Demir Ulku Fıgen, Bozkurt Oya
Neurology Department of Istanbul, Yeni Yüzyıl University School of Medicine, Istanbul, Turkey.
Psychiatry Department of Istanbul Yeni Yüzyıl University School of Medicine, Istanbul 34245, Turkey.
Ideggyogy Sz. 2020 Mar 30;73(3-4):129-134. doi: 10.18071/isz.73.0129.
The aim of this study was to evaluate the frequency and characteristics of attacks in patients with migraine, to determine the effects of anxiety or depressive symptoms, and to evaluate the marital relationships of patients with migraine.
Thirty patients who were admitted to the neurology outpatient clinic of our hospital between July 2018 and October 2018 and were diagnosed with migraine according to the 2013 International Headache Society (IHS) diagnostic criteria were included in this cross-sectional study. Age, sex, headache frequency and severity, depressive traits, marital satisfaction and anxiety status were examined. We used the Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Maudsley Marital Questionnaire (MMQ) and Visual Analogue Scale (VAS) for measuring relevant parameters.
The mean severity of migraine pain according to VAS scale was 6.93 ± 1.41 and the mean number of migraine attacks was 4.50 ± 4.24. The mean BDI score of the patients was 12.66 ± 8.98, the mean MMQ-M score was 19.80 ± 12.52, the mean MMQ-S score was 13.20 ± 9.53, the mean STAI-state score was 39.93 ± 10.87 and the mean STAI-trait score was 45.73 ± 8.96. No significant correlation was found between age, number of migraine attacks, migraine duration, migraine headache intensity, and BDI, STAI and MMQ scores (p>0.05). But there was a positive correlation between MMQ-S and scores obtained from the BDI and STAI-state scales (p<0.05).
In this study more than half of the migraine patients had mild, moderate or severe depression. A positive correlation was found between sexual dissatisfaction and scale scores of depression and anxiety.
本研究旨在评估偏头痛患者发作的频率及特征，确定焦虑或抑郁症状的影响，并评估偏头痛患者的婚姻关系。
本横断面研究纳入了2018年7月至2018年10月期间在我院神经内科门诊就诊且根据2013年国际头痛协会（IHS）诊断标准被诊断为偏头痛的30例患者。对年龄、性别、头痛频率与严重程度、抑郁特质、婚姻满意度及焦虑状态进行了检查。我们使用贝克抑郁量表（BDI）、状态-特质焦虑量表（STAI）、莫兹利婚姻问卷（MMQ）和视觉模拟量表（VAS）来测量相关参数。
根据VAS量表，偏头痛疼痛的平均严重程度为6.93±1.41，偏头痛发作的平均次数为4.50±4.24。患者的平均BDI评分为12.66±8.98，平均MMQ-M评分为19.80±12.52，平均MMQ-S评分为13.20±9.53，平均STAI-状态评分为39.93±10.87，平均STAI-特质评分为45.73±8.96。年龄、偏头痛发作次数、偏头痛持续时间、偏头痛头痛强度与BDI、STAI和MMQ评分之间未发现显著相关性（p>0.05）。但MMQ-S与BDI及STAI-状态量表获得的评分之间存在正相关（p<0.05）。
在本研究中，超过一半的偏头痛患者有轻度、中度或重度抑郁。发现性方面的不满与抑郁和焦虑量表评分之间存在正相关。
