头痛症患者的抑郁和焦虑症状:一项观察性横断面研究。

IF 3.2 Q2 CLINICAL NEUROLOGY Neurology International Pub Date : 2024-03-18 DOI:10.3390/neurolint16020026
Leonidas Mantonakis, Ioanna Belesioti, Christina I Deligianni, Vasilis Natsis, Euthimia Mitropoulou, Elina Kasioti, Maria Lypiridou, Dimos D Mitsikostas
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引用次数: 0

摘要

背景:头痛症与焦虑症和抑郁症有关。本研究旨在对不同头痛症(HD)患者的焦虑和抑郁症状进行大样本评估,以确定焦虑和抑郁症状的出现频率是否因头痛类型而异:方法:对在头痛门诊就诊的连续头痛患者以及年龄、性别和教育程度相匹配的非头痛患者进行 HAM-D 和 HAM-A 问卷调查:共有 2673 名头痛患者(女性占 71.2%)和 464 名非头痛患者(女性占 70.9%)接受了访谈(参与率分别为 98.3% 和 91.0%)。49.7%的人被诊断为偏头痛,38%的人被诊断为紧张型头痛,5.2%的人被诊断为丛集性头痛,21.8%的人被诊断为药物过度使用(MO)。与非头痛患者相比,HD 患者的 HAM-A 评分(OR = 4.741,CI95%:3.855-5.831,p < 0.001)和 HAM-D 评分(OR = 2.319,CI95%:1.892-2.842,p < 0.001)更高。慢性头痛患者(头痛天数≥15 天,连续≥3 个月;52.5%)的 HAM-A 评分(OR = 1.944,CI95%:1.640-2.303,p <0.001)和 HAM-D 评分(OR = 1.625,CI95%:1.359-1.944,p <0.001)均高于偶发性头痛患者(33.1%),患有 MO 的患者与未患有 MO 的患者相比也是如此(OR = 3.418,CI95%:2.655-4.399,p <0.001):就 HAM-A 而言,OR = 3.043,CI95%:2.322-3.986,P < 0.001:HAM-D的OR = 3.043,CI95%:2.322-3.986,p < 0.001)。女性和低学历参与者在两个量表上的得分都较高:由于焦虑和抑郁症状在 HD 患者中很常见,因此治疗医生应注意这些症状并加以适当处理。
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Depression and Anxiety Symptoms in Headache Disorders: An Observational, Cross-Sectional Study.

Background: Headache disorders have been associated with anxiety and depressive disorders. The aim of this study was to assess symptoms of anxiety and depression in a large sample of individuals with different headache disorders (HDs) in order to determine whether their frequency differs by headache type.

Methods: Consecutive individuals with headache attending a headache outpatient clinic were interviewed with the HAM-D and HAM-A, along with age, sex, and education matched non-headache individuals.

Results: Individuals numbering 2673 with headache (females 71.2%) and 464 non-headache individuals (females 70.9%) were interviewed (with participation rates of 98.3% and 91.0%, respectively). Migraine was diagnosed in 49.7%, tension-type headache in 38%, cluster headache 5.2%, and medication overuse (MO) in 21.8%. Participants with HD scored more in HAM-A (OR = 4.741, CI95%: 3.855-5.831, p < 0.001) and HAM-D scales (OR = 2.319, CI95%: 1.892-2.842, p < 0.001) than non-headache individuals. Participants with chronic HDs (≥15 days with headache for ≥3 consecutive months; 52.5%) scored higher for both HAM-A (OR = 1.944, CI95%: 1.640-2.303, p < 0.001) and HAM-D (OR = 1.625, CI95%: 1.359-1.944, p < 0.001) than those with episodic HDs (33.1%), as did participants with MO vs. participants without MO (OR = 3.418, CI95%: 2.655-4.399, p < 0.001 for HAM-A, OR = 3.043, CI95%: 2.322-3.986, p < 0.001 for HAM-D). Female and low-educated participants scored higher on both scales.

Conclusion: Because symptoms of anxiety and depression are substantial in people with HD, the treating physicians should look out for such symptoms and manage them appropriately.

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来源期刊
Neurology International
Neurology International CLINICAL NEUROLOGY-
CiteScore
3.70
自引率
3.30%
发文量
69
审稿时长
11 weeks
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