四川精神卫生2023，Vol.36Issue(6)：527-531,5.DOI:10.11886/scjsws20230420003
压力源及压力反应对大学生偏头痛患者日常生活的影响
Impact of stressors and stress responses on the daily life of college students with migraine
摘要
Abstract
Background Stress is closely related to migraine attacks,however,previous studies on stressors,stress responses and their impact on the daily life of college students with migraine remain unclear.Objective To explore the impact of stressors and stress responses on the daily life of college students with migraine,in order to provide references for improving daily life of this population.Methods From August 2018 to August 2019,458 students from North Sichuan Medical College who met the International Classification of Headache Diseases third edition(ICHD-3),were selected using random sampling method.General data and headache characteristics were collected.The 6-item Headache Impact Test Questionnaire(HIT-6)was used to assess the impact of migraine on daily life.Student-Life Stress Inventory(SLSI)was used to assess the stressors and stress responses.Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale-24 item(HAMD-24)were used to assess anxiety and depressive symptoms.Pearson correlation analysis were used to examine the relationship between HIT-6 score and scores on various scales.Multiple linear regression was used to analyze the influencing factors on daily life in college students with migraine.Results In the SLSI,stressors in the dimensions of frustration(r=0.138,P＜0.01),conflict(r=0.168,P＜0.01),pressure(r=0.157,P＜0.01),change(r=0.148,P＜0.01),self-imposed(r=0.158,P＜0.01),as well as physiological response(r=0.256,P＜0.01),emotional response(r=0.241,P＜0.01),behavioral response(r=0.164,P＜0.01),HAMA total score(r=0.192,P＜0.01),dHAMD-24 total score(r=0.250,P＜0.01),and SLSI total score(r=0.250,P＜0.01),were positively correlated with HIT-6 score.Cognitive response(r=-0.104,P＜0.05)was negatively correlated with HIT-6 score.Stepwise multiple linear regression revealed that physiological response(β=0.140,P＜0.05),anxiety(β=0.159,P＜0.05),and cognitive response(β=-0.091,P＜0.05)could predict the impact on daily life of college students with migraine.Conclusion Physiological response,cognitive response and anxiety may be the independent influencing factors on the daily life of college students with migraine.关键词
偏头痛/头痛影响测试量表/压力/日常生活Key words
Migraine/HIT-6/Stress/Daily life分类
临床医学引用本文复制引用
杨佳铭,赵佳玉,罗文秀,罗家明..压力源及压力反应对大学生偏头痛患者日常生活的影响[J].四川精神卫生,2023,36(6):527-531,5.基金项目
南充市科技项目市校科技战略合作专项(项目名称:南充市高校学生偏头痛和紧张性头痛监测和随访体系建立及其生活质量和学习能力相关因素分析,项目编号:NSMC20170420)Funded by Nanchong City University Science and Technology Strategic Cooperation Project(number,NSMC20170420) （项目名称:南充市高校学生偏头痛和紧张性头痛监测和随访体系建立及其生活质量和学习能力相关因素分析,项目编号:NSMC20170420）
