Philips H C, Jahanshahi M
Division of Psychology, Department of Psychiatry, Shaughnessy Hospital, Vancouver B.C.Canada Department of Psychology, Institute of Psychiatry, LondonU.K.
Pain. 1985 Feb;21(2):163-176. doi: 10.1016/0304-3959(85)90286-6.
A survey of the psychological characteristics of a large sample of chronic headache cases (n = 360), including classical and common migraine and tension headache sufferers, was carried out. Comparing groups defined in terms of the chronicity of their headache problems, it was found that those with a longer history of headache had a higher level of behavioural disruption and a stronger bond between pain experience, and both complaint levels and behavioural avoidance patterns. Despite the common somatic components (sleep disturbance, fatigue, irritability, etc.), depression was not found to be elevated in this chronic pain group. In addition, there was no evidence of depression levels being higher in the populations who had had a longer history of headache problems. Higher levels of complaint were found in those with higher depression and higher extroversion and neuroticism scores. Behavioural avoidance was significantly related to the emotional reaction component of pain. The implications of these findings with respect to the development of chronic headache are discussed.
对大量慢性头痛病例样本（n = 360）进行了一项心理特征调查，这些病例包括典型偏头痛、普通偏头痛和紧张性头痛患者。通过比较根据头痛问题慢性程度定义的各组，发现头痛病史较长的患者行为紊乱程度更高，疼痛体验、主诉水平和行为回避模式之间的关联更强。尽管存在常见的躯体症状（睡眠障碍、疲劳、易怒等），但在这个慢性疼痛组中未发现抑郁水平升高。此外，没有证据表明头痛问题病史较长的人群抑郁水平更高。在抑郁、外向性和神经质得分较高的人群中发现了更高的主诉水平。行为回避与疼痛的情绪反应成分显著相关。讨论了这些发现对慢性头痛发展的影响。
