Abu-Arafeh Ishaq
Paediatric Neurosciences Unit, Royal Hospital for Children, Glasgow G51 4TF, UK.
J Clin Med. 2023 Apr 4;12(7):2683. doi: 10.3390/jcm12072683.
It has been observed that there is a higher-than-expected risk of anxiety and depression in children with chronic headache and also an increased risk for the persistence of headache in patients with anxiety and depression.
This review aims to identify and assess the relationships between primary headache disorders and comorbid emotional and psychological disorders.
A targeted review of the literature was carried out.
The associations between the disorders are more pronounced in clinic patients, who may represent the severe end of the headache spectrum, but less clear in patients who were identified in population-based studies and who may represent the "average" child with headache or the "average" child with psychological disorders.
Understanding this bidirectional association of comorbid disorders is of great importance to offering a holistic biopsychosocial approach to the management of headache disorders in children and adolescents and in addressing the risks for and the co-existence of psychological comorbidities.
据观察，慢性头痛儿童出现焦虑和抑郁的风险高于预期，同时焦虑和抑郁患者头痛持续的风险也有所增加。
本综述旨在识别和评估原发性头痛障碍与共病的情绪和心理障碍之间的关系。
对文献进行了有针对性的综述。
这些障碍之间的关联在临床患者中更为明显，这些患者可能代表了头痛谱系的严重一端，但在基于人群的研究中识别出的患者中则不太明确，这些患者可能代表患有头痛的“普通”儿童或患有心理障碍的“普通”儿童。
了解共病障碍的这种双向关联对于为儿童和青少年头痛障碍的管理提供整体的生物心理社会方法以及解决心理共病的风险和共存至关重要
