Related Experiment Videos
Fatigue in chronic migraine patients
M F P Peres1, E Zukerman, W B Young
1São Paulo Headache Centre and Albert Einstein Hospital São Paulo, Brazil. marioperes@yahoo.com
Cephalalgia : an International Journal of Headache
|November 8, 2002
Summary
Fatigue is highly prevalent in chronic migraine (CM) patients, with many meeting criteria for chronic fatigue syndrome (CFS). Understanding fatigue subtypes and comorbidities is crucial for effective treatment.
Area of Science:
- Neurology
- Psychiatry
- Internal Medicine
Background:
- Fatigue is a common yet poorly understood symptom in various disorders, including headaches.
- Chronic migraine (CM) patients frequently report fatigue, necessitating research into its prevalence and characteristics.
Purpose of the Study:
- To determine the prevalence of fatigue in chronic migraine (CM) patients.
- To define fatigue subtypes and their association with comorbid conditions in CM.
- To explore the relationship between fatigue and chronic fatigue syndrome (CFS) in CM.
Main Methods:
- Analysis of 63 CM patients using the Fatigue Severity Scale (FSS), Chalder fatigue scale, and CDC criteria for CFS.
- Assessment of correlations between fatigue scores, depression, anxiety, and demographic factors.
- Investigation of associations between physical fatigue and fibromyalgia.
Main Results:
- High prevalence of fatigue (84.1% with FSS > 27) and CFS (66.7%) in CM patients.
- 50.8% met modified CDC criteria for CFS without headache.
- Fatigue scores correlated with depression and anxiety; women reported higher fatigue than men.
- Physical fatigue was linked to fibromyalgia.
Conclusions:
- Fatigue as a symptom and CFS as a disorder are common in CM.
- Findings suggest implications for understanding pathophysiology, diagnosis, and treatment of both CM and CFS.
- Interventions may include exercise, cognitive behavioral therapy, and antidepressants.