偏头痛患者的认知功能和心理症状:有先兆和无先兆偏头痛患者的研究。

Cognitive functions and psychological symptoms in migraine: a study on patients with and without aura.

机构信息

a IRCCS Centro Neurolesi "Bonino-Pulejo" , Messina , Italy.

b Department of Biomedical and Dental Sciences and Morphological and Functional Imaging , University of Messina , Messina , Italy.

出版信息

Int J Neurosci. 2019 Jun;129(6):588-592. doi: 10.1080/00207454.2018.1554658. Epub 2018 Dec 23.

Abstract

AIM

Migraine is neurological disorder with a complex pathophysiology. We described the neuropsychological profile of 100 migraineurs (50 with visual aura and 50 without aura), in interictal phase, compared to 50 matched healthy controls.

MATERIALS AND METHODS

A battery of standardized neuropsychological tests was used to assess attention, memory and executive functions. Beck Depression Inventory and Hamilton Rating Scale for Anxiety were used to evaluate anxiety and depressive symptoms. Severity of disability during daily activities was assessed by Migraine Disability Assessment.

RESULTS

Migraine without aura showed a significant difference in comparison to healthy controls in semantic verbal fluency (p = 0.02), delayed memory (p < 0.001) and set-shifting (p < 0.001). Migraine with aura showed a significant difference in delayed memory (p = 0.001) and set-shifting (p = 0.005) if compared to healthy controls. No significant correlation between cognitive functions and mood was found (HAM-A p = 0.67) (BDI-II p = 0.42).

CONCLUSIONS

Our data showed isolate and specific cognitive deficit during interictal phase in migraine patients. Future studies are need to identify if specific migraine characteristics may affect cognitive functions.

摘要

目的

偏头痛是一种具有复杂病理生理学的神经系统疾病。我们描述了 100 例偏头痛患者(50 例有视觉先兆,50 例无先兆)在间歇期的神经心理学特征,并与 50 名匹配的健康对照进行了比较。

材料和方法

使用一系列标准化的神经心理学测试来评估注意力、记忆和执行功能。使用贝克抑郁量表和汉密尔顿焦虑量表评估焦虑和抑郁症状。偏头痛残疾评估用于评估日常活动中的残疾严重程度。

结果

与健康对照组相比,无先兆偏头痛在语义流畅性(p=0.02)、延迟记忆(p<0.001)和定势转移(p<0.001)方面存在显著差异。与健康对照组相比,有先兆偏头痛在延迟记忆(p=0.001)和定势转移(p=0.005)方面存在显著差异。认知功能与情绪之间没有显著相关性(HAM-A p=0.67)(BDI-II p=0.42)。

结论

我们的数据显示,偏头痛患者在间歇期存在孤立和特定的认知缺陷。需要进一步的研究来确定特定的偏头痛特征是否会影响认知功能。

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