Cross-sectional analysis of somatization symptoms,anxiety,and depression in patients with chronic migraine
Objective:To investigate the relationship between somatic symptoms,anxiety and depression in patients with chronic migraine(CM),and to provide reference for psychopsychological evaluation and interven-tion in patients with chronic migraine.Methods:A total of 278 CM patients were collected from January 2022 to February 2023 in the Third Affiliated Hospital of Qiqihar Medical College.Clinical data were collected with the self-rating somatic symptom scale(SSS),generalized anxiety disorder-7(GAD-7),9 patient health question-naire(PHQ-9),and Pittsburgh sleep quality index(PSQI),the numerical rating scale(NRS)and the migraine disability assessment(MIDAS)to evaluate somatic symptoms,anxiety,depression,sleep,headache and disability.Results:One hundred and fifty CM patients were screened positive for SSS scale,and the positive rate was 53.96%.Compared with SSS-negative 128 CM patients,SSS-positive CM patients had higher years of education,headache degree score,headache duration,attack frequency,headache duration,disability degree score,depression score,and sleep score.In the analysis of single-risk factors of somatic symptoms in CM patients,the results showed that education duration,headache severity score,headache duration,attack frequency,disease course,disability score,anxiety score,depression score and sleep score were the influencing factors for somatization symptoms.The results of correlation analysis showed that headache severity score headache duration,attack frequency,course of disease,disability score,anxiety score,depression score and sleep score were risk factors for somatization symptoms in CM patients.Conclusion:Patients with CM are more common with somatization symptoms.Severe headache,long duration of headache,frequent headache frequency,longer duration of headache,higher degree of disability,anxiety,depression and poor sleep are the risk factors for somatization symptoms in CM patients.