Department of Neurology, NYU Langone Medical Center, New York, New York, USA.
Department of Internal Medicine, NYU Langone Medical Center, New York, New York, USA.
J Neurol Neurosurg Psychiatry. 2016 Jul;87(7):741-9. doi: 10.1136/jnnp-2015-312233. Epub 2016 Jan 5.
Migraine is a highly prevalent and disabling neurological disorder associated with a wide range of psychiatric comorbidities. In this manuscript, we provide an overview of the link between migraine and several comorbid psychiatric disorders, including depression, anxiety and post-traumatic stress disorder. We present data on psychiatric risk factors for migraine chronification. We discuss the evidence, theories and methods, such as brain functional imaging, to explain the pathophysiological links between migraine and psychiatric disorders. Finally, we provide an overview of the treatment considerations for treating migraine with psychiatric comorbidities. In conclusion, a review of the literature demonstrates the wide variety of psychiatric comorbidities with migraine. However, more research is needed to elucidate the neurocircuitry underlying the association between migraine and the comorbid psychiatric conditions and to determine the most effective treatment for migraine with psychiatric comorbidity.
偏头痛是一种常见且使人丧失能力的神经系统疾病，与广泛的精神共病有关。在本文中，我们提供了偏头痛与几种精神共病之间联系的概述，包括抑郁、焦虑和创伤后应激障碍。我们提供了偏头痛慢性化的精神危险因素的数据。我们讨论了解释偏头痛和精神障碍之间病理生理联系的证据、理论和方法，如脑功能成像。最后，我们概述了治疗偏头痛合并精神共病的注意事项。总之，文献综述表明偏头痛与多种精神共病有关。然而，需要进一步的研究来阐明偏头痛与精神共病之间关联的神经回路，并确定治疗偏头痛合并精神共病的最有效方法。
