Original Articles

Prevalence of headache among medical students in Universitas Udayana, Denpasar, Bali-Indonesia

I Made Oka Adnyana

I Made Oka Adnyana
Headache Division, Department of Neurology, Faculty of Medicine, Universitas Udayana/Sanglah Hospital, Denpasar, Bali, Indonesia. Email: okaadnyanadrsps@yahoo.com
Online First: June 03, 2020 | Cite this Article
Adnyana, I. 2020. Prevalence of headache among medical students in Universitas Udayana, Denpasar, Bali-Indonesia. Indonesia Journal of Biomedical Science 14(1): 26-31. DOI:10.15562/ijbs.v14i1.241


Introduction: Headache among medical students is common. The study from the population estimated that the prevalence of headache reached as many as 12 to 18%, depending on the type of the study. Migraine was frequently found among medical students and related to academic underachievement and limiting daily activity. We would like to identify the prevalence and nature of headache among medical students in Udayana University Denpasar, as well as its impact on their quality of life as a whole.

Methods: This was an analytical cross-sectional study, involving medical students of second and sixth semester, Faculty of Medicine Udayana University. The study participants were randomized using random number generator and asked to fill in the multiple questionnaires of various parameters of headache profiles, as well as HIT6 score. All data analysis was conducted using SPSS version 20.

Results: According to HIT6 questionnaire results, more than half of study participants experienced a certain impact of their headache in their life, with more than 10% of subjects felt substantial and severe implications. More than 80% of study participants experienced headache during the past one year and approximately 67% of them experienced headache within the past 1 to 3 months. The majority (50.8%) of subjects reported headache of pulsating in nature and 78% experienced headache recurrence for up to 5 times a month. Almost half of them (41.3%) experienced impaired activity to a certain extent. More than half (55%) of subjects found their headache so debilitating that they took sick leave of at least one day.

Conclusion: Headache was prevalent among medical students, regardless of their age, gender, and socio-economic status. Although generally mild in intensity, given the nature of its recurrency and debilitating painful quality, medical students often took a leave of absence from class for one or more days, thus potentially impairing the quality of life and academic performance to a certain extent.

References

Smitherman TA, McDermott MJ, Buchanan EM. Negative impact of episodic migraine on a university population: quality of life, functional impairment, and comorbid psychiatric symptoms. Headache. 2011;51(4):581-9. doi:10.1111/j.1526-4610.2011.01857.x.

Stovner L, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27(3):193-210. doi:10.1111/j.1468-2982.2007.01288.x.

Falavigna A, Teles A, Velho M, Vedana V, Silva R, Mazzocchin T et al. Prevalence and impact of headache in undergraduate students in Southern Brazil. Arquivos de neuro-psiquiatria. 2010;68:873-7. doi:10.1590/S0004-282X2010000600008.

Yang M, Rendas-Baum R, Varon SF, Kosinski M. Validation of the Headache Impact Test (HIT-6) across episodic and chronic migraine. Cephalalgia. 2011;31(3):357-67. doi:10.1177/0333102410379890.

Almesned IS, Alqahtani NG, Alarifi JA, Alsaawy TN, Agha S, Alhumaid MA. Prevalence of primary headache among medical students at King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. J Family Med Prim Care. 2018;7(6):1193-6. doi:10.4103/jfmpc.jfmpc_240_18.

Ghorbani A, Abtahi SM, Fereidan-Esfahani M, Abtahi SH, Shemshaki H, Akbari M et al. Prevalence and clinical characteristics of headache among medical students, Isfahan, Iran. J Res Med Sci. 2013;18(Suppl 1):S24-7.

Ibrahim NK, Alotaibi AK, Alhazmi AM, Alshehri RZ, Saimaldaher RN, Murad MA. Prevalence, predictors and triggers of migraine headache among medical students and interns in King Abdulaziz University, Jeddah, Saudi Arabia. Pak J Med Sci. 2017;33(2):270-5. doi:10.12669/pjms.332.12139.

Song T-J, Cho S-J, Kim W-J, Yang KI, Yun C-H, Chu MK. Anxiety and Depression in Tension-Type Headache: A Population-Based Study. PLOS ONE. 2016;11(10):e0165316. doi:10.1371/journal.pone.0165316.

Blaauw B, Dyb G, Hagen K, Holmen T, Linde M, Wentzel-Larsen T et al. Anxiety, depression and behavioral problems among adolescents with recurrent headache: the Young-HUNT study. The journal of headache and pain. 2014;15:38. doi:10.1186/1129-2377-15-38.

Cmo DA, Pam DS. Headache-related disability among medical students in Amazon: a cross-sectional study. Arq Neuro-Psiquiatr. 2015;73(12):5.


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