HUBUNGAN GANGGUAN KECEMASAN TERHADAP KEJADIAN MIGRAIN PADA MAHASISWA KEDOKTERAN: SYSTEMATIC REVIEW

Meta Zulyati Oktora; Debie Anggraini; Sari Oktavia; Rizky Mar Atusholeha; Salsabilla Umairah

doi:10.59003/nhj.v4i12.1430

Authors

Meta Zulyati Oktora Universitas Baiturrahmah
Debie Anggraini Universitas Baiturrahmah
Sari Oktavia Universitas Baiturrahmah
Rizky Mar Atusholeha Universitas Baiturrahmah
Salsabilla Umairah Universitas Baiturrahmah

DOI:

https://doi.org/10.59003/nhj.v4i12.1430

Keywords:

Anxiety Disorder, Migraine, Medical Students, Mental Health, Academic Stress.

Abstract

Migraine is a common neurological condition that significantly impacts the academic performance and quality of life of medical students. Anxiety disorders, often triggered by academic stress, are recognized as major contributors to the onset and exacerbation of migraine episodes. Comorbid mental health conditions such as anxiety and depression further increase migraine-related disability. This systematic review employed a qualitative meta-synthesis approach in accordance with the PRISMA 2020 protocol. Relevant articles published between 2019 and 2024 were retrieved from PubMed and EBSCO databases using keywords such as “anxiety disorder,” “migraine,” and “medical students.” The selected studies were screened based on defined inclusion criteria focusing on qualitative data and mental health correlations. Five eligible studies were included in the final analysis. All studies demonstrated a significant association between anxiety and migraine among medical students. Academic stress was identified as a key contributing factor, with female students showing higher susceptibility. The coexistence of anxiety and depression was associated with increased frequency, intensity, and disability due to migraine. There is a strong correlation between anxiety disorders and migraine among medical students. This comorbidity negatively affects both academic performance and mental health. Psychological interventions and stress management strategies are essential to improve students' quality of life and academic resilience.

Downloads

Download data is not yet available.

References

Lipton RB, Seng EK, Chu MK, Reed ML, Fanning KM, Adams AM, et al. The Effect of Psychiatric Comorbidities on Headache-Related Disability in Migraine: Results From the Chronic Migraine Epidemiology and Outcomes (CaMEO) Study. Headache. 2020;60(8):1683–96.

Fathna N, Kesehatan FI, Karawang US. Pengaruh Stres Akademik Terhadap Manifestasi Klinis Migrain : Pendekatan Terbaru Dalam Diagnosis Dan Pengelolaan ( The Influence of Academic Stress on The Clinical Manifestations of Migraine : Recent Approaches in Diagnosis and Management ). 2024;8(1):750–7.

Charles A. The pathophysiology of migraine: implications for clinical management. Lancet Neurol [Internet]. 2018;17(2):174–82. Available from: http://dx.doi.org/10.1016/S1474-4422(17)30435-0

Setiawati OR, Dharmawan AK, Pramesti W, Oktasari A. Hubungan Stres Dengan Kejadian Migrain Pada Mahasiswa Fakultas Kedokteran Universitas Malahayati Di Saat Pandemi Covid-19. MAHESA Malahayati Heal Student J. 2022;2(2):390–400.

Minen MT, De Dhaem OB, Van Diest AK, Powers S, Schwedt TJ, Lipton R, et al. Migraine and its psychiatric comorbidities. J Neurol Neurosurg Psychiatry. 2016;87(7):741–9.

Goadsby PJ, Holland PR, Martins-Oliveira M, Hoffmann J, Schankin C, Akerman S. Pathophysiology of migraine: A disorder of sensory processing. Physiol Rev. 2017;97(2):553–622.

Buse DC, Manack AN, Fanning KM, Serrano D, Reed ML, Turkel CC, et al. Chronic migraine prevalence, disability, and sociodemographic factors: Results from the American migraine prevalence and prevention study. Headache. 2012;52(10):1456–70.

Maleki N, Becerra L, Borsook D. Migraine: maladaptive brain responses to stress. Headache. 2012;52 Suppl 2:102–6.

Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: Causes, consequences, and proposed solutions. Mayo Clin Proc. 2005;80(12):1613–22.

Rains JC, Penzien DB. Chronic headache and sleep disturbance. Curr Pain Headache Rep. 2002;6(6):498–504.

Kelman L. The triggers or precipitants of the acute migraine attack. Cephalalgia. 2007;27(5):394–402.

Regehr C, Glancy D, Pitts A. Interventions to reduce stress in university students: A review and meta-analysis. J Affect Disord [Internet]. 2013;148(1):1–11. Available from: http://dx.doi.org/10.1016/j.jad.2012.11.026

Fassnacht DB, Ali K, van Agteren J, Iasiello M, Mavrangelos T, Furber G, et al. A Group-Facilitated, Internet-Based Intervention to Promote Mental Health and Well-Being in a Vulnerable Population of University Students: Randomized Controlled Trial of the Be Well Plan Program. JMIR Ment Heal. 2022;9(5).