Impact of primary headache disorder on quality of life among school students in Kuwait

Abstract Background Primary headache disorders have being increasingly reported in younger populations. They can have significant effects on their quality of life and academic achievement and may cause significant distress to their families. Aims and Objectives To assess the burden of primary headache disorder and its impact on the quality of life on school student in Kuwait. Methods A cross-sectional study was conducted among Kuwaiti primary and middle school students of both genders in randomly selected schools located in two governorates in 2018/2019 academic year. Headache-Attributed Restriction, Disability, Social Handicap and Impaired Participation (HARDSHIP) questionnaire for children and adolescents was used to assess the impact of primary headaches on the quality of life. Results 1091 questionnaires were completed by primary and middle school students of both genders; of whom 466 students (girls 321 (68.88%) were diagnosed with primary headache disorders with mean age 11.98 + 2.03 years. In the month prior to the survey, the effect of the headache was variable. The students lost a mean of 1.99 + 2.015 days of school while they could not perform their usual activities for a mean of 2.84 + 4.28 days. Their parents lost a mean of 2 + 2.03 days of work because of headaches of their children and parents prohibited 5.7% of the students to engage in any activity due to their headaches. Difficulties in concentrations were reported as never sometimes (39.1%), often (24.8%), and always (26%). Majority of the students (?%) experienced a feeling of sadness ranging from sometimes to always. Most of the students (?%) struggled to cope with the headache and 22.4% were never able to cope. Additionally, 19.4% of students reported they did not want others noticing their headache. Conclusion Primary headache disorder can have a significant impact on the quality of life in children. It can affect their engagement in activities and academic achievement. Implementing strategies to properly manage schoolchildren with primary headaches can have profound effects on their quality of life.

Download Full-text

Burden of migraine and unmet needs from the patients’ perspective: a survey across 11 specialized headache clinics in Korea

The Journal of Headache and Pain ◽

10.1186/s10194-021-01250-6 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Byung-Kun Kim ◽

Min Kyung Chu ◽

Soo Jin Yu ◽

Grazia Dell’Agnello ◽

Jeong Hee Han ◽

...

Keyword(s):

Quality Of Life ◽

Unmet Needs ◽

Primary Headache ◽

Headache Disorder ◽

Poor Quality ◽

Life Questionnaire ◽

Korean Patients ◽

Primary Headache Disorder ◽

Preventive Medication

Abstract Background Migraine is a neurological, primary headache disorder affecting more than 1 billion people worldwide, with a multi-faceted burden that can significantly impact the everyday life of a patient, both during and between attacks. However, studies on patient awareness, burden, and clinical management of migraine in Korea are limited and outdated. The aim of this study was to comprehensively investigate the current difficulties and unmet needs that Korean patients with migraine encounter from their perspective. Methods A total of 207 patients with episodic or chronic migraine aged between 15 and 76 years, completed a survey designed to cover the following topics: diagnosis, understanding of the disease, treatment experience, disability, and quality of life. Patients were recruited by their neurologists from 11 specialized headache clinics in Korea and completed the survey between 22 July and 19 August 2019. Validated scales such as the Migraine Disability Assessment (MIDAS) questionnaire and Migraine-Specific Quality of Life Questionnaire version 2.1 (MSQv2.1) were used to assess levels of disability and quality of life, respectively, in patients. Results On average, it took 10.1 years from onset of symptoms to diagnosis and a mean of 3.9 hospitals were visited for treatment prior to the patient’s current hospital. There was a lack of understanding among respondents about migraine, with 55.6% believing that unilateral headache is a unique feature of migraine compared with other headache disorders. On average, high levels of disability and poor quality of life were reported by patients, as assessed by MIDAS and MSQv2.1, respectively, but only 23.7% had regularly taken preventive medication in the past. Overall satisfaction with previous doctor-patient relationships was reported by 29.5% of respondents, and satisfaction with preventive and acute medications by only 40.8% and 27.1% of the respondents, respectively. Conclusion Korean patients with migraine experience significant disability and reduced quality of life as a result of the disease and have clear unmet needs in terms of diagnosis, understanding of the disease, and disease management including treatment.

Download Full-text

A Study on a Correlation between Social Support Related to Oral Health on the Quality of Life Related to Oral Health in High School Students

The Korean Society for Multicultural Health ◽

10.33502/jksmh.9.2.1 ◽

2019 ◽

Vol 9 (2) ◽

pp. 1-8

Author(s):

Mi Young Gwon ◽

Eun Seon Park

Keyword(s):

Quality Of Life ◽

Social Support ◽

High School ◽

High School Students ◽

Oral Health ◽

School Students

Download Full-text

Oral health related quality of life according to Temporomandibular Disorders of high school students in some regions

The Korean Society of Oral Health Science ◽

10.33615/jkohs.2019.7.2.49 ◽

2019 ◽

Vol 7 (2) ◽

pp. 49-54

Author(s):

Jong-Wook Ju ◽

Da-Hye Hwang

Keyword(s):

Quality Of Life ◽

High School ◽

High School Students ◽

Oral Health ◽

Temporomandibular Disorders ◽

Health Related Quality ◽

School Students ◽

Related Quality ◽

Health Related

Download Full-text

Effects of Eucalyptus Aromatherapy on Quality of Life and Academic Stress in Middle-School Students with Allergic Rhinitis

The Korean Journal of Growth and Development ◽

10.34284/kjgd.2019.02.27.1.71 ◽

2019 ◽

Vol 27 (1) ◽

pp. 71-78

Author(s):

Mi-Hee Choi ◽

Kum-Bee Lee ◽

Young-Sun Kim ◽

Yeong-Suk Cha

Keyword(s):

Quality Of Life ◽

Middle School ◽

Allergic Rhinitis ◽

Middle School Students ◽

Academic Stress ◽

School Students

Download Full-text

Effectiveness of paranasal air suction on acute migraine using portable air sucker – a randomized, double blind study

BMC Neurology ◽

10.1186/s12883-021-02203-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

S. M. R. Bandara ◽

S. Samita ◽

A. M. Kiridana ◽

H. M. M. T. B. Herath

Keyword(s):

Clinical Trial ◽

Side Effects ◽

Sri Lanka ◽

Primary Headache ◽

Headache Disorder ◽

Low Pressure ◽

Outcome Variable ◽

Double Blind ◽

Primary Headache Disorder ◽

Before And After

Abstract Background Migraine is a primary headache disorder and is the most common disabling primary headache disorder that occurs in children and adolescents. A recent study showed that paranasal air suction can provide relief to migraine headache. However, in order to get the maximum benefit out of it, an easy to use effective air sucker should be available. Aiming to fulfil the above requirement, a randomized, double blind control clinical trial was conducted to investigate the efficacy of a recently developed low–pressure portable air sucker. Methods Eighty-six Sri Lankan school children of age 16–19 years with migraine were enrolled for the study. They were randomly allocated into two groups, and one group was subjected to six intermittent ten-second paranasal air suctions using the portable air sucker for 120 s. The other group was subjected to placebo air suction (no paranasal air suction). The effect of suction using portable air sucker was the primary objective but side of headache, type of headache, and gender were also studied as source variables. The primary response studied was severity of headache. In addition, left and right supraorbital tenderness, photophobia, phonophobia, numbness over the face and scalp, nausea and generalized tiredness/weakness of the body were studied. The measurements on all those variables were made before and after suction, and the statistical analysis was performed based on before and after differences. As a follow–up, patients were monitored for 24-h period. Results There was a significant reduction in the severity of headache pain (OR = 25.98, P < 0.0001), which was the primary outcome variable, and other migraine symptoms studied, tenderness (left) (OR = 289.69, P < 0.0001), tenderness (right) (OR > 267.17, P < 0.0001), photophobia (OR = 2115.6, P < 0.0001), phonophobia (OR > 12.62, P < 0.0001) nausea (OR > 515.59, P < 0.0001) and weakness (OR = 549.06, P < 0.0001) except for numbness (OR = 0.747, P = 0.67) in the treatment group compared to the control group 2 min after the suction. These symptoms did not recur within 24-h period and there were no significant side effects recorded during the 24-h observation period. Conclusion This pilot study showed that low–pressure portable air sucker is effective in paranasal air suction, and suction for 120 s using the sucker can provide an immediate relief which can last for more than 24-h period without any side effects. Trail registration Clinical Trial Government Identification Number – 1548/2016. Ethical Clearance Granted Institute – Medical Research Institute, Colombo, Sri Lanka (No 38/2016). Sri Lanka Clinical Trial Registration No: SLCTR/2017/018. Date of registration = 29/ 06/2017. Approval Granting Organization to use the device in the clinical trial– National Medicines Regulatory Authority Sri Lanka (16 Jan 2018), The device won award at Geneva international inventers exhibition in 2016 and President award in 2018 in Sri Lanka. It is a patented device in Sri Lanka and patent number was SLKP/1/18295. All methods were carried out in accordance with CONSORT 2010 guidelines.

Download Full-text

Diagnosis and management of migraine in ten steps

Nature Reviews Neurology ◽

10.1038/s41582-021-00509-5 ◽

2021 ◽

Author(s):

Anna K. Eigenbrodt ◽

Håkan Ashina ◽

Sabrina Khan ◽

Hans-Christoph Diener ◽

Dimos D. Mitsikostas ◽

...

Keyword(s):

Clinical Decision Making ◽

Consensus Statement ◽

Preventive Treatment ◽

Primary Headache ◽

Headache Disorder ◽

Clinical Decision ◽

Diagnosis And Management ◽

Primary Headache Disorder ◽

Management Of Complications ◽

European Headache Federation

AbstractMigraine is a disabling primary headache disorder that directly affects more than one billion people worldwide. Despite its widespread prevalence, migraine remains under-diagnosed and under-treated. To support clinical decision-making, we convened a European panel of experts to develop a ten-step approach to the diagnosis and management of migraine. Each step was established by expert consensus and supported by a review of current literature, and the Consensus Statement is endorsed by the European Headache Federation and the European Academy of Neurology. In this Consensus Statement, we introduce typical clinical features, diagnostic criteria and differential diagnoses of migraine. We then emphasize the value of patient centricity and patient education to ensure treatment adherence and satisfaction with care provision. Further, we outline best practices for acute and preventive treatment of migraine in various patient populations, including adults, children and adolescents, pregnant and breastfeeding women, and older people. In addition, we provide recommendations for evaluating treatment response and managing treatment failure. Lastly, we discuss the management of complications and comorbidities as well as the importance of planning long-term follow-up.

Download Full-text