Waldie Karen E, Welch David
Department of Psychology, University of Auckland, Private Bag 92101, Auckland, 1042, New Zealand.
Curr Pain Headache Rep. 2007 Dec;11(6):454-60. doi: 10.1007/s11916-007-0233-1.
The association between tension-type headache and cognitive ability was assessed among 971 members of a longitudinal birth cohort study. Primary headache status was determined at age 32 years according to 2004 International Headache Society criteria, frequent childhood headaches were identified from parent report from ages 7 to 13 years, and data relating to cognitive and academic performance from ages 3 to 32 years were analyzed. Adult study members with tension-type headache did not score worse on any of the cognitive measures relative to headache-free controls or headache-free tinnitus sufferers. Instead, a consistent relation was found between childhood headache (regardless of headache diagnosis in adulthood) and lower scores on most cognitive measures from age 3 years through adolescence (verbal and performance IQ, receptive language, and reading scores). The data indicate that cognitive performance deficits in childhood headache sufferers can probably be attributed to factors stemming from utero or early childhood.
在一项纵向出生队列研究的971名成员中评估了紧张型头痛与认知能力之间的关联。根据2004年国际头痛协会标准在32岁时确定原发性头痛状态，从7至13岁父母的报告中识别出频繁的儿童期头痛，并分析了3至32岁期间与认知和学业成绩相关的数据。与无头痛对照组或无头痛耳鸣患者相比，患有紧张型头痛的成年研究成员在任何认知测量中得分均未更低。相反，发现儿童期头痛（无论成年期的头痛诊断如何）与3岁至青春期的大多数认知测量得分较低（言语和操作智商、接受性语言和阅读分数）之间存在一致的关系。数据表明，儿童期头痛患者的认知表现缺陷可能归因于子宫内或幼儿期产生的因素。
