Main Article Content
• To assess the prevalence of migraine in medical students• To find out the common triggering factors for migraine in medical students
• To find out the common coping strategies for migraine in medical students.
This cross sectional study was conducted during academic year 2012. A self-administered questionnairewas distributed among 500 medical students of selected medical colleges of Peshawar. Students were selected randomlyfrom each professional year. Response rate was 81% (n=405; 188=male, 217=females). The Questionnaire includeddemographic data such as age, gender, family history questions on headache based on the international HeadacheSociety. Data was analyzed using SPSS version 20. Frequency and percentages were calculated for various variables.
Prevalence of migraine in medical student was 38.3% (41.93% in females and 34.04% males) The most commontriggering factors were stress (93.54%), noise (73.54%), change in sleep patterns (62.58%), missed meal (60%%),tiredness (53.54%), physical activity (50.96%), flickering light (48.38%), caffeine (41.29%), cheese (32.90%), smell(32.90%), chocolate (25.16%). About coping strategy we found that 87/155 (56.12%) students were using medicine,31(20%) going to sleep, 9(5.80%) rest for couple of hours and 8(5.16%) take medicine and go to sleep and other 20(12.90%) have no copping strategy.
The prevalence of migraine in medical students is quite high. Modification of the common triggering factorslike stress, noise and change in sleep patterns can help in reducing the frequency and severity of migraine. The majorityof the students were taking medicines to cope up with their migraine problem.
headache, migraine, stress, migraine triggers, copping strategies, medical students.
This article may be cited as:
Khan A, Khattak H, Jamali R, Rashid H, Riaz A, Ibrahimzai AK. Prevalence of migraine, itscommon triggering factors and coping strategies in medical students of Peshawar. Khyber Med Univ J 2012; 4(4): 187-192.
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of headache in university students. Clin Neural
Neurosurg 2008; 110(1):46-50.
2. Matuja WB, Mteza IB, Rwiza HT. Headache in a non
clinical population in Dar es Salaam, Tanzania. A community-
based study. Headache 1995; 35(5):273-6.
3. Peres MF, Sanchez del Rio M, Seabra ML, Tufik S, Abucham
J, Cipolla-Neto J, et al. Hypothalamic involvement
in chronic migraine. J Neural Neurosurg Psychiatry
4. Michael B.R, Bithe K.R, Per T, Jes O. Prevalence and
Sex-Ratio of the Subtypes of Migraine. Int. J. Epidemiol
5. World Health Organization. The World Health Report.
Mental health: New understanding, new hope. 2001:
Cited 2012 May 28, Available from URL: www.who.int/
6. Headache classification committee of the international
headache society. Classification and diagnostic criteria
for headache disorder neuralgias and facial pain. Cephalalgia
7. Rasmussen BK, Olesen J. Migraine with aura and
migraine without aura, in an epidemiological study.
Cephalgia 1992;12: 221-8.
8. Freitag FG. The cycle of migraine: Patients’ quality of
life during and between migraine attacks. Clin Ther
9. Bussone G. Pathophysiology of migraine. Neurol Sci
2004; 25(Suppl 3): S239-41.
10. Sherin A. A survey on non-psychotic psychiatric disorders
in medical student community. J Med Sci (Pak)
1994; 3 (5): 1-4.
11. Amayo EO, Jowi JO, Njeru EK. Headache associated
disability in medical students at the Kenyatta National
Hospital, Nairobi. East Afr Med J 2002;79(10):519-23.
12. Deleu D, Khan MA, Humaidan H, Al Mantheri Z, Al
Hashami S. Prevalence and clinical characteristics of
headache in medical students in oman. Headache
13. Tahir MU, Naeem NIK, Usman A, Iqbal H, Navied U,
Erum S. Headache Prevalence, Patterns and Symptoms
Amongst Medical Students at Fatima Memorial College,
Lahore. Pak J Med Health Sci 2010;4(4):542-3.
14. Sanvito WL, Monzillo PH, Prieto Peres MF, Martinelli MO,
Fera MP, da Cruz Gouveia DA, et al . The epidemiology
of Migraine in Medical Students. Headache: J Head Face
Pain 1996; 36: 316-9.
15. Shahrakai MR, 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.
16. Ojini FI, Okubadejo NU, Danesi MA. Prevalence and
clinical characteristics of headache in medical students
of the University of Lagos, Nigeria. Cephalalgia
17. Aurangzeb S, Tariq M, Gul A, Hameed M. Frequency
of various types of headaches in postgraduate medical
students of a tertiary care hospital. Pak J Neurol Sci
18. International Headache Society. International Classification of Headache Disorders. Available on http://
ihs-classification.org/en/ (cited June 01, 2012).
19. International Headache Society. International Classification of Headache Disorders, 2nd ed. Cephalalgia 2004;24(Suppl 1): 9–160.
20. Stewart WF, lipton RB, celentano DD, Reed ML. Prevalence
of migraine headache in the united states. Relation
of age, income, race, and other socio-demographic
factors. JAMA 1992; 267.64-9.
21. Rasmussen BK, Jensen R, Schroll M, Olesan J. Epidemiology of headache in general population: a prevalence
study. J clin Epidemiol 1991; 44:1147-57.
22. Yusefy M. Prevalence of migraine among students of
Zan- jan University of Medical Science. J Zanjan Uni of
Med Sci 1999; 18-24.
23. Demirkirkan MK, Ellidokuz H. Prevalence and clinical
characteristics of migraine in university students in turkey.
Tohoku J Exp Med 2006; 208: 87-92.
24. Bigal ME, Bigal JM, Betti M, Bordini CA, Specialli JG.
Evaluation of the impact of migraine and episodic
tension-type headache on the quality of life and performance
of a university students population. Headache 2001; 41:710-9.
25. Kutlu A, Yaluğ I, Mülayim S, Obuz OT, Selekler M. Trigger
Factors of Migraine. Nöropsikiyatri Arşivi 2010:47(1): 1:58-63.
26. Wober C, Holzhammer J, Zeitlhofer J Wessely P, Wöber-
Bingöl C. Trigger factors of migraine and tension-type
headache: experience and knowledge of the patients. J Headache Pain 2006; 7:188-95.
27. Zivadinov R, Willheim K, Sepic-Grahovac D, Jurjevic
A, Bucuk M, Brnabic-Razmilic O, et al. Migraine and tension-
type headache in Croatia: A population-based survey
of precipitating factors. Cephalalgia 2003; 23:336-43.
28. Fukui PT, Goncalves TR, Strabelli CG, Lucchino NM,
Matos FC, Santos JP, et al. Trigger factors in migraine
patients. Arq Neuropsiquiatr 2008; 66(3A):494-9.