Murphy A I, Lehrer P M
Psychological Center, Colorado Springs.
Behav Med. 1990 Spring;16(1):23-30. doi: 10.1080/08964289.1990.9934588.
Seventeen carefully screened muscle contraction headache sufferers were tested in both the headache and the nonheadache state. At baseline, forehead and trapezius EMG were higher, whereas finger temperature and finger blood volume were lower in the headache than the nonheadache state. At a borderline level, physiological reactivity was greater during the headache than the nonheadache state in response to a reaction-time stressor. During the headache state, subjects also reported themselves to be more anxious, depressed, and angry than they were in the nonheadache state and said they felt themselves to be more hassled by external stressors and less able to cope with, prevent, and control their headaches. The findings are consistent with the notion that shoulder/neck tension and emotional arousal contribute to tension headaches. Evidence is less clear for the contribution of vasomotor factors and general physiological reactivity.
17名经过仔细筛选的肌肉收缩性头痛患者在头痛和非头痛状态下均接受了测试。在基线时，与非头痛状态相比，头痛状态下前额和斜方肌的肌电图较高，而手指温度和手指血容量较低。在临界水平上，头痛状态下对反应时间应激源的生理反应性比非头痛状态下更大。在头痛状态下，受试者还报告说，与非头痛状态相比，他们更加焦虑、抑郁和愤怒，并且表示他们感觉自己受到外部应激源的困扰更大，应对、预防和控制头痛的能力更弱。这些发现与肩部/颈部紧张和情绪唤醒导致紧张性头痛的观点一致。关于血管运动因素和一般生理反应性的作用，证据尚不太明确。
