创伤后应激障碍的共存使创伤后头痛导致的残疾情况更加复杂。
Disability from posttraumatic headache is compounded by coexisting posttraumatic stress disorder.
作者信息
Roper Louise S, Nightingale Peter, Su Zhangjie, Mitchell James L, Belli Antonio, Sinclair Alexandra J
机构信息
Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham.
Centre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners.
出版信息
J Pain Res. 2017 Aug 21;10:1991-1996. doi: 10.2147/JPR.S129808. eCollection 2017.
BACKGROUND
Posttraumatic headache (PTH) occurs in up to 82% of patients with traumatic brain injury (TBI). Posttraumatic stress disorder (PTSD) occurs in 39% of those with PTH. This study evaluates whether PTSD affects PTH disability.
METHODS
Eighty-six patients with TBI were prospectively evaluated in a secondary care trauma center. Headache disability was assessed using the Headache Impact Test version 6 and signs indicative of PTSD using the PTSD Check List Civilian version.
RESULTS
Increased PTSD-type symptoms were significantly associated with increased headache disability (<0.001), as were employment status and loss of consciousness (=0.049 and 0.016, respectively). Age was negatively correlated with headache disability (Spearman's correlation rho=0.361, =0.001).
CONCLUSION
Increased severity of PTSD-type symptoms is significantly associated with increased headache disability in patients with chronic PTH. Managing PTSD symptoms in patients with chronic PTH may facilitate headache management.
背景
创伤性脑损伤（TBI）患者中高达82%会出现创伤后头痛（PTH）。创伤后应激障碍（PTSD）在PTH患者中的发生率为39%。本研究评估PTSD是否会影响PTH导致的功能障碍。
方法
在一家二级护理创伤中心对86例TBI患者进行前瞻性评估。使用头痛影响测试第6版评估头痛功能障碍，使用PTSD检查表民用版评估PTSD相关体征。
结果
PTSD类型症状的增加与头痛功能障碍的增加显著相关（<0.001），就业状况和意识丧失也与之相关（分别为=0.049和0.016）。年龄与头痛功能障碍呈负相关（斯皮尔曼相关系数rho=0.361，=0.001）。
结论
PTSD类型症状严重程度的增加与慢性PTH患者头痛功能障碍的增加显著相关。对慢性PTH患者的PTSD症状进行管理可能有助于头痛的治疗。
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