慢性每日头痛与亚临床抑郁症对大脑体积的影响:系统性审查和元分析
Chih-Lung Lin1,2, Hsien-Yuan Lane3,4,5, Cheuk-Kwan Sun6,7
1Department of Neurosurgery, Asia University Hospital, Taichung, Taiwan.
European journal of pain (London, England)
|April 2, 2024
概括
慢性每日头痛 (CDH) 与大脑体积减少有关,特别是在患有抑郁症症状的患者中. 解决疼痛和心理因素的综合治疗对于管理CDH至关重要.
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.
- 医学研究 医学研究
背景情况:
- 慢性每日头痛 (CDH),抑郁症状 (DSs) 和大脑体积之间的复杂关系尚未完全理解.
- 调查这些联系对于全面的患者护理至关重要.
研究的目的:
- 系统地审查和分析观察性研究,检查CDH对大脑体积的影响.
- 评估抑郁症状,药物过度使用和人口因素对这些大脑变化的影响.
主要方法:
- 在PubMed,Embase和Web of Science数据库中进行了系统的文献搜索,直到2023年5月.
- 分析了研究,以比较CDH患者的脑容量,包括DS和没有DS的患者,与无疼痛对照.
- 使用标准化尺度评估抑郁症的严重程度,回归分析探讨了与人口统计因素的相关性.
主要成果:
- 与无疼痛对照组相比,患有DS的CDH患者的脑容量显著减少.
- 在CDH患者中观察到较小的右脑皮层体积,这些患者没有过度使用药物.
- 女性患病率与大脑体积有显著的反向相关性.
结论:
- 与CDH相关的持续性抑郁症状有助于大脑结构的改变.
- 情感动机变化,药物使用和性别特定因素在CDH病理生理学中发挥作用.
- 对CDH的综合治疗策略应该与疼痛管理一起纳入心理干预.
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