{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:51:53Z","timestamp":1787014313515,"version":"build-2736575974"},"reference-count":43,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T00:00:00Z","timestamp":1603929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["headachejournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Headache"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although a common complaint and related to factors frequently present in medical residency such as psychological distress, depression, and anxiety, headache is an issue poorly explored among medical residents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a cross\u2010sectional study enrolling medical residents from all geographic regions of Brazil. We applied an online structured survey with demographic and residency program\u2010related questions, as well as validated tools to assess burnout, diurnal somnolence, anxiety, depression, and migraine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The link to the survey received 1989 clicks, of which 1421 individuals completed the questionnaire (71.4% of all clicks). The prevalence of at least 1 headache attack in the last 3\u00a0months was 1236\/1419 (87.1%); migraine occurred in 400\/1419 (28.2%). Frequent headache attacks (headaches occurring daily or often) were associated with female sex (OR\u00a0=\u00a01.80 [95%CI\u00a0=\u00a01.36\u20102.37]), substantial weight gain (1.93 [1.38\u20102.70]), migraine (5.49 [4.16\u20107.24]), anxiety (1.45 [1.06\u20101.98]), depression (1.98 [1.47\u20102.67]), emotional exhaustion domain of burnout (1.49 [1.09\u20102.04]), and diurnal somnolence symptoms (1.32 [1.00\u20101.76]). Headaches with functional impact were associated with female sex (1.39 [1.10\u20101.74]), clinical training areas (1.32 [1.06\u20101.65]), anxiety (1.74 [1.38\u20102.21]), an unsatisfactory work\u2010life balance (1.57 [1.17\u20102.09]), the emotional exhaustion component of burnout (1.49 [1.14\u20101.94]), and an unsatisfactory subjective learning curve (1.30 [1.02\u20101.67]). Migraine was associated with female sex (3.10 [2.34\u20104.13]), anxiety (2.53 [1.94\u20103.31]), more than 60\u00a0hours duty\u2010hours in residency (1.66 [1.29\u20102.15]), psychological abuse from patients (1.42 [1.06\u20101.90]) and a clinical training area (1.34 [1.04\u20101.73]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Headaches among medical residents are frequent and are related not only to depression, anxiety, burnout, and diurnal somnolence, but also to aspects closely related to residency training such as the occurrence of mistreatment, longer duty\u2010hours, a poor work\u2010life balance, and an unsatisfactory learning curve.<\/jats:p>\n                  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