患有偏头痛和紧张型头痛的女性患者的早期适应不良方案
1Psychiatry Clinic, Samsun Training and Research Hospital, Körfez Mah. 5013. Sok. 2/7, Atakum, Samsun, Turkey. gozdeyontar@gmail.com.
Scientific reports
|February 12, 2024
概括
早期不适应性计划 (EMS) 在患有偏头痛和紧张型头痛的女性之间存在显著差异,这表明针对不同类型的头痛进行量身定制的心理治疗. 这项研究强调了慢性头痛的心理因素.
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.
- 临床心理学 临床心理学
背景情况:
- 慢性头痛,特别是在女性身上,是一个重要的临床问题,经常受到心理因素的影响.
- 精神病相关疾病,如焦虑和抑郁,在慢性头痛患者中很常见.
- 早期的不适应性模式 (EMS) 是与抑郁症,焦虑症和体化相关的功能障碍模式,对它们与不同类型的头痛的特定关联的研究有限.
研究的目的:
- 直接比较患有偏头痛 (MH) 和张力类型头痛 (TTH) 的女性患者中早期不适应模式 (EMS) 的存在和类型.
- 调查特定的EMS领域和不同的头痛分类之间的关系.
- 为了解女性不同类型慢性头痛的心理基础建立基准.
主要方法:
- 一项涉及150名患有慢性头痛的女性患者的比较研究,分为偏头痛 (MH) 和紧张型头痛 (TTH) 组,以及健康的对照组.
- 患者使用年轻方案问卷 (YSQ) 进行评估,以评估EMS.
- 排除标准确保了一个均的样本,重点关注主要的头痛类型,不包括神经相关疾病或药物滥用.
主要成果:
- 在所有三组 (MH,TTH和对照组) 中都观察到YSQ分数的显著差异.
- 在依赖/无能,不屈不的标准和惩罚性计划方面,MH集团的得分更高.
- TTH组在情绪剥夺和对伤害或疾病方案的脆弱性方面得分较高,而对照组在缺乏自律和权利/宏伟性方案方面得分较高.
结论:
- 早期的不适应性模式 (EMS) 存在,并且在患有慢性头痛的女性患者和健康对照人群之间存在显著差异.
- 特定的EMS形状与不同类型的头痛有关 (偏头痛与张力类型头痛).
- 针对特定类型的头痛,针对不同的EMS的有针对性的心理治疗干预措施可以改善治疗结果,特别是在耐药病例中.
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