Kröner-Herwig B, Diergarten D, Diergarten D, Seeger-Siewert R
Department of Psychology, University of Düsseldorf, F.R.G.
J Psychosom Res. 1988;32(4-5):483-92. doi: 10.1016/0022-3999(88)90033-5.
The assumption of a specific migraine-related psychophysiological response stereotype under conditions of stress, recovery and relaxation was examined in 37 migraineurs (non-headache state) and 44 normal controls. Two stressors were presented, industrial noise and a 'social discomfort' situation, each was followed by a recovery period. Relaxation was induced by verbal instructions accompanied by soft music. The following physiological measures were assessed: pulse volume amplitude (fronto-temporal and digital), skin temperature (fronto-temporal and digital) and skin resistance responses. Results showed no group differences in responses to the stressors. Physiological recovery from stress was delayed in migraineurs in the electrodermal parameter. During relaxation, migraineurs showed less digital vasodilation than the controls. Overall, physiological and subjective responses differed between the two stressors. The hypothesis of a specific vasomotor stress response stereotype in migraineurs could not be corroborated. The observed differences in relaxation and recovery were hypothesized. But the overall results are not easily explained on the grounds of a coherent model (e.g. elevated sympathetic arousal level).
在37名偏头痛患者（非头痛状态）和44名正常对照者中，研究了在应激、恢复和放松状态下与偏头痛相关的特定心理生理反应模式的假设。呈现了两种应激源，工业噪声和“社交不适”情境，每种应激源之后都有一个恢复期。通过伴有轻柔音乐的言语指导诱导放松。评估了以下生理指标：脉搏容积振幅（额颞部和手指）、皮肤温度（额颞部和手指）和皮肤电阻反应。结果显示，对应激源的反应没有组间差异。在皮电参数方面，偏头痛患者从应激状态恢复的生理过程有所延迟。在放松过程中，偏头痛患者手指血管舒张程度低于对照组。总体而言，两种应激源的生理和主观反应有所不同。偏头痛患者存在特定血管运动应激反应模式的假设未得到证实。观察到的放松和恢复方面的差异是基于假设的。但总体结果难以用一个连贯的模型（如交感神经兴奋水平升高）来解释。
