| Objective: To investigate the prevalence of headache, mood disorder and sleep disturbance among medical graduate students, and analyze the relevance and risk factors among headache, mood disorder and sleep disturbance, in order to prevent the occurrence of these events and provide basis to the treatment methods.Method: Cluster sampling method was used to collect clinical medicine graduate students in the Second Hospital of Jilin University from August 2013 to August 2015. The subjects were selected from each grade according to their gender, age, major and other factors. The diagnostic criteria was based on the Third Edition of the International classification of the Headache disorders. Determination of mood disorder and sleep disturbance is based on Pittsburgh sleep quality index, Self-rating depression scale and Self-rating depression scale. Collate the statistics according to the inclusion and exclusion criteria, and the data were analyzed with SPSS 19.0 for windows systems.Results: A total of 232 questionnaires were handed out, 218 cases were recovered, of which are 197 valid questionnaires, including 140 female, 57 male; the first grade 60 cases, 74 cases in the second grade, and 63 cases in the third grade. The survey found that there are 141 cases are suffering from headache. Among the total number, there are 56.3% suffering from primary headache, of which 67 cases of tension type headache(34%), 34 cases of migraine(17.3%),10 cases of tension type headache and migraine(5.1%), Secondary headache disorders accounts for 3.0%. There were no obvious connections between the primary headache with the factors which including age, gender, working hours and grade. Chi-square test showed that the frequency of night shift is more than 4 days a month and the people who suffer from sleep disorder and anxiety are more likely to have migraine. Anxiety was an independent risk factor of migraine( OR=3.7, P<0.01). The sleep disorders and the students of nonsurgical departments are more likely to have tension type headache(P<0.05). The sleep disorders account for 14.7% among the total subjects, and the average PSQI score was(4.5 ± 2.5) points. The risk of sleep disorder in migraine and tension type headache is higher than non-headache group, and the difference was statistically significant(P<0.01). The risk of anxiety patients suffering from sleep disorder is 3.2 times than the non-anxiety people(P<0.05). In the study, there are 24 cases suffering from depression tendency, account for12.2% cases among the total subjects;and 61 patients with anxiety tendency, the prevalence rate was 31.0%. The frequency of night shifts which is more than 4 days a month is the independent risk factor(OR=2.3, P<0.05). Anxiety and depression influence and interact each other.Conclusion: 1. The prevalence of headache in medical graduate students was higher than that in normal adults. Primary headache prevalence rate was 56.4%, tension type headache was 34.0%, migraine was 17.3%.The occurrence of migraine was related to anxiety, and the students of non-surgical departments were more prone to suffer from tension type headache than the students of surgical departments. 2. The prevalence of sleep disturbance in medical graduate students was higher than that in common adults. The prevalence rate of headache patients suffering from sleep disorders is higher than those without headache. Anxiety is the independent risk factor of sleep disorders. Therefore, active prevention or treatment of headache, intervention in the treatment of anxiety may play an important role in improving sleep quality. 3. The prevalence of anxiety tendency and depression tendency of medical graduate students was higher than that in normal adults. People who has anxious tendency are more likely to suffer from depression than those without anxiety, and depression is an independent risk factor for anxiety. Anxiety and night shift frequency was significantly correlated. Therefore, reducing the frequency of night shift may have a great significance in improving the students ’ emotional state. |
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