Yıl: 2023 Cilt: 6 Sayı: 2 Sayfa Aralığı: 269 - 275 Metin Dili: İngilizce DOI: 10.53446/actamednicomedia.1254495 İndeks Tarihi: 30-07-2023

ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS

Öz:
Objective: To prevent the pandemic, widespread vaccination work continues in Turkey. We aimed to determine the level of pain, headache, and anxiety among the neuropsychiatric symptoms after the vaccination was given to the healthcare workers. Methods: Healthcare workers who have received the COVID-19 vaccine were given a questionnaire through the internet after the second dose of the vaccination. A form consisting of 34 questionnaire questions about their demographic characteristics, whether they experienced pain or headache after vaccination and the Beck Anxiety scale was to be filled. Results: The data of 484 participants were examined in our study. 31.1% of the participants reported experiencing a headache after the vaccination. In the analysis using a single variable model, it was found that individuals with mild anxiety symptoms had a 2.6-fold increased risk of experiencing headaches. For those with moderate anxiety symptoms, the risk was 4.5 times higher, while individuals with severe anxiety symptoms faced a 7.2-fold increased risk. Additionally, the study observed that patients with a history of previous headaches had a 2-fold higher risk compared to those without such a history in the single variable model. Conclusion: We suggest that the assessment of anxiety levels during vaccination after COVID-19 vaccination can be an important indicator in predicting the development of headaches. Further studies on this will be important in optimizing vaccination programs and ensuring social immunity.
Anahtar Kelime: Anxiety COVID-19 Headache SARS-CoV-2 Vaccine

COVID-19 AŞISINDAN SONRA YAŞANAN BAŞ AĞRISI SEMPTOMLARININ KAYGI DÜZEYİ İLE İLİŞKİSİ

Öz:
Amaç: Pandemiyi önlemek amacıyla Türkiye'de yaygın aşılama çalışmaları devam etmektedir. Bu çalışmada sağlık çalışanlarına aşı yapıldıktan sonra nöropsikiyatrik semptomlardan ağrı, baş ağrısı ve anksiyete düzeylerinin belirlenmesi amaçlandı. Yöntem: COVID-19 aşısı olan sağlık çalışanlarına aşının ikinci dozundan sonra internet üzerinden anket verildi. Demografik özellikleri, aşı sonrası ağrı ya da baş ağrısı yaşayıp yaşamadıkları ve Beck Anksiyete Ölçeği ile ilgili 34 sorudan oluşan bir form doldurulması istendi.ve mikroskobik görüntüler değerlendirilmiştir. Bulgular: Çalışmamızda 484 katılımcının verileri incelenmiştir. Katılımcıların %31,1'i aşılamadan sonra baş ağrısı yaşadığını bildirdi. Tek değişkenli modelde hafif kaygı belirtileri 2,6 kat, orta düzeyde kaygı belirtileri 4,5 kat ve şiddetli kaygı belirtileri 7,2 kat daha yüksek baş ağrısı riski taşıyordu. Benzer şekilde, önceden baş ağrısı olan hastaların tek değişkenli modelde olmayanlara göre 2 kat daha fazla risk taşıdığı gözlendi. Sonuç: COVID-19 aşısı sonrası aşılama sırasındaki kaygı düzeyinin değerlendirilmesinin baş ağrısı gelişimini öngörmede önemli olduğu gözlenmiştir. Bununla ilgili ileri çalışmalar aşılama programları sonrası baş ağrısının yönetilmesi ve toplumsal bağışıklığın sağlanması açısından önemli olacaktır.
Anahtar Kelime: Anksiyete COVID-19 Baş Ağrısı SARS-CoV-2 Aşı

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Ellul MA, Benjamin L, Singh B, et al. Neurological associations of COVID-19. Lancet Neurol. 2020;19(9):767- 783. doi:10.1016/S1474-4422(20)30221-0
  • 2. Tancheva L, Petralia MC, Miteva S, et al. Emerging Neurological and Psychobiological Aspects of COVID-19 Infection. Brain Sci. 2020;10(11):852. doi:10.3390/brainsci10110852
  • 3. Baig AM, Khaleeq A, Ali U, et al. Evidence of the COVID-19 Virus Targeting the CNS: Tissue Distribution, Host-Virus Interaction, and Proposed Neurotropic Mechanisms. ACS Chem Neurosci. 2020;11(7):995-998. doi:10.1021/acschemneuro.0c00122
  • 4. Moriguchi T, Harii N, Goto J, et al. A first case of meningitis/encephalitis associated with SARS- Coronavirus-2. Int J Infect Dis. 2020;94:55-58. doi:10.1016/j.ijid.2020.03.062
  • 5. Paniz-Mondolfi A, Bryce C, Grimes Z, et al. Central nervous system involvement by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). J Med Virol. 2020;92(7):699- 702. doi:10.1002/jmv.25915
  • 6. Achar A, Ghosh C. COVID-19-Associated Neurological Disorders: The Potential Route of CNS Invasion and Blood- Brain Relevance. Cells. 2020;9(11). doi:10.3390/cells9112360
  • 7. Tregoning JS, Brown ES, Cheeseman HM, et al. Vaccines for COVID-19. Clin Exp Immunol. 2020;202(2):162-192. doi:10.1111/cei.13517
  • 8. Gao Q, Bao L, Mao H, et al. Development of an inactivated vaccine candidate for SARS-CoV-2. Science. 2020;369(6499):77-81. doi:10.1126/science.abc1932
  • 9. Zhang Y-J, Zeng G, Pan H-X, et al. Safety, tolerability, and immunogenicity of an inactivated SARS-CoV-2 vaccine in healthy adults aged 18–59 years: a randomised, double- blind, placebo-controlled, phase 1/2 clinical trial. Lancet . 2021;21(2).doi:10.1016/S1473-3099(20)30843-4
  • 10. Riad A, Sagiroglu D, Ustun B, et al. Prevalence and Risk Factors of CoronaVac Side Effects: An Independent Cross- Sectional Study among Healthcare Workers in Turkey. J Clin Med. 2021;10(12):2629. doi:ARTN 2629.10.3390/jcm10122629
  • 11. Sekiguchi K, Watanabe N, Miyazaki N, et al. Incidence of headache after COVID-19 vaccination in patients with history of headache: A cross-sectional study. Cephalalgia. 2022;42(3):266-272. doi:10.1177/03331024211038654
  • 12. Gobel CH, Heinze A, Karstedt S, et al. Clinical characteristics of headache after vaccination against COVID-19 (coronavirus SARS-CoV-2) with the BNT162b2 mRNA vaccine: a multicentre observational cohort study. Brain Commun. 2021;3(3):fcab169. doi:10.1093/braincomms/fcab169
  • 13. Bohmwald K, Galvez NMS, Rios M, et al. Neurologic Alterations Due to Respiratory Virus Infections. Front Cell Neurosci. 2018;12(386). doi:10.3389/fncel.2018.00386
  • 14. Li YC, Bai WZ, Hashikawa T. The neuroinvasive potential of SARS-CoV2 may play a role in the respiratory failure of COVID-19 patients. J Med Virol. 2020;92(6):552-555, doi:10.1002/jmv.25728
  • 15. Danielski LG, Della Giustina A, Badawy M, et al. Brain Barrier Breakdown as a Cause and Consequence of Neuroinflammation in Sepsis. Mol Neurobio. 2018;55(2):1045-1053. doi:10.1007/s12035-016-0356-7
  • 16. Hu B, Huang S, Yin L. The cytokine storm and COVID 19. J Med Virol. 2021;93(1):250-256
  • 17. Troyer EA, Kohn JN, Hong S. Are we facing a crashing wave of neuropsychiatric sequelae of COVID-19? Neuropsychiatric symptoms and potential immunologic mechanisms. Brain Behave Immun. 2020;87:34-39. doi:10.1016/j.bbi.2020.04.027
  • 18. Rogers JP, Chesney E, Oliver D, et al. Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: a systematic review and meta- analysis with comparison to the COVID-19 pandemic. Lancet Psych. 2020;7(7):611-627. doi:10.1016/S2215- 0366(20)30203-0
  • 19. Mao L, Jin H, Wang M, et al. Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China. JAMA Neurol. 2020;77(6):683-690. doi:10.1001/jamaneurol.2020.1127
  • 20. Whittaker A, Anson M, Harky A. Neurological Manifestations of COVID-19: A systematic review and current update. Acta Neurol Scand. 2020;142(1):14-22. doi:10.1111/ane.13266
  • 21. Le TT, Cramer JP, Chen R, et al. Evolution of the COVID-19 vaccine development landscape. Nat Rev Drug Discov. 2020;19(10):667-668.doi:10.1038/d41573-020-00151-8
  • 22. Canedo-Marroquin G, Saavedra F, Andrade CA, et al. SARS- CoV-2: Immune Response Elicited by Infection and Development of Vaccines and Treatments. Front Immunol. 2020;11(569760. doi:10.3389/fimmu.2020.569760
  • 23. Gee J, Marquez P, Su J, et al. First Month of COVID-19 Vaccine Safety Monitoring - United States, December 14, 2020-January 13, 2021. MMWR Morb Mortal Wkly Rep. 2021;70(8):283-288. doi:10.15585/mmwr.mm7008e3
  • 24. Maury A, Lyoubi A, Peiffer-Smadja N, et al. Neurological manifestations associated with SARS-CoV-2 and other coronaviruses: A narrative review for clinicians. Rev Neurol. 2021;177(1-2):51-64. doi:10.1016/j.neurol.2020.10.001
  • 25. Polack FP, Thomas SJ, Kitchin N, et al. Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine. N Engl J Med. 2020;383(27):2603-2615. doi:10.1056/NEJMoa2034577
  • 26. Chu L, McPhee R, Huang W, et al. A preliminary report of a randomized controlled phase 2 trial of the safety and immunogenicity of mRNA-1273 SARS-CoV-2 vaccine. Vaccine. 2021;39(20):2791-2799, doi:10.1016/j.vaccine.2021.02.007.
  • 27. Zhu FC, Li YH, Guan XH, et al. Safety, tolerability, and immunogenicity of a recombinant adenovirus type-5 vectored COVID-19 vaccine: a dose-escalation, open-label, non-randomised, first-in-human trial. Lancet. 2020;395(10240):1845-1854. doi:10.1016/S0140- 6736(20)31208-3
  • 28. Logunov DY, Dolzhikova IV, Zubkova OV, et al. Safety and immunogenicity of an rAd26 and rAd5 vector-based heterologous prime-boost COVID-19 vaccine in two formulations: two open, non-randomised phase 1/2 studies from Russia. Lancet. 2020;396(10255):887-897, doi:10.1016/S0140-6736(20)31866-3.
  • 29. Jayadevan R, Shenoy RS, Anithadevi T. Survey of symptoms following COVID-19 vaccination in India. MedRxiv 2021. doi:10.1101/2021.02.08.21251366
  • 30. Li LQ, Huang T, Wang YQ, et al. COVID-19 patients' clinical characteristics, discharge rate, and fatality rate of meta- analysis. J Med Virol. 2020;92(6):577-583. doi:10.1002/jmv.25757
  • 31. Zhu J, Ji P, Pang J, et al. Clinical characteristics of 3062 COVID-19 patients: A meta-analysis. J Med Virol. 2020;92(10):1902-1914. doi:10.1002/jmv.25884
  • 32. Madison AA, Shrout MR, Renna ME, et al. Psychological and Behavioral Predictors of Vaccine Efficacy: Considerations for COVID-19. Perspect Psychol Sci. 2021;16(2):191-203, doi:10.1177/1745691621989243
  • 33. Glaser R, Kiecolt-Glaser JK, Malarkey WB, et al. The influence of psychological stress on the immune response to vaccines. Ann N Y Acad Sci. 1998;840(1):649-655., doi:10.1111/j.1749-6632.1998.tb09603.x
  • 34. Glaser R, Robles TF, Sheridan J, et al. Mild depressive symptoms are associated with amplified and prolonged inflammatory responses after influenza virus vaccination in older adults. Arch Gen Psych. 2003;60(10):1009-1014. doi:10.1001/archpsyc.60.10.1009
  • 35. Cohen S, Miller GE, Rabin BS. Psychological stress and antibody response to immunization: a critical review of the human literature. Psychosom Med. 2001;63(1):7-18. doi:10.1097/00006842-200101000-00002
  • 36. Szmyd B, Bartoszek A, Karuga FF, et al. Medical Students and SARS-CoV-2 Vaccination: Attitude and Behaviors. Vaccines. 2021;9(2). doi:10.3390/vaccines9020128
  • 37. Zarobkiewicz MK, Zimecka A, Zuzak , et al. Vaccination among Polish university students. Knowledge, beliefs and anti-vaccination attitudes. Hum Vaccin Immunother. 2017;13(11):2654-2658. doi:10.1080/21645515.2017.1365994
APA TUNCER Z, Kılınçel O, Kılınçel Ş, Goksel P, usta m (2023). ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS. , 269 - 275. 10.53446/actamednicomedia.1254495
Chicago TUNCER ZEYNEP,Kılınçel Oğuzhan,Kılınçel Şenay,Goksel Pelin,usta miraç barış ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS. (2023): 269 - 275. 10.53446/actamednicomedia.1254495
MLA TUNCER ZEYNEP,Kılınçel Oğuzhan,Kılınçel Şenay,Goksel Pelin,usta miraç barış ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS. , 2023, ss.269 - 275. 10.53446/actamednicomedia.1254495
AMA TUNCER Z,Kılınçel O,Kılınçel Ş,Goksel P,usta m ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS. . 2023; 269 - 275. 10.53446/actamednicomedia.1254495
Vancouver TUNCER Z,Kılınçel O,Kılınçel Ş,Goksel P,usta m ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS. . 2023; 269 - 275. 10.53446/actamednicomedia.1254495
IEEE TUNCER Z,Kılınçel O,Kılınçel Ş,Goksel P,usta m "ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS." , ss.269 - 275, 2023. 10.53446/actamednicomedia.1254495
ISNAD TUNCER, ZEYNEP vd. "ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS". (2023), 269-275. https://doi.org/10.53446/actamednicomedia.1254495
APA TUNCER Z, Kılınçel O, Kılınçel Ş, Goksel P, usta m (2023). ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS. Acta Medica Nicomedia, 6(2), 269 - 275. 10.53446/actamednicomedia.1254495
Chicago TUNCER ZEYNEP,Kılınçel Oğuzhan,Kılınçel Şenay,Goksel Pelin,usta miraç barış ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS. Acta Medica Nicomedia 6, no.2 (2023): 269 - 275. 10.53446/actamednicomedia.1254495
MLA TUNCER ZEYNEP,Kılınçel Oğuzhan,Kılınçel Şenay,Goksel Pelin,usta miraç barış ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS. Acta Medica Nicomedia, vol.6, no.2, 2023, ss.269 - 275. 10.53446/actamednicomedia.1254495
AMA TUNCER Z,Kılınçel O,Kılınçel Ş,Goksel P,usta m ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS. Acta Medica Nicomedia. 2023; 6(2): 269 - 275. 10.53446/actamednicomedia.1254495
Vancouver TUNCER Z,Kılınçel O,Kılınçel Ş,Goksel P,usta m ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS. Acta Medica Nicomedia. 2023; 6(2): 269 - 275. 10.53446/actamednicomedia.1254495
IEEE TUNCER Z,Kılınçel O,Kılınçel Ş,Goksel P,usta m "ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS." Acta Medica Nicomedia, 6, ss.269 - 275, 2023. 10.53446/actamednicomedia.1254495
ISNAD TUNCER, ZEYNEP vd. "ANXIETY AND ASSOCIATION WITH COVID-19 VACCINATION-RELATED HEADACHE SYMPTOMS". Acta Medica Nicomedia 6/2 (2023), 269-275. https://doi.org/10.53446/actamednicomedia.1254495