慢性偏头痛和药物过度使用头痛患者的内部污名化
Firdevs Ezgi Uçan Tokuç1, Eylem Özaydın Göksu2, Şennur Delibaş Katı2
1Republic of Turkey Ministry of Health Antalya Provincial Health Directorate, Neurology department, University of Health Sciences Antalya Training and Research Hospital, Antalya, Turkey. ezgiucan@gmail.com.
BMC neurology
|March 19, 2024
概括
药物过度使用头痛患者比慢性偏头痛患者更容易体验内化的耻辱感. 这种耻辱可能会导致慢性偏头痛产生的药物过度使用头痛的发展.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 内化耻辱显著影响了初级头痛障碍患者的自我认知和生活质量.
- 了解污名对于有效的患者护理和管理策略至关重要.
研究的目的:
- 调查和比较诊断为慢性偏头痛的患者内化耻辱的水平与药物过度使用头痛.
- 探索内化耻辱和从慢性偏头痛到药物过度使用头痛的进展之间的关系.
主要方法:
- 评估了57名患者 (26例慢性偏头痛,31例药物过度使用头痛和慢性偏头痛) 的队列.
- 使用Ristsher的污名化量表和一般健康问卷来衡量内化污名和一般健康状况.
主要成果:
- 与慢性偏头痛患者相比,药物过度使用头痛患者的内化耻辱化明显高 (p<0.05).
- 异化子尺度在所有测量的方面都显示出统计意义,包括感知到的歧视和社会退缩 (p<0.05).
结论:
- 与慢性偏头痛相比,药物过度使用的头痛与更强烈的内化耻辱程度有关.
- 内化耻辱可能在患者从慢性偏头痛过渡到药物过度使用头痛方面发挥作用.
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