双相情感障碍和精神分裂症中的偏头痛:隐藏的疼痛
Nancy ElGizy1, Aref Khoweiled2, Mohamed A Khalil2
1Department of Psychiatry, Students Hospital, Cairo University, Cairo, Egypt.
International journal of psychiatry in medicine
|June 2, 2023
概括
偏头痛经常与双相情感障碍和精神分裂症同时发生. 与双相情感障碍患者相比,精神分裂症患者的偏头痛发作更强烈,更频繁.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 偏头痛是一种常见的神经疾病.
- 双极性障碍和精神分裂症是严重的精神健康状况.
- 在这些精神病患者群体中,偏头痛的并发性并未完全被理解.
研究的目的:
- 为了确定双相情绪障碍和精神分裂症诊断的患者中偏头痛的患病率.
- 在两组患者中调查偏头痛并发症和疾病特征之间的关联.
主要方法:
- 一项涉及150名双相情绪障碍患者和150名精神分裂症患者的横截面研究.
- 偏头痛的诊断使用国际头痛疾病分类 (第三版) 得到证实.
- 标准化尺度 (YMRS,HDRS,PANSS,CGI,MIDAS) 用于评估疾病严重程度和偏头痛的影响.
主要成果:
- 偏头痛被诊断在22.7%的双相情感障碍患者和16.0%的精神分裂症患者中.
- 精神分裂症患者报告的偏头痛频率和强度 (MIDAS) 比双相情感障碍患者高得多.
- 在精神分裂症中,更长的偏头痛持续时间与更高的临床全球印象 (CGI) 得分相关.
结论:
- 偏头痛是双相情感障碍和精神分裂症中显著的并发症.
- 与双相情感障碍患者相比,精神分裂症患者的偏头痛发作更频繁和更强烈.
- 偏头痛的特征可能与精神分裂症的疾病严重程度有关.
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