Andrasik Frank, Kabela Elise, Quinn Stephen, Attanasio Virginia, Blanchard Edward B, Rosenblum Edwin L
Dept. of Psychology, University of West Florida, Pensacola, FL 32514-5751 U.S.A. Dept. of Psychology, State University of New York, Albany, NYU.S.A.
Pain. 1988 Jul;34(1):43-52. doi: 10.1016/0304-3959(88)90180-7.
Thirty-two children experiencing recurrent migraine, aged 8-17, were compared to 32 non-headache peer controls matched for age, sex, and social class. Each child completed an extensive battery of psychological tests, which consisted of (1) the Children's Depression Inventory (for children aged 8-13) or the Beck Depression Inventory (for children 14 and above), (2) the State-Trait Anxiety Inventory for Children (ages 8-12) or the State-Trait Anxiety Inventory, Form X (ages 13 and above), (3) the Children's Depression Rating Scale, (4) the Personality Inventory for Children, (5) the Child Behavior Checklist, (6) the Psychosomatic Symptom Checklist, SUNYA Revision, (7) the Children's Social Readjustment Rating Questionnaire, (8) the Wide Range Achievement Test for Reading, and (9) the Peabody Picture Vocabulary Test, Form L. Children with migraine revealed higher scores on all scales measuring depression and somatic complaints; adolescent headache sufferers also revealed increased levels of trait anxiety. Older male headache sufferers revealed the poorest overall level of adjustment as reflected by scores on the Adjustment scale of the Personality Inventory for Children. It was argued that the psychological differences were most likely a consequence of the migraineurs having to live with frequent, unpredictable attacks of intense pain. However, the correlational nature of this study does not make it possible to rule out alternative explanations.
32名8至17岁患有复发性偏头痛的儿童与32名在年龄、性别和社会阶层方面匹配的无头痛同龄人对照组进行了比较。每个孩子都完成了一系列广泛的心理测试，这些测试包括：(1) 儿童抑郁量表（适用于8至13岁儿童）或贝克抑郁量表（适用于14岁及以上儿童）；(2) 儿童状态-特质焦虑量表（适用于8至12岁儿童）或状态-特质焦虑量表X型（适用于13岁及以上儿童）；(3) 儿童抑郁评定量表；(4) 儿童个性问卷；(5) 儿童行为清单；(6) 心身症状清单，SUNYA修订版；(7) 儿童社会再适应评定问卷；(8) 广泛阅读成就测试；(9) 皮博迪图片词汇测试L型。患有偏头痛的儿童在所有测量抑郁和躯体不适的量表上得分更高；青少年头痛患者的特质焦虑水平也有所增加。年龄较大的男性头痛患者在儿童个性问卷的适应量表上的得分反映出总体适应水平最差。有人认为，心理差异很可能是偏头痛患者不得不忍受频繁、不可预测的剧烈疼痛发作的结果。然而，这项研究的相关性性质使得无法排除其他解释。
