study aimed to investigate the comorbidity of these four disorders. Methods: Cross-sectional analyses were performed using data of the Circannual Change in Headache and Sleep study, an online nationwide population-based survey. Validated questionnaires were used to diagnose the disorders and measure quality of life. The change of clinical characteristics by addition of any comorbidity was analyzed using the Jonckheere–Terpstra trend test. Results: The prevalence rates of depression, migraine, insomnia, and fibromyalgia were 7.2 %, 5.6 %, 13.3 %, and 5.8 %, respectively. Among the 3030 included participants, 494 (16.3 %), 164 (5.4 %), 40 (1.3 %), and 6 (0.2 %) had one, two, three, and four of these conditions, respectively. The number of headache days per 30 days (Jonckheere–Terpstra trend test, p = 0.011) and migraine-related disability (migraine disability assessment score, p = 0.021) increased with an increase in the number of comorbidities but not with the intensity of headache (visual analog scale, p = 0.225) among participants with migraine. The severity of insomnia (Insomnia Severity Index, p < 0.001) and fibromyalgia (fibromyalgia severity score, p = 0.002) increased with additional comorbidities; however, depression (Patient Health Questionnaire-9, p = 0.384) did not show such an increase. Limitations: The diagnoses of conditions were based on self-reported questionnaires. Conclusions: The findings confirmed significant comorbidity between depression, migraine, insomnia, and fibromyalgia. Health professionals should be aware of the probable comorbidity of depression, migraine, insomnia, and fibromyalgia when caring for individuals with any of these four disorders. © 2024 Elsevier B.V.

Full Text: https://www.sciencedirect.com/science/article/pii/S0165032724005007

DOI: 10.1016/j.jad.2024.03.077

Appears in Collections:: 1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers

Yonsei Authors: Kim, Kyung Min(김경민) https://orcid.org/0000-0002-0261-1687
Kim, Chang Soo(김창수) https://orcid.org/0000-0002-5940-5649
Lee, Wonwoo(이원우) https://orcid.org/0000-0002-0907-4212
Chu, Min Kyung(주민경) https://orcid.org/0000-0001-6221-1346
Heo, Kyoung(허경)

URI: https://ir.ymlib.yonsei.ac.kr/handle/22282913/199764

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