The influence of concomitant cervicalgia on the psycho-emotional and autonomic state and daily activity in patients with episodic migraine

Abstract

The aim of the work is to study the occurrence of psycho-emotional and autonomic disturbance and the impact of headache on the daily activities of patients with episodic migraine, depending on the presence of concomitant cervicalgia. Materials and methods: 77 patients with episodic migraine (17 with aura, 60 without aura, 28 men and 84 women, 18-58 years, mean 42.5±15.5 years) were included. 42 of them had concomitant cervicalgia. All patients were divided into 2 groups: I – episodic migraine with concomitant cervicalgia, II – episodic migraine without neck pain. The SpilbergHanin's anxiety scale, the Beck depression scale, Wayne questionnaire, Neck Disability Index and the MIDAS were used. Results. The number of psycho-emotional disorders was higher in group patients with combined episodic migraine and cervicalgia (p<0.05). The indicators of autonomic disturbance were also higher in I group (p<0.05). The indicators depression correlated with autonomic status on subjective signs symptoms of (r=0.380) and objective signs (r=0.554). In I group the autonomic disturbance on subjective signs correlated with state anxiety (r=0.312), trait anxiety (r=0.348) and Beck scale (r=0.351). In group II autonomic objective signs correlated with the patient’s self-assessment on the same scale (r=0.919). The level of neck disability on NDI correlated with autonomic dysfunction on objective signs (r=0.338) in I group. The decrease of daily activity was more significantly reduce on MIDAS in I group compare with II group. Conclusion. The combination of episodic migraine and cervicalgia in patients significantly reduces the daily activity rate on the MIDAS. The concomitant cervicalgia in patients with episodic migraine to contribute increase rates of state and trait anxiety and mild depressive symptoms and autonomic disturbance Keywords: episodic migraine, cervicalgia, psycho-emotional state, autonomic disturbance, neck pain