首页|慢性偏头痛病人躯体化症状与焦虑、抑郁的横断面分析

慢性偏头痛病人躯体化症状与焦虑、抑郁的横断面分析

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目的:探讨慢性偏头痛(chronic migraine,CM)病人躯体化症状与焦虑、抑郁状况,为慢性偏头痛病人精神心理评估与干预提供借鉴.方法:收集2022年1月至2023年2月齐齐哈尔医学院附属第三医院就诊的278例CM病人.收集病人一般临床资料,采用躯体化症状自评量表(self-rating somat-ic symptom scale,SSS)、广泛性焦虑障碍量表-7(generalized anxiety disorder-7,GAD-7)、病人健康问卷-9(9 patient health questionnaire,PHQ-9)、匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)、数字分级评分法(numerical rating scale,NRS)评分和偏头痛失能程度量表(migraine disability assessment,MIDAS)分别对躯体化症状、焦虑、抑郁、睡眠、头痛程度和失能程度进行评价.结果:150名CM病人SSS量表筛查呈阳性,阳性率为53.96%.与128例SSS阴性CM病人相比,SSS阳性CM病人教育年限、头痛程度评分、头痛持续时间、发作频率、头痛病程、失能程度评分、抑郁评分和睡眠评分均较高.CM病人躯体化症状的单险因素分析结果中,受教育年限、头痛程度评分、头痛持续时间、发作频率、病程、失能程度评分、焦虑评分、抑郁评分和睡眠评分为躯体化症状的影响因素.相关因素分析结果显示,头痛程度评分、头痛持续时间、发作频率、病程、失能程度评分、焦虑评分、抑郁评分和睡眠评分是CM病人躯体化症状的危险因素.结论:CM病人伴随躯体化症状较为普遍,头痛程度严重、头痛持续时间长、频繁的头痛发作频率、较长头痛病程、较高失能程度、焦虑、抑郁和睡眠差是CM病人发生躯体化症状的危险因素.
Cross-sectional analysis of somatization symptoms,anxiety,and depression in patients with chronic migraine
Objective:To investigate the relationship between somatic symptoms,anxiety and depression in patients with chronic migraine(CM),and to provide reference for psychopsychological evaluation and interven-tion in patients with chronic migraine.Methods:A total of 278 CM patients were collected from January 2022 to February 2023 in the Third Affiliated Hospital of Qiqihar Medical College.Clinical data were collected with the self-rating somatic symptom scale(SSS),generalized anxiety disorder-7(GAD-7),9 patient health question-naire(PHQ-9),and Pittsburgh sleep quality index(PSQI),the numerical rating scale(NRS)and the migraine disability assessment(MIDAS)to evaluate somatic symptoms,anxiety,depression,sleep,headache and disability.Results:One hundred and fifty CM patients were screened positive for SSS scale,and the positive rate was 53.96%.Compared with SSS-negative 128 CM patients,SSS-positive CM patients had higher years of education,headache degree score,headache duration,attack frequency,headache duration,disability degree score,depression score,and sleep score.In the analysis of single-risk factors of somatic symptoms in CM patients,the results showed that education duration,headache severity score,headache duration,attack frequency,disease course,disability score,anxiety score,depression score and sleep score were the influencing factors for somatization symptoms.The results of correlation analysis showed that headache severity score headache duration,attack frequency,course of disease,disability score,anxiety score,depression score and sleep score were risk factors for somatization symptoms in CM patients.Conclusion:Patients with CM are more common with somatization symptoms.Severe headache,long duration of headache,frequent headache frequency,longer duration of headache,higher degree of disability,anxiety,depression and poor sleep are the risk factors for somatization symptoms in CM patients.

chronic migrainesomatization symptomsanxietydepression

傅增辉、金艳、林再红、姜岩、杜姝、刘晶、张广萍、刘旸、于绘丽

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齐齐哈尔医学院附属第三医院神经内科,齐齐哈尔 161002

慢性偏头痛 躯体化症状 焦虑 抑郁

黑龙江省卫生健康委科研项目

20220303070603

2024

中国疼痛医学杂志
北京大学,中华医学会疼痛学分会

中国疼痛医学杂志

CSTPCD北大核心
影响因子:1.457
ISSN:1006-9852
年,卷(期):2024.30(1)
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