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慢性每日头痛中的精神疾病共病

Psychiatric comorbidity in chronic daily headache.

作者信息

Verri A P, Proietti Cecchini A, Galli C, Granella F, Sandrini G, Nappi G

机构信息

University Centre for Adaptive Disorders and Headache, Section of Pavia, Italy.

出版信息

Cephalalgia. 1998 Feb;18 Suppl 21:45-9. doi: 10.1177/0333102498018s2112.

DOI:10.1177/0333102498018s2112
PMID:9533671
Abstract

Clinical evidence suggests that chronic daily headache (CDH) occurs in association with psychopathologies: previous studies have focused particularly on migraine. To evaluate this association, we studied, using the DSM-IIIR criteria, a population of 88 patients (18M, 70F) affected by CDH (mean duration 7.4 +/- 8.7 years). We documented the presence of a psychiatric disorder in 90% of this population. The most frequent diagnosis was a comorbidity of anxiety and mood disorders. The comorbidity of psychiatric disorders and headache has important implications as far as treatment is concerned.

摘要

临床证据表明,慢性每日头痛(CDH)与精神病理学相关:以往的研究尤其关注偏头痛。为评估这种关联,我们使用《精神疾病诊断与统计手册》第三版修订本(DSM-IIIR)标准,对88例受慢性每日头痛影响的患者(18名男性,70名女性)进行了研究(平均病程7.4±8.7年)。我们记录到该人群中90%存在精神障碍。最常见的诊断是焦虑症和情绪障碍的共病。就治疗而言,精神障碍与头痛的共病具有重要意义。

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