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情感障碍墨西哥青少年偏头痛。

Migraine in affectively ill Mexican adolescents.

机构信息

Comprehensive Doctors Medical Group, Inc., Arcadia, CA, USA.

出版信息

World Psychiatry. 2009 Feb;8(1):37-9.

PMID:20157635
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2821071/
Abstract

The objective of this cross-sectional study was to determine the prevalence of migraine headache among depressed Latino adolescents of Mexican American origin. This is, to the best of our knowledge, the first study of the prevalence of migraine among depressed adolescents of any ethnic/racial background. In a mental health clinic for the indigent, 132 consecutive Latino adolescents fulfilling the DSM-IV criteria for major depressive episode were compared with a sample of adolescents with other mental disorders. Logistic regression was used to test for associations and control for confounding effects. The prevalence of migraine headache among depressed adolescents was 6 times greater than that of the comparison patients (OR = 5.98, z = 2.35, p = 0.019). This finding is consistent with previously published reports involving adult samples, in which the prevalence of migraine was found to exceed that in the general population. However, contrary to what we previously found in Latino adults, the prevalence of migraine was not higher in bipolar than in unipolar adolescents.

摘要

这项横断面研究的目的是确定具有墨西哥裔美国血统的抑郁拉丁裔青少年偏头痛头痛的患病率。据我们所知,这是第一项针对任何族裔/种族背景的抑郁青少年偏头痛患病率的研究。在为贫困者提供的心理健康诊所中,对 132 名连续符合 DSM-IV 重性抑郁发作标准的拉丁裔青少年与其他精神障碍患者的样本进行了比较。使用逻辑回归检验关联并控制混杂效应。抑郁青少年偏头痛头痛的患病率是对照组的 6 倍(OR=5.98,z=2.35,p=0.019)。这一发现与先前涉及成年样本的报告一致,其中偏头痛的患病率高于普通人群。然而,与我们之前在拉丁裔成年人中发现的情况相反,双相情感障碍青少年的偏头痛患病率并不高于单相情感障碍青少年。

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本文引用的文献

1
Migraine headache in affectively ill latino adults of mexican american origin is associated with bipolarity.在具有墨西哥裔美国人血统的患情感性疾病的拉丁裔成年人中,偏头痛与双相情感障碍有关。
Prim Care Companion J Clin Psychiatry. 2009;11(6):302-6. doi: 10.4088/PCC.08m00728.
2
How best to identify a bipolar-related subtype among major depressive patients without spontaneous hypomania: superiority of age at onset criterion over recurrence and polarity?如何在无自发轻躁狂的重度抑郁患者中最好地识别双相相关亚型:起病年龄标准相对于复发和极性的优越性?
J Affect Disord. 2008 Apr;107(1-3):77-88. doi: 10.1016/j.jad.2007.07.032. Epub 2007 Sep 12.
3
Headache prevalence among adolescents--the German DMKG headache study.青少年头痛患病率——德国DMKG头痛研究
Cephalalgia. 2007 Apr;27(4):347-54. doi: 10.1111/j.1468-2982.2007.01289.x.
4
Comorbidity was associated with neurologic and psychiatric diseases: a general practice-based controlled study.共病与神经和精神疾病相关:一项基于全科医疗的对照研究。
J Clin Epidemiol. 2006 Dec;59(12):1274-84. doi: 10.1016/j.jclinepi.2006.01.005. Epub 2006 May 30.
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Psychiatric comorbidity of migraine.偏头痛的精神共病
Headache. 2006 Oct;46(9):1327-33. doi: 10.1111/j.1526-4610.2006.00576.x.
6
The prevalence and impact of migraine headache in bipolar disorder: results from the Canadian Community Health Survey.双相情感障碍中偏头痛的患病率及影响:加拿大社区健康调查结果
Headache. 2006 Jun;46(6):973-82. doi: 10.1111/j.1526-4610.2006.00469.x.
7
Migraine aura without headache compared to migraine with aura in patients with affective disorders.情感障碍患者中无头痛性偏头痛先兆与有先兆偏头痛的比较
J Headache Pain. 2005 Oct;6(5):378-86. doi: 10.1007/s10194-005-0236-4. Epub 2005 Aug 1.
8
Neuropsychiatric aspects of migraine.偏头痛的神经精神方面
Curr Psychiatry Rep. 2005 Oct;7(5):371-5. doi: 10.1007/s11920-005-0039-y.
9
Pain complaints in adolescent patients with affective disorders versus adolescent psychiatric controls.患有情感障碍的青少年患者与青少年精神科对照者的疼痛主诉。
Prim Care Companion J Clin Psychiatry. 2005;7(4):150-4. doi: 10.4088/pcc.v07n0402.
10
The prevalence of migraine and tension-type headaches among adolescents in Norway. The Nord-Trøndelag Health Study (Head-HUNT-Youth), a large population-based epidemiological study.挪威青少年中偏头痛和紧张型头痛的患病率。北特伦德拉格健康研究(Head-HUNT-Youth),一项基于人群的大型流行病学研究。
Cephalalgia. 2004 May;24(5):373-9. doi: 10.1111/j.1468-2982.2004.00680.x.