在那些患有轻度创伤性脑损伤引起的急性创伤后头痛的人中,失眠症状
Ben J Braunecker1, Dani Smith1, Christopher A Dodoo2
1Department of Neurology, Mayo Clinic College of Medicine, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Headache
|June 11, 2025
概括
患有急性创伤后头痛 (APTH) 的个人比健康对照体验的失眠症状明显多. 在APTH中失眠与抑郁,焦虑,感官敏感性和认知问题有关,需要临床管理.
科学领域:
- 神经科学是一个神经科学.
- 临床心理学 临床心理学
- 创伤学 创伤学 创伤学
背景情况:
- 在轻度创伤性脑损伤 (mTBI) 后的创伤后头痛 (APTH) 急性阶段对失眠的研究有限.
- 之前的研究集中在持续的创伤后头痛 (PPTH) 和失眠,在了解急性阶段症状方面存在差距.
研究的目的:
- 调查因mTBI而经历APTH的个体的失眠症状及其严重程度.
- 探索失眠和心理因素,感官过敏,头痛负担和APTH患者的认知表现之间的关联.
主要方法:
- 一项涉及82名因mTBI而患有APTH的个体和82名健康对照 (HC) 的横截面研究.
- 参与者完成了验证的问卷和认知测试,评估失眠,心理状态,感官敏感性和头痛特征.
- 在APTH和HC组之间进行了统计比较,在APTH组内分析了相关性.
主要成果:
- 与HC相比,APTH患者的失眠严重程度指数 (ISI) 分数显著更高 (12对0).
- 29%的APTH患者患有中度临床失眠,9%患有严重失眠,而HC患者仅占2%.
- 与HC相比,APTH患者的抑郁,焦虑,光敏感性,全音,超声敏和认知回忆能力较差的得分明显高于HC患者.
结论:
- 患有APTH的个人经历的失眠症状要多得多,很大一部分人患有中度至重度的失眠.
- 在APTH中失眠与增加的抑郁,焦虑,恐惧光线,声音过高,头痛严重程度和认知缺陷有关.
- 临床医生应主动选和管理APTH患者的失眠,以改善mTBI后的整体福祉.
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