Lovati Carlo, D'Amico Domenico, Brambilla Arianna, Mariani Claudio, Bussone Gennaro
Department of Neurology, L. Sacco Hospital, Via GB Grassi 74, 20157 Milan, Italy.
Neurol Sci. 2008 May;29 Suppl 1:S152-4. doi: 10.1007/s10072-008-0910-9.
Migraine is known to be associated to particular psychological features. Cutaneous allodynia is a painful sensation or discomfort induced by a non-noxious stimulus, and is a frequent complaint during migraine attacks. The aim of this study was to compare the personality profile of allodynic and non-allodynic migraineurs to identify possible relationships between psychological aspects and the presence of allodynia. The Symptom Check List 90-R (SCL90R), a 90-item self-report psychological symptom inventory, was used to investigate the psychological profile of our patients. The presence of allodynia was assessed by a set of semi-structured questions that investigated if the patient experienced abnormal scalp sensitiveness and/or discomfort during headache episodes. Twenty-five nonallodynic patients and 38 allodynic migraineurs were studied. No significant difference was found between the two groups in any area of the personality profile. The psychological profile seems not to affect the presence/absence of cutaneous allodynia in migraine patients. This reinforces the hypothesis that allodynia is a "somatic" symptom, not modified by psychological aspects.
已知偏头痛与特定的心理特征有关。皮肤超敏反应是由非伤害性刺激引起的疼痛感觉或不适，是偏头痛发作期间常见的主诉。本研究的目的是比较有超敏反应和无超敏反应的偏头痛患者的人格特征，以确定心理因素与超敏反应之间可能存在的关系。症状自评量表90项修订版（SCL90R）是一份包含90个项目的自我报告心理症状清单，用于调查我们患者的心理特征。通过一组半结构化问题评估超敏反应的存在情况，这些问题调查了患者在头痛发作期间是否经历了异常的头皮敏感性和/或不适。对25名无超敏反应患者和38名有超敏反应的偏头痛患者进行了研究。两组在人格特征的任何方面均未发现显著差异。心理特征似乎不会影响偏头痛患者皮肤超敏反应的有无。这强化了超敏反应是一种“躯体”症状、不受心理因素影响的假设。
