Cologno Daniela, Buzzi Maria G, Carlesimo Giovanni A, Cicinelli Paola, Costa Alberto, Fadda Lucia, Formisano Rita, Marconi Barbara, Pero Sergio, Caltagirone Carlo
I.R.C.C.S.-Fondazione S. Lucia, Via Ardeatina 306, Rome, Italy.
J Headache Pain. 2005 Sep;6(4):227-30. doi: 10.1007/s10194-005-0192-z.
To explore the relationship between the side of pain during attacks and psychopathological features in strictly unilateral migraine, we recruited 35 patients affected by migraine with and/or without aura diagnosed according to the revised ICHD-II criteria. Seventeen patients had right side-locked pain (R-SUM), 11 had left side-locked (L-SUM) and 7 had side-shifting pain (SSM). Patients were administered the Hamilton Anxiety Scale, the State and Trait Anxiety Inventory-State Anxiety, the Beck Depression Inventory and the 20-item Toronto Alexithymia Scale. Statistical analyses showed that the L-SUM group was significantly more anxious and depressed than the other two groups of patients. Our preliminary data suggest that strictly left unilateral migraine is associated with more severe anxiety and depression. This finding appears to be consistent with studies that reported a higher degree of these disorders in patients with left cerebral hemispheric damage.
为了探究发作时疼痛部位与严格单侧偏头痛患者心理病理学特征之间的关系，我们招募了35例根据修订的国际头痛疾病分类第二版（ICHD-II）标准诊断为有或无先兆偏头痛的患者。其中17例为右侧锁定性疼痛（R-SUM），11例为左侧锁定性疼痛（L-SUM），7例为疼痛部位变动性疼痛（SSM）。对患者进行了汉密尔顿焦虑量表、状态-特质焦虑量表-状态焦虑、贝克抑郁量表以及20项多伦多述情障碍量表评估。统计分析表明，L-SUM组患者的焦虑和抑郁程度显著高于其他两组患者。我们的初步数据表明，严格的左侧单侧偏头痛与更严重的焦虑和抑郁有关。这一发现似乎与那些报道左侧大脑半球损伤患者中这些障碍程度更高的研究一致。
