患有慢性头痛的成年人的抑郁和焦虑:系统性审查和元分析
Scott G Ravyts1, Nicolette Carnahan2, Nicole Harte3
1Department of Psychological Science, The University of North Carolina at Charlotte, Charlotte, NC, USA; Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
The journal of pain
|November 20, 2025
概括
几乎一半的慢性头痛的成年人经历了抑郁或焦虑. 这突出了需要更好的心理健康查和治疗头痛患者的严重并发性疾病.
科学领域:
- 神经学和精神病学 精神病学
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 流行病学数据表明,慢性头痛的成年人患有抑郁症和焦虑症的高患病率.
- 关于这种并发症的确切程度的不确定性仍然存在.
- 慢性头痛显著影响生活质量和精神健康.
研究的目的:
- 为了确定患有慢性头痛的成年人中抑郁和焦虑的患病率.
- 为了确定缓解这些并发症疾病患病率的因素.
- 为了将患病率与没有头痛的人群和偶发头痛的人群进行比较.
主要方法:
- 进行了系统的元分析,从2013年到2024年搜索了四个主要数据库 (CENTRAL,MEDLINE,EMBASE,PsycINFO).
- 包括的研究报告了慢性头痛 (头痛>15天/月>3个月) 的成年人中抑郁症或焦虑症的患病率或临床症状得分.
- 分析了48项研究 (N=9582) 的数据,并对非头痛和偶发头痛组提取了比较数据.
主要成果:
- 在43.1%的慢性头痛成年人中发现了抑郁症和45.9%的焦虑症的临床症状.
- 与没有头痛的成年人相比,患有慢性头痛的成年人患抑郁症 (4.86x) 和焦虑症 (7.06x) 的可能性显著增加.
- 抑郁症的患病率因头痛的状况和位置而受到缓解,而不是焦虑.
结论:
- 几乎一半的患有慢性头痛的成年人经历了并发性抑郁或焦虑.
- 这种高的并发病率强调了在头痛护理中综合心理健康查和治疗的急需.
- 早期识别和管理心理健康问题对于改善慢性头痛患者的治疗结果至关重要.
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