在一个基于儿科诊所的大型样本中,焦虑,抑郁和头痛相关的残疾
Christina Murphy1,2, Ali Ladak1, Christina L Szperka1,2
1Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Headache
|November 15, 2024
概括
患有焦虑和/或抑郁症的儿童经历了更大的头痛相关残疾. 那些有行为健康提供者的人报告了更高的残疾,突出了儿科头痛患者的复杂需求.
科学领域:
- 儿科神经学 儿科神经学
- 儿童精神病学 儿童精神病学
- 临床心理学 临床心理学
背景情况:
- 焦虑和抑郁是儿科头痛疾病中常见的并发症.
- 这些条件可以显著导致整体残疾,并可能具有累积影响.
- 了解心理健康和头痛之间的相互作用对于有效治疗至关重要.
研究的目的:
- 调查儿童自我报告的焦虑和/或抑郁以及与头痛相关的残疾之间的联系.
- 检查行为健康提供者参与这种关系中的作用.
主要方法:
- 对6至17岁儿童进行了回顾性横截面研究.
- 使用了头痛摄入问卷,包括行为健康症状报告和PedMIDAS尺度.
- 分析了9118名符合条件的参与者的数据.
主要成果:
- 与没有报告焦虑和/或抑郁症的患者相比,报告焦虑和/或抑郁症的患者与头痛相关的残疾明显增加.
- 在对共变量进行调整后,这种关联仍然显著 (估计差异=6.0).
- 在焦虑/抑郁症的参与者中,行为健康提供者的参与与更大的头痛相关残疾相关 (估计差异=7.0).
结论:
- 自我报告的焦虑和/或抑郁症与儿科患者头痛相关残疾增加有关.
- 行为健康提供者参与与较高残疾之间的关联强调了这一群体的复杂需求.
- 综合护理模式可能有利于易受伤害的儿科患者,在焦虑或抑郁症的同时也会出现头痛.
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