Passchier J, de Boo M, Quaak H Z, Brienen J A
Department of Medical Psychology, Erasmus University, Rotterdam, The Netherlands.
Headache. 1996 Oct;36(9):556-60. doi: 10.1046/j.1526-4610.1996.3609556.x.
Questions to be answered by this study were: (1) what is the health-related quality of life (HRQL) of migraine and tension headache patients who consult their general practitioner, and (2) what are the unique contributions of the perceptual and emotional components of headaches to the HRQL. The Nottingham Health Profile (NHP) was used to measure the HRQL of patients with migraine (n = 27), tension headache (n = 25), both migraine and tension headache (n = 17), and two reference groups. Perceptual components of the pain (intensity, frequency, and duration) were measured with a headache diary, while emotional components were measured with five visual analogue scales (for tension, depression, frustration, anger and fear). The NHP dimensions of pain, sleep, energy, and social isolation revealed that each headache patient group had a lower HRQL than the healthy reference group. There were no differences in HRQL between the headache groups. Regarding the second question: it was found that the greater the patient's emotional pain, the more problems he or she had with physical mobility and social isolation. Neither the type of headache nor the headache index were related to the HRQL of the patient. We recommend to increase the research efforts concerning tension headache and to measure the emotional component of pain in clinical trials.
（1）咨询全科医生的偏头痛和紧张性头痛患者的健康相关生活质量（HRQL）如何？（2）头痛的感知和情感成分对健康相关生活质量的独特贡献是什么？采用诺丁汉健康量表（NHP）来测量偏头痛患者（n = 27）、紧张性头痛患者（n = 25）、偏头痛和紧张性头痛患者（n = 17）以及两个参照组的健康相关生活质量。用头痛日记测量疼痛的感知成分（强度、频率和持续时间），同时用五个视觉模拟量表测量情感成分（用于测量紧张、抑郁、沮丧、愤怒和恐惧）。NHP中疼痛、睡眠、精力和社会隔离维度显示，每个头痛患者组的健康相关生活质量均低于健康参照组。头痛组之间的健康相关生活质量没有差异。关于第二个问题：研究发现，患者的情感痛苦越大，其身体活动能力和社会隔离方面的问题就越多。头痛类型和头痛指数均与患者的健康相关生活质量无关。我们建议加大对紧张性头痛的研究力度，并在临床试验中测量疼痛的情感成分。
