Dueland Aud Nome, Leira Rogelio, Cabelli Sara T
Sandvika Neurologic Service, Sandvika, Norway.
Curr Med Res Opin. 2005 Aug;21(8):1297-305. doi: 10.1185/030079905X56394.
To describe the impact of migraine on psychological well-being of young women and to evaluate their communication with physicians about migraine.
This cross-sectional telephone survey was conducted in Israel and eight European countries (Finland, Germany, Greece, Italy, Norway, Spain, Sweden, and The Netherlands). Random-digit dialing was used to identify eligible study participants: women 18-35 years of age with migraine, who used medication to treat their migraine, and who were employed or full-time students.
Of 1810 participants, 42% self-reported having a physician diagnosis of migraine. Eighty-six per cent believed that their life would be better if they did not suffer from migraines; and 58% of participants felt frustrated, 46% felt angry, and 44% felt depressed because of their migraines. Negative feelings related to migraine varied substantially from country to country. For example, feelings of frustration caused by migraine ranged from 32% in Italy to 84% in Finland; feelings of anxiety ranged from 21% in Norway to 57% in Italy; and feelings of confusion ranged from 13% in Greece to 61% in Italy. Overall, 81% of participants had visited a physician in the past year but only 50% of them had discussed their severe headaches or migraines with their physician within the year. While 68% of those who had visited a physician stated that they were comfortable speaking with their physician about migraine, 71% reported being the one who initiated the conversation about severe headaches or migraines. Of all participants, 39% did not feel that their physician understood how much severe headaches or migraines interfered with their life.
Migraines and severe headaches impose a substantial burden on the psychological well-being of young women with migraine in Europe and Israel. In general, communication between these women and their physicians about migraine is incomplete.
描述偏头痛对年轻女性心理健康的影响，并评估她们与医生就偏头痛问题的沟通情况。
这项横断面电话调查在以色列和八个欧洲国家（芬兰、德国、希腊、意大利、挪威、西班牙、瑞典和荷兰）开展。采用随机数字拨号法确定符合条件的研究参与者：年龄在18至35岁之间、患有偏头痛、使用药物治疗偏头痛且为就业人员或全日制学生的女性。
在1810名参与者中，42%的人自述被医生诊断为偏头痛。86%的人认为如果不患偏头痛，她们的生活会更好；58%的参与者因偏头痛感到沮丧，46%感到愤怒，44%感到抑郁。与偏头痛相关的负面情绪在不同国家之间差异很大。例如，偏头痛引起的沮丧情绪在意大利为32%，在芬兰为84%；焦虑情绪在挪威为21%，在意大利为57%；困惑情绪在希腊为13%，在意大利为61%。总体而言，81%的参与者在过去一年中看过医生，但其中只有50%的人在这一年里与医生讨论过她们的严重头痛或偏头痛问题。虽然68%看过医生的人表示与医生谈论偏头痛时感到自在，但71%的人报告是自己发起了关于严重头痛或偏头痛的谈话。在所有参与者中，39%的人觉得医生不理解严重头痛或偏头痛对她们生活的干扰程度。
偏头痛和严重头痛给欧洲和以色列患有偏头痛的年轻女性的心理健康带来了沉重负担。总体而言，这些女性与医生之间关于偏头痛的沟通并不充分。
