Comparison of Pain Severity, Sleep Quality and Psychological Status in Patients with Migraine with and without Cutaneous Allodynia

Year 2020, , 102 - 107, 13.06.2020

Oğuzhan Mete , Şeyda Toprak Çelenay , Özge Çoban , Nesrin Karahan

https://doi.org/10.21673/anadoluklin.644740

Abstract

Aim:
The aim of study was to compare pain severity, sleep quality and psychological
status in patients with migraine with and without cutaneous allodynia.

Materials and Methods: The study was planned as a case-controlled study.
Thirty-two (32) patients with migraine were included in the study. The patients
were divided into two groups as with (16) and without (16) cutaneous allodynia
according to the Allodynia Symptom Checklist. Pain intensity was assessed with
Visual Analog Scale (VAS). Sleep quality was assessed with Pittsburgh Sleep
Quality Index (PSQI). Psychological status was assessed with Hospital Anxiety
(HAD-A) and Depression (HAD-D) Scale.

Results: In the cutaneous allodynia group, 6(37.5%) patients had severe,
5(31.2%) patients had moderate, 5(31.2%) patients had mild cutaneous allodynia.
In the control group, 1(6.2%) patient had mild, 10(62.5%) patients had moderate
and 5(31.2%) patients had severe pain. In the cutaneous allodynia group, 8(50%)
patients had moderate and 8(50%) patients had severe pain. It was observed that
the VAS score (p:0.005), HAD-A score (p:0.034) and PSQI score (p:0.028) were
higher in individuals with cutaneous allodynia. HAD-D score (p:0.089) was found
to be similar in individuals with and without cutaneous allodynia.

Conclusion: It was observed that migraine patients with cutaneous
allodynia had higher pain severity and anxiety and impaired sleep quality
compared to those without cutaneous allodynia. In migraine patients with
cutaneous allodynia, it is important to evaluate the severity of pain as well
as sleep quality and psychological status and should be considered in terms of
treatment planning.

Keywords

anxiety, depression, headache, migraine, sleep disorders

Kutaneal Allodinisi Olan ve Olmayan Migren Hastalarında Ağrı Şiddeti, Uyku Kalitesi ve Psikolojik Durumun Karşılaştırılması

Abstract

Amaç:
Çalışmanın amacı, kutaneal allodinisi olan ve olmayan migren hastalarında ağrı
şiddeti, uyku kalitesi ve psikolojik durumun karşılaştırılmasıydı.

Gereç ve Yöntemler: Çalışma olgu kontrol çalışma tipinde planlandı.
Çalışmaya otuz iki (32) migren hastası dahil edildi. Hastalar Allodini Semptom
Kontrol Listesine göre kutaneal allodinisi olan (16) ve olmayan (16) olmak
üzere iki gruba ayrıldı. Ağrı şiddeti Görsel Analog Skalası (GAS) ile, uyku
kalitesi Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ile, psikolojik durum Hastane
Anksiyete (HAD-A) ve Depresyon Ölçeği (HAD-D) ile değerlendirildi.

Bulgular: Kuteneal allodini grubunda 6(%37.5) hasta ciddi, 5(%31.2) hasta orta,
5(%31.2) hasta hafif derecede kuteneal allodiniye sahipti. Kontrol grubunda
1(%6.2) hasta hafif, 10(%62.5) hasta orta, 5(%31.2) hasta ise ciddi şiddette
ağrıya sahipti. Kutaneal allodini grubunda 8(%50) hasta orta ve 8(%50) hasta
ciddi şiddette ağrıya sahipti. Kutaneal allodinisi olan bireylerin olmayanlara
göre GAS skorunun (p:0.005), HAD-A skorunun (p:0.034) ve PUKİ skorunun
(p:0.028) daha yüksek olduğu görüldü. Kutaneal allodinisi olan ve olmayan
bireylerin HAD-D skorunun (p:0.089) benzer olduğu saptandı.

Sonuç: Kuteneal allodinisi olan migren hastalarının kuteneal allodinisi
olmayan migren hastalarına göre ağrı şiddetinin ve anksiyete düzeyinin daha
yüksek olduğu ve uyku kalitesinin bozulduğu görüldü. Kuteneal allodinisi olan
migren hastalarında ağrı şiddetinin yanında uyku kalitesi ve psikolojik durumun
da değerlendirilmesi önemlidir ve tedavi planlanması açısından göz önünde
bulundurulmalıdır.

Keywords

anksiyete, baş ağrısı, depresyon, migren, uyku bozuklukları

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