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Dizziness handicap is significantly associated with headache impact, pain intensity, anxiety and depression.
The migraine patients, especially
those with chronic‐type migraine, undergo physical, emotional, and
functional handicaps due to dizziness, as explained in a study
published in
'PAIN Practise'.
Dizziness is a common problem
faced by migraine patients. But, its evaluation is generally
neglected in clinical practice. Sun Hwa Lee MA et al. examined the
dizziness handicap experienced by patients with migraine and its
promoting factors.
Total 361 migraine outpatients having 270 women
and 91 men with a mean age 39.01 ± 11.2 years were provided with the
Korean Dizziness Handicap Inventory (KDHI) questionnaire. The Patient
Health Questionnaire‐9, Headache Impact Test, Generalized Anxiety
Disorder‐7 and Pittsburgh Sleep Quality Index were also used. To
reveal its promoting factors, age, sex, number of headache attacks in
a month, pain intensity on the visual analogue scale, and average
sleep hours (clinical data) were considered. Episodic and chronic
migraine were compared accordingly.
It was found that 153
patients were portrayed as having dizziness handicap (M+DH) and 208
had migraine without dizziness handicap (M‐DH). There were more
headache attacks per month in M+DH patients than patients with M‐DH.
The proportion of patients with chronic migraine was larger in the
M+DH group (29.4% versus 17.3%). Assessing all the KDHI subscales,
the patients with M+DH had higher scores than patients with M‐DH.
The multivariable logistic regression depicted headache impact, pain
intensity, anxiety, and depression to be notably connected with
dizziness handicap.
The dizziness handicap is concerned with
headache impact, anxiety, and depression. The study authors further
concluded, "Targeted management of such factors is needed to
decrease the severity of subjective discomfort."
PAIN Practise
Dizziness Handicap and Its Contributing Factors in Patients With Migraine
Sun Hwa Lee MA et al.
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