头痛患者的心理生理特征。

Psychophysiological characteristics of headache patients.

作者信息

Thompson Kevin J, Adams Henry E

机构信息

Department of Psychiatry, University of Alabama at Birmingham, School of Medicine, Birmingham, Ala. 35294,USA Department of Psychology, University of Georgia, Athens, Ga.U.S.A.

出版信息

Pain. 1984 Jan;18(1):41-52. doi: 10.1016/0304-3959(84)90125-8.

DOI:10.1016/0304-3959(84)90125-8

PMID:6709378

Abstract

Migraine, muscle-contraction headache patients, and non-headache controls were physiologically assessed during self-selected 'stressful' and 'relaxing' imagery in headache and non-headache states. Musculoskeletal (frontalis, bilateral temporalis), vascular (heart rate, bilateral temporal artery pulse volume), and autonomic (skin conductance response) measures failed to differentiate the groups on resting response levels--in both headache and non-headache states. 'Stressful' imagery elicited greater reactivity than 'relaxing' imagery in all three response systems, regardless of headache type. However, a group by condition interaction eventuated only for the electromyographic measures, indicating that the muscle-contraction patients were significantly more reactive during stressful imagery than migrainers and controls.

摘要

在头痛和非头痛状态下，对偏头痛患者、肌肉收缩性头痛患者和非头痛对照组进行了自我选择的“应激性”和“放松性”意象时的生理评估。肌肉骨骼（额肌、双侧颞肌）、血管（心率、双侧颞动脉脉搏容积）和自主神经（皮肤电反应）指标在静息反应水平上未能区分各组——无论是在头痛还是非头痛状态下。无论头痛类型如何，在所有三个反应系统中，“应激性”意象比“放松性”意象引发的反应性更强。然而，仅在肌电图测量中出现了组间条件交互作用，表明肌肉收缩性头痛患者在应激性意象期间的反应性明显高于偏头痛患者和对照组。