Acıbadem Üniversitesi Sağlık Bilimleri Dergisi Online Early
Smartphone Overuse Can Be a Triggering Factor In Migraine Attacks
Faik İlik1,Hüseyin Büyükgöl1,Mehmet Uyar2,Devrimsel Harika Ertem3
1KTO Üniversitesi Tıp Fakültesi, Afiliye Konya Medicana Hastanesi, Nöroloji, Konya, Türkiye
2Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Halk Sağlığı, Konya, Türkiye
3Sağlık Bilimleri Üniversitesi, Şişli Etfal Eğitim ve Araştırma Hastanesi, Nöroloji, Konya, Türkiye
Purpose: Trigger factors for migraine attacks are usually identified such as hunger, dehydration, changes in weather and bright light. Some of our patients with migraine had reported that long and continuous smartphone use triggered their migraine attacks. In this study, we aimed to evaluate the impact of smartphone overuse on the frequency and severity of the attacks in patients with migraine without aura as a trigger factor.

Patients and Methods: Three hundred and one consecutive newly diagnosed patients with normal physical and neurological examinations, who fulfill the criteria of migraine without the aura of The International Classification of Headache Disorders (2013 ICHD-III beta version), were enrolled in this study. Socio-demographical characteristics of patients were recorded. To evaluate the disability and severity of migraine, MIDAS and VAS were used. Smartphone overuse was assessed by Smartphone Addiction Scale (SAS). Patients were assigned into two groups according to smartphone use: low smartphone users (median SAS score <69) and high smartphone users (median SAS score ?69). All the results were analysed by Statistical Package for the Social Sciences software version 22.

Results: Mean age of patients was 32.98 ± 6.19, 77.7% were female. The number of high smartphone users was 151 (50.16%). Sixty patients out of 151 (39.7%) reported that smartphone overuse was related to trigger their migraine attacks and 92.7% of these patients suffered from photophobia. Moreover, VAS and MIDAS scores were significantly higher in patients using smartphones more frequently than low smartphone users (p=0.01, p<0.01, respectively).

Conclusion: Patients with migraine without aura who are smartphone overusers had significantly higher pain intensity and disability scores. Our results support that smartphone overuse could be considered as a triggering factor for migraine attacks. Keywords : Smartphone, migraine, MIDAS