Silberstein S D, Lipton R B
Comprehensive Headache Center, Germantown Hospital and Medical Center, Philadelphia, Pa.
Neuroepidemiology. 1993;12(3):179-94. doi: 10.1159/000110317.
Migraine epidemiology presents methodological challenges, partially simplified by the use of the new International Headache Society (IHS) Classification. Most previously published migraine studies were clinic-based, which introduces bias since less than 5% of migraineurs consult specialists. A series of population-based studies of migraine prevalence and incidence, based on the new operational IHS criteria, are now available and are reviewed, along with the migraine personality, comorbid psychiatric conditions and neuropsychological impairment. Migraine headaches are now divided into those with aura (classic migraine) and those without aura (common migraine). Headache occurs in about 91% of men and 96% of women, migraine occurs in about 6% of men and 18% of women (one-year prevalence). Migraine is most common in the third decade of life and in lower socioeconomic groups. It is associated with an increased prevalence of depression and panic attacks.
偏头痛流行病学面临方法学挑战，新的国际头痛协会（IHS）分类的应用在一定程度上简化了这些挑战。以前发表的大多数偏头痛研究都是基于诊所的，这会引入偏差，因为只有不到5%的偏头痛患者会咨询专家。现在有一系列基于人群的偏头痛患病率和发病率研究，这些研究基于新的IHS操作标准，本文将对其进行综述，同时还将探讨偏头痛性格、共病精神疾病和神经心理损害。偏头痛现在分为有先兆的（典型偏头痛）和无先兆的（普通偏头痛）。头痛在约91%的男性和96%的女性中出现，偏头痛在约6%的男性和18%的女性中出现（一年患病率）。偏头痛在生命的第三个十年以及社会经济地位较低的群体中最为常见。它与抑郁症和惊恐发作的患病率增加有关。
