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Gut Liver. 2013 Nov;7(6):668-74. doi: 10.5009/gnl.2013.7.6.668. Epub 2013 Aug 14.

Concomitant functional gastrointestinal symptoms influence psychological status in Korean migraine patients.

Author information

1
Department of Neurology, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Uijeongbu, Korea.

Abstract

BACKGROUND/AIMS:

Migraine is frequently accompanied by symptoms consistent with functional gastrointestinal disorders (FGIDs). This study evaluated the prevalence of functional gastrointestinal symptoms and assessed the symptoms' relationship with the concomitant functional symptoms of anxiety, depression, and headache-related disability.

METHODS:

This prospective study included 109 patients with migraine who were recruited from a headache clinic at a teaching hospital. The participants completed a self-administered survey that collected information on headache characteristics, functional gastrointestinal symptoms (using Rome III criteria to classify FGID), anxiety, depression, and headache-related disability.

RESULTS:

In total, 71% of patients met the Rome III criteria for at least one FGID. In patients with FGID, irritable bowel syndrome was the most common symptom (40.4%), followed by nausea and vomiting syndrome (24.8%) and functional dyspepsia (23.9%). Depression and anxiety scores were significantly higher in patients meeting the criteria for any FGID. The number of the symptoms consistent with FGID in individual patients correlated positively with depression and anxiety.

CONCLUSIONS:

FGID symptoms defined by the Rome III criteria are highly prevalent in migraine. These symptoms correlate with psychological comorbidities, such as depression and anxiety.

KEYWORDS:

Gastrointestinal diseases; Headache-related disability; Migraine disorders; Prevalence; Psychological comorbidity

PMID:
24312707
PMCID:
PMC3848535
DOI:
10.5009/gnl.2013.7.6.668
[Indexed for MEDLINE]
Free PMC Article

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