{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:07:04Z","timestamp":1787317624618,"version":"build-2736575974"},"reference-count":0,"publisher":"Academy of Family Physicians of Malaysia","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Malays Fam Physician"],"abstract":"<jats:p>Introduction: Differentiating between migraine and COVID-19 headaches is essential for better treatment. Evidence-based research during the COVID-19 pandemic has found that university students are more likely to experience migraine. Migraine can affect academic performance, sleep pattern, social and emotional well-being if left untreated or misdiagnosed. This study aimed to determine the prevalence of migraine symptoms and the association of triggers, coping strategies and clinical characteristics with COVID-19 diagnosis.\nMethods: This cross-sectional study was conducted across higher educational institutions in Peninsular Malaysia. Convenience sampling was applied to recruit full-time university students. A reliable and validated instrument was used to evaluate demographic data, migraine symptoms, triggers, coping strategies and clinical characteristics of migraine (frequency, intensity, severity and duration) during COVID-19 diagnosis.\nResults: The response rate was 98.3%, where 485 out of 493 responses were analysed. The prevalence of migraine was 35.9% (n=174). None of the triggers, coping strategies and clinical characteristics of migraine were significantly associated with COVID-19 diagnosis.\nConclusion: The university students in Peninsular Malaysia showed a considerable prevalence of migraine symptoms. During the pandemic, the common triggers for existing symptoms were stress and a lack of sleep (combined triggers). The coping strategy adopted by most of the university students was lifestyle changes and in the COVID-19 positive group maladaptive coping strategies were adopted indicating the need for further investigation.<\/jats:p>","DOI":"10.51866\/oa.521","type":"journal-article","created":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T12:49:10Z","timestamp":1725194950000},"page":"43","source":"Crossref","is-referenced-by-count":2,"title":["Migraine symptoms and association of triggers, coping strategies and clinical characteristics with COVID-19 diagnosis among university students in Peninsular Malaysia: A cross-sectional study"],"prefix":"10.51866","volume":"19","author":[{"given":"Selvakumar","family":"Kiruthika","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee Fan","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chai Nien","family":"Foo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"28286","published-online":{"date-parts":[[2024,7,31]]},"container-title":["Malaysian Family Physician"],"original-title":[],"deposited":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T12:49:11Z","timestamp":1725194951000},"score":1,"resource":{"primary":{"URL":"https:\/\/e-mfp.org\/wp-content\/uploads\/19.43.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,31]]},"references-count":0,"URL":"https:\/\/doi.org\/10.51866\/oa.521","archive":["CLOCKSS"],"relation":{},"ISSN":["1985-207X","1985-2274"],"issn-type":[{"value":"1985-207X","type":"print"},{"value":"1985-2274","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,31]]}}}