Anxiety as a risk factor of tension type headache
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Oct 10, 2024
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Abstract
Tension-type headache is a primary headache frequently encountered by young individuals. Anxiety is a contributing factor to tension-type headaches. A rigorous curriculum and schedule, transfers within the educational system, competitive academic performance, and similar factors induce anxiety among medical students. This study aims to assess the impact of anxiety on tension-type headaches. We conducted a cross-sectional study that included 73 medical students who were preparing for the Objective Structured Clinical Examination (OSCE). Data was collected about 2-5 days before the OSCE at the final tutorial. Anxiety is assessed using the Hamilton Anxiety Rating Scale (HARS). At the same time, tension-type headaches are identified via the ICHD III criteria. A total of 73 individuals exhibiting anxiety were examined. Specifically, mild anxiety was observed in 13 participants (17.8%), moderate anxiety in 7 subjects (9.6%), severe anxiety in 21 subjects (28.8%), and highly severe anxiety in 32 subjects (43.8%). Among the 73 participants, 26 (35.6%) suffered tension-type headaches, while 47 (64.4%) did not. The Spearman Rank test revealed a correlation coefficient of r = 0.263 and a p-value of 0.025 (<0.05), indicating a weak yet significant association. Anxiety exhibits a weak yet substantial link with the occurrence of tension-type headaches.
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How to Cite
Wahyuliati, T. and Afifudin, L. (2024) “Anxiety as a risk factor of tension type headache”, Science Midwifery, 12(4), pp. 1558-1563. doi: 10.35335/midwifery.v12i4.1716.
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Yu, L., Shek, D. T. L., & Zhu, X. (2018). The influence of personal well-being on learning achievement in university students over time: Mediating or moderating effects of internal and external university engagement. Frontiers in Psychology, 8, 2287.
Ashina, S., Bendtsen, L., Buse, D. C., Lyngberg, A. C., Lipton, R. B., & Jensen, R. (2017). Neuroticism, depression and pain perception in migraine and tension‐type headache. Acta Neurologica Scandinavica, 136(5), 470–476.
Bilahmar, S. Q., Hutahaean, Y. O., & Nugroho, H. (2023). Relationship between Stress Level and Tension Type Headache among Medical Study Program, Faculty of Medicine, Mulawarman University. Jurnal Kesehatan Pasak Bumi Kalimantan, 5(2), 220–225.
Ibrahim, M., Firmansyah, H., & Purnama, H. (2023). Factors Affecting Anxiety in College Students Who Are Working on Their Final Project. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 9(SpecialEdition).
Kelly, M., Strelzik, J., Langdon, R., & DiSabella, M. (2018). Pediatric headache: overview. Current Opinion in Pediatrics, 30(6), 748–754.
Kim, J., Cho, S.-J., Kim, W.-J., Yang, K. I., Yun, C.-H., & Chu, M. K. (2017). Insomnia in tension-type headache: a population-based study. The Journal of Headache and Pain, 18, 1–9.
Lanahan, M., Montalvo, B., & Cohn, T. (2022). The perception of preparedness in undergraduate nursing students during COVID-19. Journal of Professional Nursing, 42, 111–121.
Lee, H., Kim, S., & Chang, M. C. (2023). Associations between headache (migraine and tension-type headache) and psychological symptoms (depression and anxiety) in pediatrics: a systematic review and Meta-analysis. Pain Physician, 26(6), E617.
Masruroh, M. (2020). Kemampuan Mengelola Emosi Pada Mahasiswa Yang Sedang Menyusun Skripsi (Studi Deskriptif Pada Mahasiswa Bimbingan Penyuluhan Islam Angkatan Tahun 2016). IAIN Ponorogo.
Onan, D., Younis, S., Wellsgatnik, W. D., Farham, F., Andruškevičius, S., Abashidze, A., Jusupova, A., Romanenko, Y., Grosu, O., & Moldokulova, M. Z. (2023). Debate: differences and similarities between tension-type headache and migraine. The Journal of Headache and Pain, 24(1), 92.
Onofri, A., Pensato, U., Rosignoli, C., Wells-Gatnik, W., Stanyer, E., Ornello, R., Chen, H. Z., De Santis, F., Torrente, A., & Mikulenka, P. (2023). Primary headache epidemiology in children and adolescents: a systematic review and meta-analysis. The Journal of Headache and Pain, 24(1), 8.
Puspitasari, Y., Amiruddin, M., & Indasari, N. S. (2024). PENGARUH KECEMASAN DI ERA PANDEMI COVID-19 TERHADAP JANJI TEMU PERAWATAN ORTODONTI PADA MAHASISWA FAKULTAS KEDOKTERAN GIGI UNIVERSITAS MUSLIM INDONESIA. Indonesian Journal of Public Health, 2(2), 244–251.
Repiso-Guardeño, Á., Moreno-Morales, N., Labajos-Manzanares, M. T., Rodríguez-Martínez, M. C., & Armenta-Peinado, J. A. (2023). Does tension headache have a central or peripheral origin? Current state of affairs. Current Pain and Headache Reports, 27(11), 801–810.
Sabah, Z. U., Aziz, S., Narapureddy, B. R., Alasiri, H. A. A., Asiri, H. Y. M., Asiri, A. H. H., Alsulami, A. A. H., Hassan, N. K. A., Mohammed Asif, S., & Alsyd, S. M. (2022). Clinical-epidemiology of tension-type headache among the medical and dental undergraduates of King Khalid University, Abha, Saudi Arabia. Journal of Personalized Medicine, 12(12), 2064.
Sait, A., Mitsikostas, D. D., Ji, L. M., Nooshin, Y., Shuu-Jiun, W., Messina, R., Håkan, A., Buse, D. C., Pozo-Rosich, P., & Jensen, R. H. (2021). Tension-type headache (Primer). Nature Reviews: Disease Primers, 7(1).
Saleem, S., Fatima, K., Ramzan, M., Nawaz, F., Nabi, I., Mushtaq, S., Ali, S. R. R., Butt, A. F., Rafique, H., & Aslam, I. (2024). Association of Tension Headache with Anxiety among Medical Students of Lahore, A Cross-Sectional Study. Journal of Health and Rehabilitation Research, 4(1), 1469–1473.
Saputri, A. R. (2017). Hubungan tingkat stres, kecemasan, dan depresi dengan tingkat prestasi akademik pada santri aliyah di Pondok Pesantren Darul Ihsan Tgk. H. Hasan Krueng Kalee, Darussalam, Aceh Besar, Aceh. UIN Syarif Hidayatullah Jakarta: Fakultas Kedokteran dan Ilmu Kesehatan, 2017.
Scotton, W. J., Botfield, H. F., Westgate, C. S. J., Mitchell, J. L., Yiangou, A., Uldall, M. S., Jensen, R. H., & Sinclair, A. J. (2019). Topiramate is more effective than acetazolamide at lowering intracranial pressure. Cephalalgia, 39(2), 209–218.
Shah, N., & Hameed, S. (2020). Muscle contraction tension headache.
Song, S., Yang, X., Yang, H., Zhou, P., Ma, H., Teng, C., Chen, H., Ou, H., Li, J., & Mathews, C. A. (2021). Psychological resilience as a protective factor for depression and anxiety among the public during the outbreak of COVID-19. Frontiers in Psychology, 11, 618509.
Tanjung, A. F. (2024). Hubungan Pemeriksaan IVA dengan Tingkat Kecemasan Wanita Usia Subur di Puskesmas Tanah Tinggi Kota Binjai Tahun 2022. JOURNAL HEALTH OF EDUCATION, 4(1), 11–20.
Thiriveedhi, S., Myla, A., Priya, C. V, Vuppuluri, K., Dulipala, P., & Vudathaneni, V. K. P. (2023). A study on the assessment of anxiety and its effects on students taking the national eligibility cum entrance test for undergraduates (NEET-UG) 2020. Cureus, 15(8).
Vos, T., Lim, S. S., Abbafati, C., Abbas, K. M., Abbasi, M., Abbasifard, M., Abbasi-Kangevari, M., Abbastabar, H., Abd-Allah, F., & Abdelalim, A. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1204–1222.
Wakhyudin, H., & Putri, A. D. S. (2020). Analisis kecemasan mahasiswa dalam menyelesaikan skripsi. Wasis: Jurnal Ilmiah Pendidikan, 1(1), 14–18.
Yu, L., Shek, D. T. L., & Zhu, X. (2018). The influence of personal well-being on learning achievement in university students over time: Mediating or moderating effects of internal and external university engagement. Frontiers in Psychology, 8, 2287.