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[慢性和发作性紧张型头痛患者的抑郁症状与焦虑]

[Depressive symptoms and anxiety in patients with chronic and episodic tension-type headache].

作者信息

Matta André Palma da Cunha, Moreira Filho Pedro F

机构信息

Universidade Federal Fluminense, Niterói RJ, Brasil.

出版信息

Arq Neuropsiquiatr. 2003 Dec;61(4):991-4. doi: 10.1590/s0004-282x2003000600019. Epub 2004 Jan 6.

Abstract

BACKGROUND

Tension-type headache (TTH) is recognized as the most prevalent type of headache. Despite this, there is a limited understanding of the entity's physiology, epidemiology, and clinical presentation. Anxiety and depression are recognized comorbidities present among patients with TTH.

OBJECTIVE

To quantify the prevalence of anxiety and depression among patients with episodic and chronic TTH.

METHOD

fifty patients with episodic TTH and fifty patients with chronic TTH completed Beck's anxiety and depression surveys. Only patients presenting with moderate to severe scores were considered.

RESULTS

among the patients with episodic TTH, anxiety and depression were observed in 30 (60%) and 16 (32%) patients respectively. Among the patients with chronic TTH, anxiety was observed in 22 (44%) patients, and depression was observed in 20 (40%).

CONCLUSION

both comorbidities are important among patients with episodic and chronic TTH. Neglecting this association may result in failure of symptomatic and prophylactic treatment ultimately leading to lost quality of life.

摘要

背景

紧张型头痛(TTH)被认为是最常见的头痛类型。尽管如此,对该疾病实体的生理学、流行病学和临床表现的了解仍然有限。焦虑和抑郁是TTH患者中公认的共病。

目的

量化发作性和慢性TTH患者中焦虑和抑郁的患病率。

方法

50例发作性TTH患者和50例慢性TTH患者完成了贝克焦虑和抑郁调查。仅考虑中度至重度评分的患者。

结果

在发作性TTH患者中,分别有30例(60%)和16例(32%)患者出现焦虑和抑郁。在慢性TTH患者中,22例(44%)患者出现焦虑,20例(40%)患者出现抑郁。

结论

这两种共病在发作性和慢性TTH患者中都很重要。忽视这种关联可能导致对症和预防性治疗失败,最终导致生活质量下降。

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