{"title":"躯体放大和成瘾特征是慢性偏头痛药物过度使用性头痛的风险因素。","authors":"Ender Cesur, Burcu Göksan Yavuz, Erkan Acar, Zeynep Özdemir, Tuba Erdoğan Soyukibar, Elif Ilgaz Aydınlar","doi":"10.1007/s10072-024-07639-w","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Overuse of analgesics can lead to medication-overuse headache (MOH) in chronic migraine (CM) patients, and is often linked to addiction. This study explores the addiction-related characteristics and somatic amplification in patients with, CM with medication overuse headache (CM+MOH), CM, and healthy controls.</p><p><strong>Methods: </strong>73 CM patients and 70 CM+MOH, along with 63 healthy controls, participated in the study. Assessments included a Sociodemographic Form, Migraine Disability Assessment Scale (MIDAS), Addiction Profile Index (API), Addiction Profile Index-Clinical Version (API-C), and the Somatosensory Amplification Scale (SSAS).</p><p><strong>Results: </strong>Substance use characteristics, craving, motivation for use, and addiction severity scores were higher in the CM+MOH group than in both the CM and the control group. Specifically, the SSAS scores within the CM+MOH group surpassed those of both the CM and control groups. In the CM+MOH group, SSAS scores were a strong predictor of the amount of analgesic usage. Besides, craving and motivation for substance use scores significantly predicted the number of days analgesic taken per month in the CM+MOH group CONCLUSION: CM patients with MOH exhibit a pronounced association with addiction, and a heightened manifestation of somatic symptoms. Addressing addiction characteristics and psychosomatic amplification is important to ensure comprehensive management.</p>","PeriodicalId":19191,"journal":{"name":"Neurological Sciences","volume":" ","pages":"5375-5383"},"PeriodicalIF":2.7000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11470874/pdf/","citationCount":"0","resultStr":"{\"title\":\"Somatic amplification and addiction profile as risk factors for medication overuse headache with chronic migraine.\",\"authors\":\"Ender Cesur, Burcu Göksan Yavuz, Erkan Acar, Zeynep Özdemir, Tuba Erdoğan Soyukibar, Elif Ilgaz Aydınlar\",\"doi\":\"10.1007/s10072-024-07639-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Overuse of analgesics can lead to medication-overuse headache (MOH) in chronic migraine (CM) patients, and is often linked to addiction. This study explores the addiction-related characteristics and somatic amplification in patients with, CM with medication overuse headache (CM+MOH), CM, and healthy controls.</p><p><strong>Methods: </strong>73 CM patients and 70 CM+MOH, along with 63 healthy controls, participated in the study. Assessments included a Sociodemographic Form, Migraine Disability Assessment Scale (MIDAS), Addiction Profile Index (API), Addiction Profile Index-Clinical Version (API-C), and the Somatosensory Amplification Scale (SSAS).</p><p><strong>Results: </strong>Substance use characteristics, craving, motivation for use, and addiction severity scores were higher in the CM+MOH group than in both the CM and the control group. Specifically, the SSAS scores within the CM+MOH group surpassed those of both the CM and control groups. In the CM+MOH group, SSAS scores were a strong predictor of the amount of analgesic usage. Besides, craving and motivation for substance use scores significantly predicted the number of days analgesic taken per month in the CM+MOH group CONCLUSION: CM patients with MOH exhibit a pronounced association with addiction, and a heightened manifestation of somatic symptoms. 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引用次数: 0
摘要
导言：镇痛药的过度使用会导致慢性偏头痛（CM）患者出现药物滥用性头痛（MOH），而且往往与成瘾有关。本研究探讨了慢性偏头痛患者、慢性偏头痛伴药物过度使用头痛（CM+MOH）患者、慢性偏头痛患者和健康对照组的成瘾相关特征和躯体放大现象。评估包括社会人口学表格、偏头痛残疾评估量表（MIDAS）、成瘾特征指数（API）、成瘾特征指数-临床版（API-C）和体感增强量表（SSAS）：结果：CM+MOH 组的药物使用特征、渴求、使用动机和成瘾严重程度得分均高于 CM 组和对照组。具体而言，CM+MOH 组的 SSAS 分数超过了 CM 组和对照组。在 CM+MOH 组中，SSAS 分数是镇痛剂用量的有力预测指标。此外，在 CM+MOH 组中，对药物使用的渴求和动机评分可显著预测每月服用镇痛剂的天数。解决成瘾特征和心身症状放大问题对于确保全面管理非常重要。
Somatic amplification and addiction profile as risk factors for medication overuse headache with chronic migraine.
Introduction: Overuse of analgesics can lead to medication-overuse headache (MOH) in chronic migraine (CM) patients, and is often linked to addiction. This study explores the addiction-related characteristics and somatic amplification in patients with, CM with medication overuse headache (CM+MOH), CM, and healthy controls.
Methods: 73 CM patients and 70 CM+MOH, along with 63 healthy controls, participated in the study. Assessments included a Sociodemographic Form, Migraine Disability Assessment Scale (MIDAS), Addiction Profile Index (API), Addiction Profile Index-Clinical Version (API-C), and the Somatosensory Amplification Scale (SSAS).
Results: Substance use characteristics, craving, motivation for use, and addiction severity scores were higher in the CM+MOH group than in both the CM and the control group. Specifically, the SSAS scores within the CM+MOH group surpassed those of both the CM and control groups. In the CM+MOH group, SSAS scores were a strong predictor of the amount of analgesic usage. Besides, craving and motivation for substance use scores significantly predicted the number of days analgesic taken per month in the CM+MOH group CONCLUSION: CM patients with MOH exhibit a pronounced association with addiction, and a heightened manifestation of somatic symptoms. Addressing addiction characteristics and psychosomatic amplification is important to ensure comprehensive management.
期刊介绍：
Neurological Sciences is intended to provide a medium for the communication of results and ideas in the field of neuroscience. The journal welcomes contributions in both the basic and clinical aspects of the neurosciences. The official language of the journal is English. Reports are published in the form of original articles, short communications, editorials, reviews and letters to the editor. Original articles present the results of experimental or clinical studies in the neurosciences, while short communications are succinct reports permitting the rapid publication of novel results. Original contributions may be submitted for the special sections History of Neurology, Health Care and Neurological Digressions - a forum for cultural topics related to the neurosciences. The journal also publishes correspondence book reviews, meeting reports and announcements.
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