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Chronic migraine in the first COVID-19 lockdown: the impact of sleep, remote working, and other life/psychological changes

AIMS: The objective of this study was to evaluate the impact of the first Italian COVID-19 lockdown on patients with chronic migraine (CM). MATERIAL AND METHODS: The study was based on an e-mail survey addressed to CM patients of our headache center. The survey evaluated demographic, life style, sle...

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Autores principales: Currò, Carmelo Tiberio, Ciacciarelli, Antonio, Vitale, Chiara, Vinci, Enrica Serena, Toscano, Antonio, Vita, Giuseppe, Trimarchi, Giuseppe, Silvestri, Rosalia, Autunno, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8349308/
https://www.ncbi.nlm.nih.gov/pubmed/34365547
http://dx.doi.org/10.1007/s10072-021-05521-7
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author Currò, Carmelo Tiberio
Ciacciarelli, Antonio
Vitale, Chiara
Vinci, Enrica Serena
Toscano, Antonio
Vita, Giuseppe
Trimarchi, Giuseppe
Silvestri, Rosalia
Autunno, Massimo
author_facet Currò, Carmelo Tiberio
Ciacciarelli, Antonio
Vitale, Chiara
Vinci, Enrica Serena
Toscano, Antonio
Vita, Giuseppe
Trimarchi, Giuseppe
Silvestri, Rosalia
Autunno, Massimo
author_sort Currò, Carmelo Tiberio
collection PubMed
description AIMS: The objective of this study was to evaluate the impact of the first Italian COVID-19 lockdown on patients with chronic migraine (CM). MATERIAL AND METHODS: The study was based on an e-mail survey addressed to CM patients of our headache center. The survey evaluated demographic, life style, sleep, psychological, and migraine features during the COVID-19 lockdown period and the month before. The outcomes were migraine impact on daily life and variation in attack frequency, attack duration, migraine pain intensity, migraine symptomatic drugs use per week, and efficacy. RESULTS: Ninety-two patients completed the survey. During the lockdown period, attack frequency was stable in 40,2%, increased in 33,7%, and reduced in 26,1% of patients; attack duration was stable in 55,4%, increased in 23,9%, and reduced in 20,7%. Migraine pain was stable or reduced in 65,2% and increased in 34,8%; number of symptomatic drugs per week was stable in 50%, reduced in 29,3%, and increased in 20,7%; migraine drug efficacy was stable in 73,9%, reduced in 17,4%, and increased in 8,7%. Patients had a HIT-6 score of 64,63 ± 8,81. Significant associations were found with remote working, smoke, education, discontinuation of the therapy performed within headache center, migraine familiarity, sleep, anxiety, perceived stress, concern about future, and COVID-19. CONCLUSION: During the lockdown, approximately half of the patients had a clinical stability, a quarter an improvement, and another quarter a worsening. We identified different migraine-influencing elements; in particular, the remote working could represent an easy way to ameliorate migraineurs’ life. SUPPLEMENTARY INFORMATION: The online version of this article contains supplementary material available (10.1007/s10072-021-05521-7).
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spelling pubmed-83493082021-08-09 Chronic migraine in the first COVID-19 lockdown: the impact of sleep, remote working, and other life/psychological changes Currò, Carmelo Tiberio Ciacciarelli, Antonio Vitale, Chiara Vinci, Enrica Serena Toscano, Antonio Vita, Giuseppe Trimarchi, Giuseppe Silvestri, Rosalia Autunno, Massimo Neurol Sci Covid-19 AIMS: The objective of this study was to evaluate the impact of the first Italian COVID-19 lockdown on patients with chronic migraine (CM). MATERIAL AND METHODS: The study was based on an e-mail survey addressed to CM patients of our headache center. The survey evaluated demographic, life style, sleep, psychological, and migraine features during the COVID-19 lockdown period and the month before. The outcomes were migraine impact on daily life and variation in attack frequency, attack duration, migraine pain intensity, migraine symptomatic drugs use per week, and efficacy. RESULTS: Ninety-two patients completed the survey. During the lockdown period, attack frequency was stable in 40,2%, increased in 33,7%, and reduced in 26,1% of patients; attack duration was stable in 55,4%, increased in 23,9%, and reduced in 20,7%. Migraine pain was stable or reduced in 65,2% and increased in 34,8%; number of symptomatic drugs per week was stable in 50%, reduced in 29,3%, and increased in 20,7%; migraine drug efficacy was stable in 73,9%, reduced in 17,4%, and increased in 8,7%. Patients had a HIT-6 score of 64,63 ± 8,81. Significant associations were found with remote working, smoke, education, discontinuation of the therapy performed within headache center, migraine familiarity, sleep, anxiety, perceived stress, concern about future, and COVID-19. CONCLUSION: During the lockdown, approximately half of the patients had a clinical stability, a quarter an improvement, and another quarter a worsening. We identified different migraine-influencing elements; in particular, the remote working could represent an easy way to ameliorate migraineurs’ life. SUPPLEMENTARY INFORMATION: The online version of this article contains supplementary material available (10.1007/s10072-021-05521-7). Springer International Publishing 2021-08-08 2021 /pmc/articles/PMC8349308/ /pubmed/34365547 http://dx.doi.org/10.1007/s10072-021-05521-7 Text en © Fondazione Società Italiana di Neurologia 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Covid-19
Currò, Carmelo Tiberio
Ciacciarelli, Antonio
Vitale, Chiara
Vinci, Enrica Serena
Toscano, Antonio
Vita, Giuseppe
Trimarchi, Giuseppe
Silvestri, Rosalia
Autunno, Massimo
Chronic migraine in the first COVID-19 lockdown: the impact of sleep, remote working, and other life/psychological changes
title Chronic migraine in the first COVID-19 lockdown: the impact of sleep, remote working, and other life/psychological changes
title_full Chronic migraine in the first COVID-19 lockdown: the impact of sleep, remote working, and other life/psychological changes
title_fullStr Chronic migraine in the first COVID-19 lockdown: the impact of sleep, remote working, and other life/psychological changes
title_full_unstemmed Chronic migraine in the first COVID-19 lockdown: the impact of sleep, remote working, and other life/psychological changes
title_short Chronic migraine in the first COVID-19 lockdown: the impact of sleep, remote working, and other life/psychological changes
title_sort chronic migraine in the first covid-19 lockdown: the impact of sleep, remote working, and other life/psychological changes
topic Covid-19
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8349308/
https://www.ncbi.nlm.nih.gov/pubmed/34365547
http://dx.doi.org/10.1007/s10072-021-05521-7
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