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Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Screening Patients With Headaches for Abuse.

Elliott A Schulman, Kathleen Franchek-Roa

    Continuum (Minneapolis, Minn.)
    |August 8, 2015
    PubMed
    Summary

    Childhood maltreatment affects nearly 60% of migraine patients. Addressing past adversity is crucial for effective migraine treatment and improving patient health outcomes.

    Area of Science:

    • Neurology
    • Psychiatry
    • Public Health

    Background:

    • Migraine is a prevalent neurological condition.
    • Childhood maltreatment is a significant public health concern.
    • The link between early life adversity and chronic health conditions requires further investigation.

    Observation:

    • Nearly 60% of patients with migraine report a history of childhood maltreatment.
    • Childhood adversity is frequently associated with the development of chronic migraine.
    • Childhood adversity can also contribute to psychiatric comorbidities.

    Findings:

    • The Adverse Childhood Experiences Study (ACEs) questionnaire is a valuable tool for neurologists to assess childhood adversity.
    • Childhood adversity is a significant risk factor for chronic migraine.

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  • There is a strong correlation between childhood adversity and psychiatric comorbidities in migraine patients.

    • Implications:

    • Screening for childhood maltreatment should be integrated into migraine care.
    • Understanding and addressing childhood adversity can lead to more effective and personalized migraine treatment strategies.
    • Interventions targeting childhood adversity may improve overall health outcomes for individuals with migraine and comorbid psychiatric conditions.