Nattero G, De Lorenzo C, Biale L, Allais G, Torre E, Ancona M
Headache. 1989 Feb;29(2):93-9. doi: 10.1111/j.1526-4610.1989.hed2902093.x.
Sometimes the relaxation after stress may trigger a migraine attack. This is the principle that underlies that particular variant of migraine called "weekend headache". We hypothesize the presence in weekend headache prone subjects of a particular psychological background, different from that of common migraine sufferers. In order to detect possible differences supporting our hypothesis, we studied 104 new outpatients: 46 patients suffering from headache only on weekends (23 males and 23 females) and 58 matched common migraineurs (26 males and 32 females) with no weekend predilection. The psychological assessment was performed using the following psychometric tools: MMPI, BDI, STAIX1-X2. A clinical assessment of each patient was also carried out. Significant differences were found after statistically analyzing the test results. Most of the MMPI scales were found to be more elevated in both male and female weekend headache sufferers. From a clinical point of view, the weekend headache attacks proved to be similar to those of common migraine, but with a significantly higher incidence of concomitant symptoms. Our study confirms the important role that psychological factors play in the pathogenesis and clinical development of migraine and leads us to conclude that a psychic tension component is associated with the vascular one in weekend headache.
有时，压力后的放松可能会引发偏头痛发作。这就是被称为“周末头痛”的那种特殊类型偏头痛的发病原理。我们推测，易患周末头痛的人群具有一种特殊的心理背景，与普通偏头痛患者不同。为了发现支持我们这一假设的可能差异，我们研究了104名新门诊患者：46名仅在周末头痛的患者（23名男性和23名女性）以及58名匹配的无周末偏好的普通偏头痛患者（26名男性和32名女性）。使用以下心理测量工具进行心理评估：明尼苏达多相人格调查表（MMPI）、贝克抑郁量表（BDI）、STAIX1 - X2。还对每位患者进行了临床评估。对测试结果进行统计分析后发现了显著差异。发现MMPI的大多数量表在男性和女性周末头痛患者中得分都更高。从临床角度来看，周末头痛发作被证明与普通偏头痛相似，但伴随症状的发生率明显更高。我们的研究证实了心理因素在偏头痛发病机制和临床发展中所起的重要作用，并使我们得出结论，在周末头痛中，精神紧张成分与血管成分相关。
