头痛疾病中的抑郁和焦虑症状:一个观察性,横截面研究
Leonidas Mantonakis1, Ioanna Belesioti2, Christina I Deligianni2,3
1First Psychiatry Department, Aeginition Hospital, Medical School, National & Kapodistrian University of Athens, V. Sofia's Avenue 74, 11528 Athens, Greece.
Neurology international
|March 25, 2024
概括
患有头痛障碍 (HD) 的个人经历的焦虑和抑郁症症状显著增加. 医疗保健提供者应在患有头痛的患者中选并管理这些同时发生的疾病.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床医学 临床医学
背景情况:
- 头痛疾病经常与焦虑和抑郁症相关.
- 了解这些共同疾病在不同类型的头痛中的患病率对于有效的患者管理至关重要.
研究的目的:
- 评估和比较各种头痛障碍 (HDs) 患者焦虑和抑郁症状的频率.
- 为了研究头痛类型,慢性,药物过量使用以及焦虑和抑郁的存在之间的关系.
主要方法:
- 采访了2673名患有头痛障碍的人群和464名匹配的非头痛对照人群.
- 标准化尺度 (焦虑的HAM-A,抑郁的HAM-D) 用于评估症状严重程度.
- 收集了人口统计数据和头痛诊断 (偏头痛,紧张型,集群,药物过量使用)
主要成果:
- 与对照人群相比,患有头痛障碍的个体在焦虑 (HAM-A) 和抑郁 (HAM-D) 尺度上的得分显著更高.
- 慢性头痛疾病和药物过度使用与增加的焦虑和抑郁症状有关.
- 女性性别和较低的教育程度也与这两种尺度上的高分有关.
结论:
- 焦虑和抑郁的实质性症状在患有头痛障碍的人中很普遍.
- 临床医生应主动选并解决患有任何类型头痛障碍的患者的焦虑和抑郁症.
- 综合管理策略是必要的,以改善伴随性头痛和情绪障碍患者的结果.
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