MIGREX研究:偏头痛患者性功能障碍的患病率和危险因素。

M. Torres-Ferrus , A.C. López-Veloso , V. Gonzalez-Quintanilla , N. González-García , J. Díaz de Teran , A. Gago-Veiga , J. Camiña , M. Ruiz , N. Mas-Sala , S. Bohórquez , V.J. Gallardo , P. Pozo-Rosich
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引用次数: 0

摘要

背景:偏头痛发作对日常活动有很大影响。关于偏头痛对性功能负担的研究有限。目的:确定偏头痛患者性功能障碍的患病率及其与偏头痛特征和合并症的关系。方法:这是一项横断面研究。我们纳入了来自西班牙8家头痛诊所的18至60岁的偏头痛患者。我们记录了人口统计数据和偏头痛特征。患者完成了一项调查,包括合并症、亚利桑那州性经验量表、医院焦虑和抑郁量表以及一份关于偏头痛对性活动影响的问卷。使用K近邻监督学习算法来识别有性功能障碍和没有性功能障碍的偏头痛患者之间的差异。结果:我们纳入了306名患者(85.6%为女性,平均年龄42.3±11.1岁)。41.8%的参与者有性功能障碍。性功能障碍与女性相关(OR[95%CI]:2.42[1.17-5.00];结论:性功能障碍在头痛门诊就诊的偏头痛患者中很常见。然而,偏头痛的特征或预防性药物的使用与性功能障碍没有直接关系。相反,性功能障碍的危险因素是女性、年龄较大、更年期和抑郁症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The MIGREX study: Prevalence and risk factors of sexual dysfunction among migraine patients

Background

Migraine attacks have a high impact on daily activities. There is limited research on the burden of migraine on sexual functioning.

Objective

To determine the prevalence of sexual dysfunction in patients with migraine and its relationship with migraine features and comorbidities.

Method

This is a cross-sectional study. We included migraine patients between 18 and 60 years-old from 8 Headache Clinics in Spain. We recorded demographic data and migraine features. Patients fulfilled a survey including comorbidities, Arizona Sexual Experiences Scale, Hospital Anxiety and Depression Scale and a questionnaire about migraine impact on sexual activity. A K-nearest neighbor supervised learning algorithm was used to identify differences between migraine patients with and without sexual dysfunction.

Results

We included 306 patients (85.6% women, mean age 42.3 ±11.1 years). A 41.8% of participants had sexual dysfunction. Sexual dysfunction was associated with being female (OR [95% CI]: 2.42 [1.17–5.00]; p < 0.001), being older than 46.5 years (4.04 [2.48–6.59]; p < 0.001), having chronic migraine (2.31 [1.41–3.77]; p = 0.001), using preventive medication (2.45 [1.35–4.45]; p = 0.004), analgesic overusing (3.51 [2.03–6.07]; p < 0.001), menopause (4.18 [2.43–7.17]; p < 0.001) and anxiety (2.90 [1.80–4.67]; p < 0.001) and depression (6.14 [3.18–11.83]; p < 0.001). However, only female gender, age, menopause and depression were the statistically significant variables selected in the model to classify migraine patients with or without sexual dysfunction (Accuracy [95% CI]: 0.75 (0.62–0.85), Kappa: 0.48, p = 0.005).

Conclusions

Sexual dysfunction is frequent in migraine patients visited in a headache clinic. However, migraine characteristics or use of preventive medication are not directly associated with sexual dysfunction. Instead, risk factors for sexual dysfunction were female gender, higher age, menopause and depression.

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