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Link Between Migraine, Complete Mental Health Explored

Association between migraine, complete mental health attenuated after adjustment for physical health, mental health problems

WEDNESDAY, Nov. 10, 2021 (HealthDay News) — Individuals without a migraine history have increased odds of achieving complete mental health (CMH), although the association is attenuated after adjustment for physical health and mental health problems, according to a study published online Oct. 23 in the Annals of Headache Medicine.

Esme Fuller-Thomson, Ph.D., from the University of Toronto, and colleagues examined the association between migraine status and CMH among a nationally representative sample of Canadians who completed the Canadian Community Health Survey — Mental Health (21,108 participants).

The researchers found that compared with those with a history of migraine, individuals without a history of migraine had significantly increased odds of being in CMH (odds ratio, 1.72; 95 percent confidence interval, 1.57 to 1.89). The association was attenuated and was no longer significant after adjustment for physical health and mental health problems, with the likelihood of achieving CMH similar for both groups (odds ratio, 1.03; 95 percent confidence interval, 0.92 to 1.15). Lack of history of depression, having a confidant, and having an annual income of $80,000 or more were strongly associated with CMH among those with migraine.

“The results of the present study may be used to tailor migraine interventions to optimize the odds of achieving CMH,” the authors write. “In addition to treating symptoms of migraine, clinicians and health care providers should focus on addressing these co-occurring physical and mental health issues to support the overall well-being of migraineurs.”

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