BMC NEUROLOGY, cilt.24, sa.180, ss.1-8, 2024 (SCI-Expanded)
Abstract
Background Migraine is a disease characterized by headache attacks. The disease is multifactorial in etiology and
genetic and environmental factors play role in pathogenesis. Migraine can also be accompanied by psychiatric
disorders like neurotism and obsessive compulsive disorder. Stress, hormonal changes and certain food intake can
trigger attacks in migraine. Previous studies showed that eating attitudes and disorders are prevalant in patients
with migraine. Eating disorders are psychiatric disorders related to abnormal eating habits. Both migraine and eating
disorders are common in young women and personality profiles of these patient groups are also similar. A possible
relationship which shows that migraine and eating habits are related can lead to a better understanding of disease
pathogenesis and subsequently new therapeutic options on both entities. Association of migraine in relation to
severity, depression and anxiety and eating habits and disorders were aimed to be investigated in this study.
Methods The study was designed as a prospective, multi-center, case control study. Twenty-one centers from Turkey
was involved in the study. The gathered data was collected and evaluated at a single designated center. From a pool
of 1200 migraine patients and 958 healthy control group, two groups as patient group and study group was created
with PS matching method in relation to age, body-mass index, marital status and employment status. Eating Attitudes
Test-26 (EAT-26), Beck’s Depression Inventory (BDI) and Beck’s Anxiety Inventory (BAI) were applied to both study
groups. The data gathered was compared between two groups.
Results EAT-26 scores and the requirement for referral to a psychiatrist due to symptoms related to eating disorder
were both statistically significantly higher in patient group compared to control group (p=0.034 and p=0.0001
respectively). Patients with migraine had higher scores in both BDI and BAI compared to control group (p=0.0001