Corchs Felipe, Mercante Juliane P P, Guendler Vera Z, Vieira Domingos S, Masruha Marcelo R, Moreira Frederico R, Bernik Marcio, Zukerman Eliova, Peres Mario F P
Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, SP, Brazil.
Arq Neuropsiquiatr. 2006 Dec;64(4):950-3. doi: 10.1590/s0004-282x2006000600012.
Comorbidity of chronic migraine (CM) with psychiatric disorders, mostly anxiety and mood disorders, is a well-recognized phenomenon. Phobias are one of the most common anxiety disorders in the general population. Phobias are more common in migraineurs than non-migraineurs. The clinical profile of phobias in CM has never been studied.
We investigated the psychiatric profile in 56 patients with CM using the SCID I/P interview.
Lifetime criteria for at least one mental disorder was found in 87.5% of the sample; 75% met criteria for at least one lifetime anxiety disorder and 60.7% of our sample fulfilled DSM-IV criteria for lifetime phobic avoidant disorders. Mood and anxiety scores were higher in phobic patients than in non-phobic CM controls. Number of phobias correlated with higher levels of anxiety and depression.
Phobias are common in CM. Its recognition may influence its management. Early treatment may lead to better prognosis.
慢性偏头痛（CM）与精神障碍共病，主要是焦虑和情绪障碍，是一种公认的现象。恐惧症是普通人群中最常见的焦虑症之一。偏头痛患者比非偏头痛患者更容易患恐惧症。CM中恐惧症的临床特征从未被研究过。
我们使用SCID I/P访谈对56例CM患者的精神状况进行了调查。
在87.5%的样本中发现了至少一种精神障碍的终生标准；75%的样本符合至少一种终生焦虑症的标准，60.7%的样本符合DSM-IV终生恐惧回避障碍的标准。有恐惧症的患者的情绪和焦虑评分高于无恐惧症的CM对照组。恐惧症的数量与更高水平的焦虑和抑郁相关。
恐惧症在CM中很常见。对其的认识可能会影响治疗。早期治疗可能会带来更好的预后。
