Krøll Lotte Skytte, Hammarlund Catharina Sjödahl, Westergaard Maria Lurenda, Nielsen Trine, Sloth Louise Bönsdorff, Jensen Rigmor Højland, Gard Gunvor
Department of Health Sciences, Lund University, P.O. Box 157, 221 00, Lund, Sweden.
Danish Headache Centre, Department of Neurology, Rigshospitalet-Glostrup, University of Copenhagen, Nordre Ringvej 69, 2600, Glostrup, Denmark.
J Headache Pain. 2017 Dec;18(1):46. doi: 10.1186/s10194-017-0753-y. Epub 2017 Apr 18.
The prevalence of migraine with co-existing tension-type headache and neck pain is high in the general population. However, there is very little literature on the characteristics of these combined conditions. The aim of this study was to investigate a) the prevalence of migraine with co-existing tension-type headache and neck pain in a clinic-based sample, b) the level of physical activity, psychological well-being, perceived stress and self-rated health in persons with migraine and co-existing tension-type headache and neck pain compared to healthy controls, c) the perceived ability of persons with migraine and co-existing tension-type headache and neck pain to perform physical activity, and d) which among the three conditions (migraine, tension-type headache or neck pain) is rated as the most burdensome condition.
The study was conducted at a tertiary referral specialised headache centre where questionnaires on physical activity, psychological well-being, perceived stress and self-rated health were completed by 148 persons with migraine and 100 healthy controls matched by sex and average age. Semi-structured interviews were conducted to assess characteristics of migraine, tension-type headache and neck pain.
Out of 148 persons with migraine, 100 (67%) suffered from co-existing tension-type headache and neck pain. Only 11% suffered from migraine only. Persons with migraine and co-existing tension-type headache and neck pain had lower level of physical activity and psychological well-being, higher level of perceived stress and poorer self-rated health compared to healthy controls. They reported reduced ability to perform physical activity owing to migraine (high degree), tension-type headache (moderate degree) and neck pain (low degree). The most burdensome condition was migraine, followed by tension-type headache and neck pain.
Migraine with co-existing tension-type headache and neck pain was highly prevalent in a clinic-based sample. Persons with migraine and co-existing tension-type headache and neck pain may require more individually tailored interventions to increase the level of physical activity, and to improve psychological well-being, perceived stress and self-rated health.
在普通人群中，偏头痛合并紧张型头痛和颈部疼痛的患病率很高。然而，关于这些合并病症特征的文献非常少。本研究的目的是调查：a）在一个基于门诊的样本中，偏头痛合并紧张型头痛和颈部疼痛的患病率；b）与健康对照相比，患有偏头痛合并紧张型头痛和颈部疼痛的人群的身体活动水平、心理健康状况、感知压力和自我健康评分；c）患有偏头痛合并紧张型头痛和颈部疼痛的人群进行身体活动的感知能力；d）三种病症（偏头痛、紧张型头痛或颈部疼痛）中哪一种被认为是最具负担的病症。
该研究在一家三级转诊专业头痛中心进行，148名偏头痛患者和100名按性别和平均年龄匹配的健康对照完成了关于身体活动、心理健康状况、感知压力和自我健康评分的问卷调查。进行了半结构化访谈以评估偏头痛、紧张型头痛和颈部疼痛的特征。
在148名偏头痛患者中，100名（67%）患有合并的紧张型头痛和颈部疼痛。只有11%仅患有偏头痛。与健康对照相比，患有偏头痛合并紧张型头痛和颈部疼痛的人群身体活动水平和心理健康状况较低，感知压力水平较高，自我健康评分较差。他们报告由于偏头痛（高度）、紧张型头痛（中度）和颈部疼痛（低度）而导致进行身体活动的能力下降。最具负担的病症是偏头痛，其次是紧张型头痛和颈部疼痛。
在一个基于门诊的样本中，偏头痛合并紧张型头痛和颈部疼痛非常普遍。患有偏头痛合并紧张型头痛和颈部疼痛的人群可能需要更具个性化的干预措施，以提高身体活动水平，并改善心理健康状况、感知压力和自我健康评分。
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