Jerome Albert, Holroyd Kenneth A, Theofanous Angelo G, Pingel Jeffrey D, Lake Alvin E, Saper Joel R
Department of Psychology, Ohio University, Athens, OH 45701 U.S.A. Michigan Headache and Neurological Institute, 3120 Professional Drive, Ann Arbor, MI 48104 U.S.A.
Pain. 1988 Jul;34(1):35-42. doi: 10.1016/0304-3959(88)90179-0.
We compared cluster headache pain and other vascular (migraine and mixed) headache pain on pain intensity ratings and the McGill Pain Questionnaire (MPQ). Cluster headache sufferers reported not only more intense pain and more affective distress, but also different pain qualities than did migraine and mixed headache sufferers. The pain qualities that best distinguished cluster headaches from other vascular headaches were the presence of punctate pressure and thermal sensations and the absence of dull pain. Although cluster headache sufferers and other vascular headache sufferers endorsed different sensory pain qualities, MPQ subscales proved no better than pain intensity ratings at distinguishing these two groups. This finding may have occurred because MPQ subscale scores include an intensity component and do not provide information about specific pain qualities such as that provided by MPQ sensory items. These findings provide evidence that cluster headaches are characterized by distinct pain qualities and are not simply a more intense version of the same vascular headache pain experienced by migraine and mixed headache sufferers. They further suggest than when the MPQ is used to assess specific pain qualities, sensory items and not the sensory subscale are the preferred units for analysis.
我们比较了丛集性头痛疼痛与其他血管性（偏头痛和混合型）头痛疼痛在疼痛强度评分及麦吉尔疼痛问卷（MPQ）方面的情况。丛集性头痛患者不仅报告了更强烈的疼痛和更多的情感痛苦，而且与偏头痛和混合型头痛患者相比，疼痛性质也有所不同。最能将丛集性头痛与其他血管性头痛区分开来的疼痛性质是点状压痛和热感的存在以及钝痛的缺失。尽管丛集性头痛患者和其他血管性头痛患者认可不同的感觉性疼痛性质，但在区分这两组患者方面，MPQ分量表并不比疼痛强度评分更有效。这一发现可能是因为MPQ分量表得分包含强度成分，并且没有提供有关特定疼痛性质的信息，如MPQ感觉项所提供的信息。这些发现提供了证据，表明丛集性头痛具有独特的疼痛性质，并非仅仅是偏头痛和混合型头痛患者所经历的相同血管性头痛疼痛的更强烈版本。它们进一步表明，当使用MPQ评估特定疼痛性质时，感觉项而非感觉分量表是首选的分析单位。
