偏头痛：临床模式与精神共病
Migraine: Clinical pattern and psychiatric comorbidity.
作者信息
Bhatia Manjeet Singh, Gupta Ravi
机构信息
Department of Psychiatry, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India.
出版信息
Ind Psychiatry J. 2012 Jan;21(1):18-21. doi: 10.4103/0972-6748.110943.
BACKGROUND
Migraine is a common disorder which has psychiatric sequelae.
OBJECTIVE
The objective of this study was to determine the clinical pattern and psychiatric comorbidity of migraine.
MATERIALS AND METHODS
100 cases of migraine seen over a period of one year were analysed to know the sociodemographic characteristics, clinical pattern and psychiatric morbidity.
RESULTS
Maximum patients were between 31-40 years of age group (40%), females (78.0%), married (76%) and housewives (56.0%). Family history of migraine was present in 12% cases. Average age of onset was 22 years. Unilateral and throbbing type of headache was most common. The commonest frequency was one to two per week. Migraine without aura was commonest sub-type (80%). Generalized anxiety disorder (F41.1) was the most common psychiatric disorder (34%), followed by mixed anxiety and depressive disorder (F41.2) (18%) and depressive episode (F32) (14%). In 22% cases, no psychiatric disorder could be elicited.
CONCLUSION
The present study confirms that majority patients with migraine had psychiatric disorders. This needs timely detection and appropriate intervention to treat and control the migraine effectively.
背景
偏头痛是一种常见疾病，会引发精神后遗症。
目的
本研究的目的是确定偏头痛的临床模式和精神共病情况。
材料与方法
对一年内诊治的100例偏头痛患者进行分析，以了解其社会人口学特征、临床模式和精神疾病发病率。
结果
最大患者群体为31 - 40岁年龄组（40%），女性（78.0%），已婚（76%），家庭主妇（56.0%）。12%的病例有偏头痛家族史。平均发病年龄为22岁。单侧搏动性头痛最为常见。最常见的发作频率是每周一至两次。无先兆偏头痛是最常见的亚型（80%）。广泛性焦虑障碍（F41.1）是最常见的精神疾病（34%），其次是混合性焦虑和抑郁障碍（F41.2）（18%）以及抑郁发作（F32）（14%）。22%的病例未发现精神疾病。
结论
本研究证实大多数偏头痛患者患有精神疾病。这需要及时检测并进行适当干预，以有效治疗和控制偏头痛。
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