创伤后应激障碍和偏头痛之间的关联:系统性审查
Lucie Nitsche1, Jasmin Helbach1, Sarah Stubenrauch1
1Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.
Headache
|February 18, 2026
概括
这次审查发现创伤后应激障碍 (PTSD) 和偏头痛之间存在强烈联系,PTSD患者的患病率和发病率更高. 创伤评估对于头痛患者至关重要.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 偏头痛显著影响生活质量,增加精神病并发症风险.
- 创伤后应激障碍 (PTSD) 在偏头痛患者中越来越被认为是相关的.
- 了解PTSD与偏头痛的联系对于全面的患者护理至关重要.
研究的目的:
- 系统地审查和综合有关PTSD和偏头痛之间关联的证据.
- 使用流行率和发病率数据量化PTSD - 偏头痛联系的大小.
- 评估不同人群中协会的强度.
主要方法:
- 在主要数据库 (MEDLINE,EMBASE,PsycInfo) 中进行了全面的文献搜索.
- 包括专注于成年人群报告偏头痛患病率或发生率在PTSD和非PTSD组的研究.
- 数据进行了叙事综合,并使用Joanna Briggs研究所的检查清单来评估研究质量.
主要成果:
- 分析了来自五个国家的11项研究,包括多样化的人口.
- 在患有PTSD (6.5%-46.5%) 的人群中,偏头痛的患病率始终高于没有PTSD的人群 (1.4%-25.8%).
- 所有研究都报告了积极的关联,赔率比率从1.2到4.7.
结论:
- 创伤后应激障碍和偏头痛之间存在强有力的关联,不仅限于易受影响的群体.
- 建议对患有慢性头痛疾病的个人进行系统性创伤评估.
- 需要进一步研究以人口为基础的样本中PTSD和偏头痛之间的双向相互作用.
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