Head and Neck Research Group, Research Centre, Akershus University Hospital, Lørenskog, Norway.
Acta Neurol Scand. 2011 Dec;124(6):375-82. doi: 10.1111/j.1600-0404.2011.01490.x. Epub 2011 Feb 25.
To explore the relationship between chronic tension-type headache (CTTH) and psychological factors (personality traits and psychological distress) in a population-based sample and to determine the influence of headache frequency and medication days.
An age- and sex-stratified random sample of 30,000 persons aged 30-44 years from the general population received a mailed questionnaire. Those with a self-reported chronic headache were interviewed by neurological residents. The questionnaire response rate was 71%, and the rate of participation in the interview was 74%. The International Classification of Headache Disorders was used. Personality traits were assessed by the Eysenck Personality Questionnaire (EPQ), neuroticism and lie scale, and level of psychological distress, by the Hopkins Symptom Checklist-25 (HSCL-25). For comparison, cross-sectional data from the Danish and the Norwegian general population using the same instruments were used.
Persons with CTTH had a significantly higher neuroticism score and a significantly higher level of psychological distress than the general population. Headache- or medication days per month had no significant influence on the neuroticism- and lie scores or the HSCL-25 score.
Persons with CTTH have a high level of neuroticism and psychological distress. This can be either a primary or a secondary effect related to the premorbid psyche or caused by the chronic pain and is a question that future studies should address.
在基于人群的样本中探索慢性紧张型头痛（CTTH）与心理因素（人格特质和心理困扰）之间的关系，并确定头痛频率和用药天数的影响。
从一般人群中按年龄和性别分层随机抽取 30000 名年龄在 30-44 岁的人群，发放邮寄问卷。那些报告有慢性头痛的人由神经科住院医师进行访谈。问卷的回复率为 71%，参与访谈的比例为 74%。采用国际头痛疾病分类。人格特质采用艾森克人格问卷（EPQ）、神经质和谎言量表评估，心理困扰程度采用霍普金斯症状清单-25（HSCL-25）评估。为了比较，还使用了相同工具的丹麦和挪威一般人群的横断面数据。
CTTH 患者的神经质评分和心理困扰程度明显高于一般人群。每月头痛或用药天数对神经质和谎言评分或 HSCL-25 评分没有显著影响。
CTTH 患者有较高的神经质和心理困扰。这可能是与发病前心理有关的原发性或继发性影响，也可能是由慢性疼痛引起的，这是未来研究应该解决的问题。
