Department of Psychiatry, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
J Cell Mol Med. 2019 Jul;23(7):4505-4513. doi: 10.1111/jcmm.14390. Epub 2019 May 20.
Migraine comorbid with depression is common and is often encountered in clinical practice. The comorbidity may lead to more serious conditions with other symptoms and a longer duration of treatment and it may impose heavy economic and social burdens, directly or indirectly, on patients and their families. Numerous studies have been published on the association of migraine with depression. Numerous literature have showed that the comorbidity may have a common complicated pathogenic mechanism involving biopsychosocial characteristics, including abnormal brain development and shared genetic basis, as well as neurotransmitters, sex hormones and stress. In addition, some studies have identified the multiple, bidirectional relationship between migraine and depressive disorder. We searched the literature for the possible common mechanisms between migraine and depression and classified the research results.
偏头痛伴发抑郁较为常见,在临床实践中经常遇到。这种共病可能导致其他症状更严重,治疗时间更长,并直接或间接地给患者及其家庭带来沉重的经济和社会负担。关于偏头痛与抑郁的相关性,已经发表了大量研究。大量文献表明,这种共病可能具有共同的复杂发病机制,涉及生物心理社会特征,包括异常的大脑发育和共同的遗传基础,以及神经递质、性激素和应激。此外,一些研究已经确定了偏头痛和抑郁障碍之间的多种双向关系。我们在文献中搜索了偏头痛和抑郁之间可能存在的共同机制,并对研究结果进行了分类。