丛集性头痛与述情障碍、抑郁和焦虑的关系。
The relation of cluster headache to alexithymia, depression, and anxiety.
机构信息
Nigde Omer Halisdemir University, Faculty of Medicine, Department of Neurology, Nigde, Turkey.
Mugla Sitki Kocman University, Institute of Health Sciences, Department of Physiotherapy and Rehabilitation, Mugla, Turkey.
出版信息
Arq Neuropsiquiatr. 2024 Nov;82(11):1-5. doi: 10.1055/s-0044-1791516. Epub 2024 Nov 3.
BACKGROUND
The pathophysiology of cluster headaches (CHs) involves the trigeminovascular system, the parasympathetic nervous system, and the hypothalamus. Because of the affected hypothalamus, there may be limbic system involvement in CH.
OBJECTIVE
To investigate the relationship between depression, anxiety, and alexithymia in CH, to demonstrate that the limbic system is affected.
METHODS
A total of 18 patients with CHs who were outside of cluster period and 18 healthy controls were included. Participants were administered the Beck depression inventory (BDI), Beck anxiety inventory (BAI), and Toronto alexithymia scale-20 (TAS-20).
RESULTS
Patients with CHs had significantly higher rates of alexithymia ( = 0.003) and depression ( = 0.014) than controls. There was no significant difference in anxiety levels ( = 0.297) between groups.
CONCLUSION
It was shown that, in addition to previously identified psychiatric disorders, alexithymia can accompany CHs in patients.
背景
丛集性头痛（CH）的病理生理学涉及三叉神经系统、副交感神经系统和下丘脑。由于下丘脑受到影响，CH 可能涉及边缘系统。
目的
研究 CH 中抑郁、焦虑和述情障碍之间的关系，以证明边缘系统受到影响。
方法
共纳入 18 例处于丛集期外的 CH 患者和 18 名健康对照者。参与者接受贝克抑郁量表（BDI）、贝克焦虑量表（BAI）和多伦多述情障碍量表-20 （TAS-20）评估。
结果
CH 患者的述情障碍（ = 0.003）和抑郁（ = 0.014）发生率明显高于对照组。两组间焦虑水平无显著差异（ = 0.297）。
结论
除了先前确定的精神障碍外，述情障碍也可能伴随 CH 患者出现。
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