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偏头痛、焦虑和抑郁之间的关联。

Association between migraine, anxiety and depression.

机构信息

Endo Pharmaceuticals Inc, Chadds Ford, PA, USA.

出版信息

Cephalalgia. 2010 May;30(5):567-75. doi: 10.1111/j.1468-2982.2009.01944.x. Epub 2010 Feb 22.

Abstract

Logistic regression was used to evaluate the relationship between self-reported medical diagnosis of migraine, self-reported depressive symptomology (RDS) and self-reported anxious symptomology (RAS) in the National Health Interview Survey (n = 30 852). Semipartial squared correlations evaluated the population-level variability between RDS, RAS and migraine impairment. Migraine prevalence was 15.2% (overall), 20.5% (women) and 9.4% (men). Migraine risk was higher in participants with RAS [odds ratio (OR) 2.30, 95% confidence interval (CI) 2.09, 2.52), with RDS (OR 2.23, 95% CI 1.93, 2.58), who smoked (OR 1.19, 95% CI 1.09, 1.30), or who consulted a mental health provider (OR 1.45, 95% CI 1.27, 1.65). Although migraine risk was increased in both women (OR 1.93) and men (OR 2.42) with RAS (P < 0.001), men with RAS had a higher migraine risk than did women with RAS (P < 0.001). Only 7% of the variability in migraine impairment (population level) was predicted by variability in RDS and/or RAS.

摘要

逻辑回归用于评估全国健康访谈调查(n = 30852)中自我报告的偏头痛医学诊断、自我报告的抑郁症状(RDS)和自我报告的焦虑症状(RAS)之间的关系。偏部分平方相关评估了 RDS、RAS 和偏头痛障碍之间的人群水平变异性。偏头痛的患病率为 15.2%(总体)、20.5%(女性)和 9.4%(男性)。患有 RAS 的参与者偏头痛风险更高[比值比(OR)2.30,95%置信区间(CI)2.09,2.52],患有 RDS 的参与者偏头痛风险更高[比值比(OR)2.23,95%置信区间(CI)1.93,2.58],吸烟的参与者偏头痛风险更高[比值比(OR)1.19,95%置信区间(CI)1.09,1.30],或咨询心理健康提供者的参与者偏头痛风险更高[比值比(OR)1.45,95%置信区间(CI)1.27,1.65]。尽管 RAS 同时增加了女性(OR 1.93)和男性(OR 2.42)的偏头痛风险(P < 0.001),但 RAS 男性的偏头痛风险高于 RAS 女性(P < 0.001)。RDS 和/或 RAS 的变异性仅可预测偏头痛障碍(人群水平)的 7%的变异性。

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