头痛类型和严重程度与青少年精神病并发症之间的关系
İbrahim Adak1, Zeynep Ece Toksoy1, Oğuz Bilal Karakus1
1University of Health Sciences, Department of Child and Adolescent Psychiatry, Erenkoy Mental and Nervous Diseases Training and Research Hospital, Istanbul, Türkiye.
概括
患有头痛的青少年表现出更高的精神伴随性疾病比率,如焦虑和抑郁. 综合性评估对于有效诊断和治疗这些相互关联的疾病至关重要.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 神经学 神经学
- 心理健康研究 心理健康研究
背景情况:
- 头痛影响超过一半的儿童和青少年,影响日常功能,并与精神疾病发生.
- 了解头痛和青少年精神疾病之间的联系对于有效的管理至关重要.
研究的目的:
- 在儿童精神病诊所确定青少年头痛的患病率和并发病率.
- 用经过验证的尺度来比较患有头痛和没有头痛的青少年的精神疾病.
主要方法:
- 总共有306名青少年在儿童和青少年精神病学门诊诊所进行了评估.
- 患有头痛的患者被转诊进行神经学评估;所有人都接受了精神病学评估,包括学校儿童情绪障碍和精神分裂症的时间表.
- 其他尺度测量了焦虑 (STAI),抑郁 (CDI),互联网成,破坏性行为障碍 (Conners,Turgay).
主要成果:
- 35.3%的青少年报告头痛 (58次偏头痛,50次紧张型).
- 偏头痛与更高的泛性焦虑症患病率有关.
- 患有头痛的青少年表现出明显更高的抑郁症 (CDI) 和焦虑症 (STAI) 评分;头痛的严重程度与抑郁症和焦虑症相关.
- 慢性头痛类型与破坏性行为和焦虑等级上的高分相关.
结论:
- 在患有头痛的青少年中,精神病并发症很普遍.
- 一种整体的评估方法,整合头痛和精神病评估是必不可少的.
- 这种综合方法可以改善伴随性疾病的青少年的诊断,治疗和治疗结果.
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