The Association between COVID-19 Pandemic Stress Level with Migraine and Drug Overuse Headache Incidency in Young Adults
Background: The COVID-19 pandemic resulted in the establishment of a pandemic response policy by the government that caused a direct impact in the form of physcological stressors felt by the community. Stressors trigger stress, which is the cause of migraine attacks that will increase after puberty and about 90% of patients have their first attack before age 50 and prevalence of medication of overuse headache is 1 until 2% in the world population. This study was conducted to find out the relationship of stress levels during the COVID-19 pandemic to the incident of migraine and drug Overuse Headache Incidency in young adulthood.
Methods: Observational analysis with cross-sectional study design conducted by spreading questionnaires on employees of the Directorate General of Population and Civil Registration of the Ministry of Home Affairs of the Republic of Indonesia who are young adults with an age range of 18 years-40 years on November 1st, 2021. The variables collected and to be studied were the clinical characteristics of respondents, stress levels during pandemics measured using the Pandemic-Related Percived Stress Scale of COVID-19 (PSS-10-C), and the incidence of migraine headaches with the SPSS V25.0 for windows program with a 0.005 meaningful level.
Results: The results of the analysis between gender and the incident of migraines show a value of p=0.417>0.05 then H0 was accepted, it can be concluded that there is no relationship between gender and the incident of migraines. The results of the analysis between the age range of young adults with the incident of migraines shows a value of p=0.178>0.05 then H0 was accepted, it can be concluded that there is no association between the age range of young adults and the incidence of migraines. The results of the analysis between the stress level of the COVID-19 pandemic and the incident of migraines shows a value of p=0.254>0.05 then H0 was accepted, it can be concluded that there is no association between the stress level of the COVID-19 pandemic and the incident of migraines.
Conclusion: The study showed that there are no association between gender, young adulthood, and the stress levels of the COVID-19 pandemic and the incidence of migraines. Considering that possibly anyone with primary episodic headache may be at risk Drug Overuse Headache in the stress levels of the COVID-19 pandemic.