Department of Pediatrics, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo, 663-8501, Japan.
Curr Pain Headache Rep. 2022 Jun;26(6):469-474. doi: 10.1007/s11916-022-01045-7. Epub 2022 Mar 28.
The purpose of this review was to summarize current reports regarding emotional problems in children and adolescents with primary headaches. Emotional problems include those related to personality, psychiatric, and neurodevelopmental disorders.
Alexithymia-like characteristics and internalized personality characteristics are considered to worsen primary headaches. Comorbid psychiatric traits such as depression and anxiety have been observed. When neurodevelopmental disorders coexist, it is necessary to pay attention not only to emotional problems but also to the side effects of concomitant drug and history of abuse. There are few reports with strong evidence for the pharmacological treatment of headaches accompanied by emotional problems. Understanding emotional problems at an initial consultation and examining the application of psychotherapy could help improve the outcome of headaches in children and adolescents.
本篇综述旨在总结目前关于儿童和青少年原发性头痛伴发情绪问题的相关报告。情绪问题包括与人格、精神和神经发育障碍相关的问题。
类似心象困难的特征和内化人格特征被认为会加重原发性头痛。也观察到共患精神特质，如抑郁和焦虑。当神经发育障碍并存时，不仅需要关注情绪问题，还需要关注伴随药物的副作用和滥用史。对于伴有情绪问题的头痛的药物治疗，仅有少数报告具有较强的证据支持。在初始咨询时了解情绪问题并检查心理治疗的应用，可能有助于改善儿童和青少年头痛的预后。
