Stewart W, Breslau N, Keck P E
Department of Epidemiology, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, Maryland 21205.
Neurology. 1994 Oct;44(10 Suppl 7):S23-7.
Clinical and epidemiologic evidence suggests that migraine co-occurs with psychopathology, including specific anxiety disorders. To examine this association, survey data from a population-based study of more than 10,000 respondents were used to determine if individuals with a history of panic attacks were at greater risk of having specific headaches in the week preceding an interview. Four types of headache were defined. Of these, only migraine was strongly associated with panic attacks. Given the high prevalence of both migraine and panic attacks and evidence that they often co-occur, treatment implications are discussed for this comorbidity.
临床和流行病学证据表明，偏头痛常与精神病理学状况同时出现，包括特定的焦虑症。为了研究这种关联，一项基于人群的研究收集了超过10000名受访者的调查数据，以确定有惊恐发作史的个体在访谈前一周出现特定头痛的风险是否更高。定义了四种头痛类型。其中，只有偏头痛与惊恐发作密切相关。鉴于偏头痛和惊恐发作的高患病率以及它们经常同时出现的证据，本文讨论了针对这种共病情况的治疗意义。
