Passchier J, Mourik J, Brienen J A, Hunfeld J A
Institute of Medical Psychology and Psychotherapy, NIHES Rotterdam, The Netherlands.
Headache. 1998 Jun;38(6):458-64. doi: 10.1046/j.1526-4610.1998.3806458.x.
Fifty-three patients with migraine, recruited from the Dutch Society of Migraine Patients and a general practice, were investigated regarding pain, moods, thoughts, and functioning during their most recent migraine attack, using a semistructured interview. Salient findings were: the high pain intensity the patients endured before they took analgesic medication, concerns about medication damaging their health, overoptimism regarding the effect of analgesic medication, and the relatively large proportion of patients (43%) who took medication primarily to be able to continue their activities. We recommend that future clinical trials on the effects of medication on migraine should not only include the measurement of pain during the attack, but also emotions, concerns about potential side effects and the ability to continue or resume work. Furthermore, it is important to provide patients with information about the side effects of medication and to apply cognitive-behavioral techniques for improvement of their mood during the attack.
从荷兰偏头痛患者协会和一家普通诊所招募了53名偏头痛患者，通过半结构化访谈对他们最近一次偏头痛发作期间的疼痛、情绪、想法和功能进行了调查。主要发现如下：患者在服用止痛药物之前忍受着高强度疼痛，担心药物损害健康，对止痛药物的效果过度乐观，以及相当大比例（43%）的患者主要为了能够继续活动而服药。我们建议，未来关于药物对偏头痛影响的临床试验不仅应包括发作期间疼痛的测量，还应包括情绪、对潜在副作用的担忧以及继续或恢复工作的能力。此外，向患者提供有关药物副作用的信息并应用认知行为技术以改善发作期间的情绪非常重要。
