Headache Related Factors And Mental Status Analysis Of Medical Students

Objective Clinical medical students belong to a relatively special group in all majors,with heavy curriculums and great pressure on study and employment.The purpose of this study was to analyze the distribution of headaches among students in a medical school in our city,and further analyze the influence of different factors on headache.At the same time,analyzing the relationship between the mental health of medical students and headaches.We will provide scientific advice for medical students to prevent headaches during school and reduce the occurrence of mental illness.Methods This clinical trial used cross-sectional investigation.We researched it with the self-made questionnaire of headache related to clinical medicine and Symptom Checklist 90(SCL-90).Medical students from all the freshmen to seniors in amedical university were enrolled in this study.The data were collected by self-administered questionnaires and interviews.Results The prevalence of headache was 22.73%,of which the incidence of migraine was 6.63%,the tension-type headache was 10.4% and the other types of headache was 5.70%.There was significant difference in the incidence of headaches between medical students of different gender,grade,Body Mass Index(BMI),nations,household per capita income,recent major events,taking antidepressants,chronic gastrointestinal diseases and satisfaction with their academic performance(P<0.05).The comparison of SCL-90 score between this sample and the revised norm in 1999 found a statistically significant difference in somatization,obsessive-compulsive symptoms,interpersonal sensitivity,anxiety,hostility,and psychosis(P<0.05).It proved that psychological status of medical students was poor.To further compare the results of SCL-90 scale between headache medical students and the national norm and between headache and non-headache medical students.We found that in addition to terrorist emotions,there were statistically significant differences in the mental state of the other eight areas(P<0.05).The above statistically significant factors were included in the Logistic regression equation.Results showed that the risk of headache in females,ethnic minorities,recent major events,irritable bowel syndrome,and moderate to severe mental symptoms was higher.In addition,multivariate logistic regression analysis revealed that the factors that increased the risk of migraine were major recent events,irritable bowel syndrome(OR=2.55,95%CI:1.38-4.73),and dissatisfaction with their own academic performance and existence of moderate to severe psychological symptoms.The factors that increased the risk of tension-type headache were women,higher grades,students of ethnic minorities,other gastrointestinal diseases(except irritable bowel syndrome)(OR=1.77,95%CI: 1.20-2.61),presence of moderate moderate to severe psychological symptoms.Conclusions The mental health of the medical students studied in this sample is generally lower than that of the general population.Medical students with headaches may have more serious psychological problems.Medical students have a high prevalence of headaches,and women,minorities,recent major events,irritable bowel syndrome and moderate to severe mental symptoms have a significantly increased risk of headaches.The risk of a medical student suffering from migraine is mainly influenced by recent major events,the presence of irritable bowel syndrome,dissatisfaction with their academic performance,and mild to severe abnormal mental state.In addition,women,higher grades,ethnic minorities,other gastrointestinal diseases(except irritable bowel syndrome)and unhealthy mental status are the major risk factors for the development of tension-type headaches.