Istomina O I, Filatova E G, Latysheva N V
Zh Nevrol Psikhiatr Im S S Korsakova. 2013;113(1):5-10.
Authors conducted a clinical and psychological study in 3 groups of patients: 43 patients with medication overuse headache (MOH), 23 patients with chronic headache without medication overuse and 14 patients with episodic migraine. Along with clinical and neurological examination, the following questionnaires were administered: the McGill questionnaire, the Beck Depression Inventory, the Spielberger-Khanin test, the Toronto alexithymia scale, the Leonhard personality inventory and an inventory based on the Benzodiazepine Dependence Self-Report Questionnaire (BDSRQ). It was demonstrated similar clinical and psychological profiles, with the exception of BDSRQ scores, of patients with chronic headache irrelevant of the presence of headache abortive medication overuse. It was identified a progressive disease course with a formation of a specific behavioral pattern. Further studies are warranted to understand the reasons for acquiring behavioral dependence on analgetic medications, to improve management and prevent relapses of medication overuse headache.
43例药物过度使用性头痛（MOH）患者、23例无药物过度使用的慢性头痛患者和14例发作性偏头痛患者。除了临床和神经学检查外，还使用了以下问卷：麦吉尔问卷、贝克抑郁量表、斯皮尔伯格 - 卡宁测试、多伦多述情障碍量表、莱昂哈德人格量表以及基于苯二氮䓬依赖自我报告问卷（BDSRQ）的量表。结果显示，除BDSRQ评分外，有无头痛缓解药物过度使用的慢性头痛患者具有相似的临床和心理特征。研究发现了一种具有特定行为模式形成的渐进性病程。有必要进一步开展研究，以了解产生对镇痛药行为依赖的原因，改善管理并预防药物过度使用性头痛的复发。
