儿童不良经历及其对初级头痛患者的影响:一个横截面研究
Alexander Pabón Moreno1,2,3, Valentina Gonzalez Galindo4, Alexandra Hurtado-Ortiz2,5
1Neurological Institute, Hospital Internacional de Colombia - Fundación Cardiovascular de Colombia, Piedecuesta, Colombia.
Frontiers in psychiatry
|November 10, 2025
概括
儿童不良经历 (ACE) 在主要头痛的成年人中很常见,超过77%的人报告了它们. 这突显了童年创伤和头痛疾病之间的关键联系,强调了神经病学中创伤知情护理的必要性.
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:
- 儿童不良经历 (ACE),包括虐待和家庭功能障碍,显著影响长期的健康和发展.
- ACE与慢性疾病和心理健康状况的风险增加有关,这强调了它们对公共卫生的重要性.
研究的目的:
- 确定主要头痛的成年人中ACE的患病率.
- 确定与该患者群体中ACE发生相关的特定因素.
主要方法:
- 进行了一项横截面研究,涉及被诊断为初级头痛的成年人.
- 数据采集和分析使用双变量比较和多变量逻辑回归.
- 使用Stata 16进行了统计分析,通过Hosmer和Lemeshow测试评估了适合性.
主要成果:
- 在138名参与者中,77.54%的人报告至少经历过一次ACE.
- 很大一部分 (34.06%) 的ACE得分为4或更高.
- 身体虐待是最频繁报告的ACE (9.13%).
- 女性报告ACE的可能性更高 (OR:8.613,p = 0.049).
- 患有严重残疾 (MIDAS评分) 的患者报告严重ACE的可能性较低 (OR:0.293,p = 0.032).
结论:
- 童年不良经历和初级头痛之间存在着强烈的联系.
- 将儿童创伤评估纳入神经学实践对于全面的患者护理至关重要.
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