Perceptions of health, cognition, and pain among middle‐aged and older adults with migraine: A population‐based cross‐sectional study examining findings from the Canadian Longitudinal Study on Aging
Notice bibliographique
Résumé
OBJECTIVE: The study compared middle-aged and older Canadians with and without migraine, examining how self-perceptions of health, cognition, and pain relate to objective health metrics. BACKGROUND: Migraine, a debilitating neurological disorder, affects 8.3% of Canadians and 14.0% of the global population. Research has primarily focused on those aged 18-50 years, leaving middle-aged and older adults understudied. Individuals' perceptions of their health, cognition, and pain can tangibly impact their well-being, with negative health self-perceptions linked to higher hospitalization, illness, and mortality rates. METHODS: This population-based cross-sectional study used 2015-2018 data from the Canadian Longitudinal Study on Aging during the first follow-up, including the Comprehensive cohort (n = 27,765; 14.0% migraine) and Tracking cohort (n = 17,052; 13.3% migraine). Participants in the Comprehensive cohort were interviewed at one of 11 in-person sites across seven provinces, located 25-50 km from their homes. Those in the Tracking cohort completed a 60-min telephone interview. RESULTS: Females were more than twice as likely to report having a migraine diagnosis. Individuals with migraine rated their physical, mental, and oral health lower than those without migraine and had higher rates of anxiety, depression, and mood disorders. Those with migraine perceived their memory as declining and worried about that decline, yet results displayed only trivial differences in objective memory performance between those with a migraine diagnosis and those without. However, more than twice as many individuals with migraine reported that a physician had told them that they have memory problems. Individuals with migraine reported a higher frequency and intensity of pain and discomfort, resulting in a higher occurrence of missed activities, and higher functional impairment scores. CONCLUSION: By exploring how individuals with migraine perceive their health, cognition, and pain, this study highlights the gap between self-reported health perceptions and objective health assessments. For example, individuals with migraine tend to report poorer mental health, a trend that aligns with the higher prevalence of anxiety, depression, and mood disorders observed within this population. Interestingly, despite individuals with migraine rating their memory as lower than those without migraine, objective memory testing reveals either no difference or even slightly improved scores among those with migraine. Finally, our findings support a Canadian lifetime prevalence rate in this older adult cohort of 13.7%, which aligns with the global prevalence rates of 14.0%.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,003 |
| Études des sciences et des technologies | 0,003 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».