Stress Levels Determine Migraine Incidence in Medical Students of Duta Wacana Christian University
- Stress can trigger migraine.
- There is a significant relationship between stress levels and the occurence of migraine
- The higher the stress level, the higher the risk of migraine
Introduction: Migraine is the second most common primary headache after tension-type headache. Stress is one of the factors that can contribute to migraine occurrence. Medical students are subjected to a high-stress level due to their educational program, which increases their risk of migraine. Objective: To measure the relationship between stress levels and migraine occurrence in medical students of Duta Wacana Christian University, batch 2020. Methods: This study used an observational analytical design with a cross-sectional method and involved 61 respondents from the medical students of Duta Wacana Christian University, batch 2020, who met the inclusion and exclusion criteria. Respondents were required to approve informed consent and complete the Perceived Stress Scale and Migraine Screen Questionnaire before conducting the research. Results: The Chi-Square for Trend statistical analysis for trends showed that stress levels were related to migraine (p < 0.05), age variables revealed no association with migraine (p > 0.05), and gender revealed that the sexes had a relationship with migraine (p < 0.05). Using Fisher's statistical technique, this study found that menstrual status has no association with migraine (p > 0.05). Conclusion: Stress levels and migraine frequency were significantly correlated, meaning that high-stress levels can trigger migraines.
Haryani S, Tandy V, Vania A, Barus J. Penatalaksanaan nyeri kepala pada layanan primer. Callosum Neurol J. 2018;1(3):83–90.
Stovner LJ, Nichols E, Steiner TJ, Abd-Allah F, Abdelalim A, Al-Raddadi RM, et al. Global, regional, and national burden of migraine and tension-type headache, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2018;17(11):954–76.
Sjahrir H. Insidens jenis penyakit pasien yang berobat jalan di praktek klinik saraf klinik spesialis bunda. Cermin Dunia Kedokt. 2009;36(6):399–402.
Kupriyanov R, Kazan RZ. The Eustress Concept: Problems and Outlooks. World J Med Sci. 2014;11(2):179-85.
Talib N, Zia-ur-Rehman M. Academic performance and perceived stress among university students. Educ Res Rev. 2012;7(5)7:127–32.
Das Priyadarshini PP, Sahoo R. Stress and depression among post graduate students. Int J Sci Res Publ. 2012;2(7):1–5.
Waqas A, Khan S, Sharif W, Khalid U, Ali A. Association of academic stress with sleeping difficulties in medical students of a Pakistani medical school: A cross sectional survey. PeerJ. 2015;3:e840.
Menon B, Kinnera N. Prevalence and characteristics of migraine in medical students and its impact on their daily activities. Ann Indian Acad Neurol. 2013;16(2):221–5.
Shahrakai mohammad R, Mirshekari H, Ghanbari AT, Shahraki AR, Shahraki E. Prevalence of migraine among medical students in Zahedan faculty of medicine (Southeast of Iran). Basic Clin Neurosci. 2011;2(2):20–5.
Gu X, Xie YJ. Migraine attacks among medical students in Soochow university, southeast China: A cross-sectional study. J Pain Res. 2018;11:771–81. doi: 10.2147/JPR.S156227
Nurrezki S, Irawan R. Relationship of depression, anxiety, and stress with the incidence of migraine among medical students in Jakarta. Damianus J Med. 2020;19(1):1–7.
Oraby MI, Soliman RH, Mahmoud MA, Elfar E, ElMonem NAA. Migraine prevalence, clinical characteristics, and health care-seeking practice in a sample of medical students in Egypt. Egypt J Neurol Psychiatry Neurosurg. 2021;57(26):1-9.
Purnami CT, Sawitri DR. Instrumen “ Perceive Stress Scale ” online sebagai alternatif alat pengukur tingkat stres secara mudah dan cepat. Semin Nas Kolaborasi Pengabdi Kpd Masy UNDIP-UNNES. 2019;311–4.
Ketaren RJ, Wibisono Y, Sadeli AH. Validitas Migraine Screen Questionnaire (MS-Q) versi Indonesia sebagai alat penapis migren. Neurona. 2014;31(2):82–8.
Amelia C. The level of stress with the event of migrain head pain in the batamindo industry employees who were conducted to the bip clinic of the city of Batam in the month of july - october 2017. Zo Keperawatan: Progr Stud Keperawatan Univ Batam. 2019;9(2):110–9.
Kajal M, Malik M, Kumari R. Correlation of stress with migraine - a review. Int J Cur Res Rev. 2017;9(12):23–6. doi:10.7324/IJCRR.2017.9125
Vachon-Presseau E, Roy M, Martel MO, Caron E, Marin MF, Chen J, et al. The stress model of chronic pain: Evidence from basal cortisol and hippocampal structure and function in humans. Brain. 2013;136(3):815–27.
Maleki N, Becerra L, Brawn J, McEwen B, Burstein R, Borsook D. Common hippocampal structural and functional changes in migraine. Brain Struct Funct. 2013;218(4):903–12.
An YC, Liang CS, Lee JT, Lee MS, Chen SJ, Tsai CL, et al. Effect of sex and adaptation on migraine frequency and perceived stress: A cross-sectional case-control study. Front Neurol. 2019;10:1–8. doi: 10.3389/fneur.2019.00598
Lagman-Bartolome AM, Lay C. Migraine in women. Neurol Clin. 2019;37(4):835–45.
Susanti R. Potential gender differences in pathophysiology of migraine and tension type headache. Hum Care J. 2020;5(2):539–44.
Burch RC, Buse DC, Lipton RB. Migraine: Epidemiology, burden, and comorbidity. Neurol Clin. 2019;37(4):631–49.
Inonu VF. The role of estrogen hormone in menstrual cycle as a trigger factor for migraine. Medula. 2020;10:302–6. doi: 10.53089/medula.v10i2.71
Dhillon KS, Singh J, Lyall JS. A new horizon into the pathobiology, etiology and treatment of migraine. Med Hypotheses. 2011;77(1):147–51.
Copyright (c) 2022 Jonathan Dave, Esdras Ardi Pramudita, Rizaldy Taslim Pinzon
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.