儿童和青少年(5-18岁)偏头痛患者心理情绪方面的一些特点

P.V. Zhmyleva, N. Kovalchuk, G. Tabeeva
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摘要

研究目的:了解儿童和青少年偏头痛患者的心理情绪特征。研究设计:比较研究。材料和方法。我们检查了160例患者:学龄前儿童(5-6岁)、小学学龄儿童(7-10岁)、中学学龄儿童(11-14岁)和高中学龄儿童(15-18岁)。经证实偏头痛患者(ICD-10 G43.0, 43.1, 43.3, 43.8)被纳入研究组(I组,n = 80),无偏头痛患者组成对照组(II组,n = 80)。采用问卷调查的方式了解患者的主诉,收集病史、家族史、儿童早期发展史;研究结果显示,80.0%的头痛患者表示头痛严重,并且明显(1/3的病例)或明显(2/3的病例)影响了他们的日常生活。与II组相比,I组患者更频繁地出现轻度情境性或神经性抑郁(18.7%对13.5%)和情境性或个人焦虑(分别为28.8%对11.4%和33.8%对11.4%)。结论。儿童和成人偏头痛患者的心理情绪状态的具体特点需要心理支持,特别是在抑郁和焦虑方面。关键词:偏头痛,头痛,心理情绪状态。
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Some Characteristics of the Psychoemotional Aspect in Children and Adolescents (5–18 years old) with Migraine
Study Objective: To identify the features of psychoemotional characteristics of children and adolescents with migraine. Study Design: Comparative study. Materials and methods. We have examined 160 patients: preschool children (5–6 years old), primary school-aged children (7–10 years old), secondary school-aged children (11–14 years old), and high school-aged children (15–18 years old). Patients with verified migraine (G43.0, 43.1, 43.3, 43.8 as per ICD-10) were included into study group (I , n = 80), patients without migraine comprised group (controls) II, n = 80). Questionnaires were used to find out complaints, collect medical and family history, history of early development of the child; children underwent standard neurological and somatic tests and a comprehensive clinical and laboratory examination Study Results. 80.0% of subjects who complained of headache said their headache was severe and either markedly (1/3 of cases), or significantly (2/3 of cases) affecting their daily life. Patients in group I more frequently had mild situational or neurotic depression vs. group II (18.7% vs. 13.5%) and situational or personal anxiety (28.8% vs. 11.4% and 33.8% vs. 11.4%, respectively). Conclusion. The specific features of the psychoemotional state of children and adults with migraine require psychological support, especially in depression and anxiety. Keywords: migraine, headache, psychoemotional state.
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