首页|偏头痛患者认知功能状况及与焦虑、抑郁的相关性研究

偏头痛患者认知功能状况及与焦虑、抑郁的相关性研究

Cognitive function of migraine patients and its correlation with anxiety and depression

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目的 对偏头痛患者的认知功能状况进行分析,并探讨认知功能障碍与焦虑和抑郁的相关性.方法 选取丽水市第二人民医院心身科2022年1月-2023年1月收治的偏头痛患者165例,根据蒙特利尔认知功能评估量表(MoCA)将患者分为认知功能下降组(MoCA评分<26分)42例和认知功能正常组(MoCA评分≥26分)123例.比较2组认知功能状况及焦虑、抑郁程度,并分析认知功能障碍与焦虑、抑郁之间的相关性.结果 165例患者中出现认知功能下降共42例,占25.45%.认知功能下降组MoCA评分明显低于认知功能正常组[(23.52±2.16)分vs.(27.79±2.85)分,t=8.872,P<0.001],而焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、视觉模拟(VAS)评分、头痛影响测评量表-6(HIT-6)评分均明显高于认知功能正常组(P<0.05).Spearman相关性分析显示,MoCA评分与SAS评分、SDS评分均呈正相关关系(r值分别为0.468、0.492,均P<0.001).结论 偏头痛患者存在认知功能障碍的比例较高,伴有认知功能障碍的患者其头痛程度更明显,且对日常生活质量造成的影响更大.偏头痛认知功能障碍与焦虑、抑郁呈正相关关系.
Objective To analyze the cognitive function of migraine patients and explore the correlation between cognitive dysfunction and anxiety and depression.Methods A total of 165 migraine patients admitted to the Department of Psy-chosomatic of the Second People's Hospital of Lishui from Jan.2022 to Jan.2023 were selected.According to the Montre-al cognitive function assessment scale(MoCA),the patients were divided into the cognitive function decline group(42 cases,MoCA score<26 points)and the cognitive function normal group(123 cases,MoCA score ≥26 points).The cognitive function of the two groups and the degree of anxiety and depression were compared,and the correlation between cognitive dysfunction and anxiety and depression was analyzed.Results Among the 165 patients,cognitive function de-creased in 42 cases,accounting for 25.45%.The MoCA score of the group with declining cognitive function was signifi-cantly lower than that of the group with normal cognitive function[(23.52±2.16)points vs.(27.79±2.85)points,t=8.872,P<0.001].The scores of the self-rating anxiety scale(SAS),self-rating depression scale(SDS),visual ana-logue scale(VAS),and headache impact assessment scale-6(HIT-6)were significantly higher than those of the normal cognitive function group(P<0.05),respectively.Spearman correlation analysis showed that the MoCA score was posi-tively correlated with the SAS score and SDS score(r values were 0.468 and 0.492,respectively,all P<0.001).Conclusion The proportion of migraine patients with cognitive dysfunction is higher,and the degree of headache is more obvious in patients with cognitive dysfunction and has a greater impact on the quality of daily life.The cognitive dysfunc-tion of migraine is positively correlated with anxiety and depression.

MigraineCognitive functionAnxietyDepressionCorrelation

王静、胡艳丽、朱书渊、彭述珊、叶小芳、曹江、王铁虎

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丽水市第二人民医院心身科,浙江丽水 323000

湖州市第三人民医院精神科,浙江湖州 313000

偏头痛 认知功能 焦虑 抑郁 相关性

浙江省医药卫生科技计划项目浙江省丽水市公益性技术研究项目

2018KY7872019SJZC56

2024

中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
年,卷(期):2024.22(7)