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Journal Article

Citation

Liu HY, Fuh JL, Lin YY, Chen WT, Wang SJ. Neurology 2015; 85(12): 1017-1023.

Affiliation

From the Institute of Brain Science (H.-Y.L., Y.-Y.L., W.-T.C., S.-J.W.) and School of Medicine (H.-Y.L., J.-L.F., Y.-Y.L., W.-T.C., S.-J.W.), National Yang-Ming University, Taipei; Department of Neurology (H.-Y.L.), Buddhist Tzu Chi General Hospital, Taipei Branch; and Department of Neurology (J.-L.F., Y.-Y.L., W.-T.C., S.-J.W.), Neurological Institute, Taipei Veterans General Hospital, Taiwan. sjwang@vghtpe.gov.tw wtchen@vghtpe.gov.tw.

Copyright

(Copyright © 2015, Lippincott Williams and Wilkins)

DOI

10.1212/WNL.0000000000001943

PMID

26296516

Abstract

OBJECTIVES: To identify the frequency, clinical effects, and suicide risk in comorbid fibromyalgia (FM) among patients with migraine.

METHODS: We surveyed patients with migraine who attended a headache clinic. All patients completed questionnaires containing demographics, headache profiles based on the International Classification of Headache Disorders, 2nd edition, FM questionnaires based on the modified 2010 American College of Rheumatology preliminary diagnostic criteria, Migraine Disability Assessment, Hospital Anxiety and Depression Scale, and Pittsburgh Sleep Quality Index. Suicide risk was evaluated by self-report of lifetime suicidal ideation and attempts.

RESULTS: Of the 1,318 recruited patients with migraine (aged 42.6 ± 12.7 years; female/male = 4.5), 10.1% (aged 44.3 ± 12.6 years; female/male = 7.9) had comorbidity of FM. Patients with migraine and comorbid FM had higher headache frequency and headache-related disability, poor sleep quality, and were more depressed/anxious than those with migraine only (p < 0.001). Suicidal ideation and attempts were reported in 27.3% and 6.9% of patients with migraine, respectively, and were higher in patients with comorbid FM than in those without (ideation: 58.3% vs 24%; attempt: 17.6% vs 5.7%; p < 0.001). In addition, comorbidity of FM was associated with a higher suicide risk in 3 different migraine subgroups, i.e., migraine without aura, migraine with aura, and chronic migraine. After controlling for covariates, comorbidity of FM remained as a predictor of suicidal ideation and attempts (odds ratio 2.61 and 1.99, respectively, p < 0.05) in patients with migraine.

CONCLUSIONS: Comorbidity with FM is associated with a high suicide risk in patients with migraine.


Language: en

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