评估患有慢性每日头痛和药物过度使用头痛的患者的危险因素
Gülcan Taşçatan1, Hüseyin Tuğrul Atasoy2, Esra Acıman Demirel2
1Zonguldak Bülent Ecevit University, Mersin University, Yenişehir/Mersin, Türkiye.
Brain and behavior
|March 13, 2025
概括
心理社会因素显著影响慢性紧张型头痛 (TTH) 和药物过度使用,TTH患者经历较大的日常困难和较高的BMI与偏头痛患者相比. 这突显了TTH,肥胖和心理贡献者之间的强烈联系.
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:
- 头痛疾病很普遍,影响生活质量和日常功能.
- 药物过度使用头痛 (MOH) 是一种常见的并发症,特别是在慢性头痛患者中.
- 了解风险因素和疾病亚组对于有效管理至关重要.
研究的目的:
- 为了比较慢性每日头痛,MOH,偶发性偏头痛和偶发性紧张型头痛的患者的生活质量,身体活动和疾病感知.
- 调查危险因素 (如物质使用和饮食态度) 在引发慢性头痛和药物过量使用方面的作用.
- 分析疾病分组的心理和与风险相关的原因.
主要方法:
- 使用视觉模拟量表 (VAS),国际体力活动问卷 (简短形式),SF-36生活质量量量表和疾病感知问卷.
- 管理贝克焦虑库存,贝克抑郁库存,饮食障碍检查问卷和饮食态度测试.
- 使用DSM-IV轴I疾病 (SCID-I) 的结构化临床面试进行患者评估.
主要成果:
- 慢性紧张型头痛 (CTTH) 亚组在疾病类型和心理原因方面得分最高.
- 慢性偏头痛与药物过量使用 (MOH-M) 亚组的风险相关原因平均得分最高.
- 过度使用药物的CTTH患者 (TTH-MOH) 报告了比MOH-M患者更高的心理原因和更大的日常/工作困难.
结论:
- 身体质量指数 (BMI) 在TTH组 (TTH和TTH-MOH) 与偏头痛组 (偏头痛和MOH-M) 相比显著更高,这表明TTH和肥胖之间存在联系.
- 与MOH患者相比,TTH-MOH患者在日常生活和工作中遇到了更多的重大挑战,并将头痛更多归因于心理因素.
- 与偏头痛组相比,心理社会因素在TTH组的头痛慢性和药物过量使用中似乎发挥了更大的作用.
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