虐待史与更严重的偏头痛和疼痛相关残疾有关:美国偏头痛研究登记处的研究结果。

IF 5.4 2区 医学 Q1 CLINICAL NEUROLOGY
Headache Pub Date : 2024-10-01 Epub Date: 2024-07-25 DOI:10.1111/head.14787
Meesha Trivedi, Gina Dumkrieger, Catherine D Chong, Zachary Leibovit-Reiben, Todd J Schwedt
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引用次数: 0

摘要

背景:先前的研究已经证实,虐待史与偏头痛表现更为严重之间存在关联:先前的研究证实,虐待史与偏头痛症状更严重之间存在关联:这项针对门诊偏头痛人群的横断面观察性研究采用了经过验证的测量方法,以阐明有虐待史的偏头痛患者的特定负担和与偏头痛相关的负担:美国偏头痛研究注册中心的偏头痛患者(n = 866)自我报告是否有情感、身体和/或性虐待史,并填写了评估偏头痛相关负担的问卷:偏头痛残疾评估、偏头痛发作主观认知障碍量表、工作生产率和活动障碍、患者报告结果测量信息系统疼痛干扰、患者健康问卷-2和广泛性焦虑症-7。比较了有虐待史和无虐待史患者的偏头痛相关负担。随后,一项中介分析评估了抑郁和焦虑症状对虐待史与偏头痛负担之间关系的影响:36.5%的参与者(n = 316/866)报告有虐待史。在控制了患者的年龄、性别、头痛年数和头痛频率后,虐待史与更严重的偏头痛相关残疾显著相关。抑郁和焦虑症状的综合负担对这一关系起到了中介作用:结论:虐待史与更严重的偏头痛相关残疾有关。未来的研究应确定识别和处理虐待造成的心理和生理后遗症是否会减轻偏头痛的负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A history of abuse is associated with more severe migraine- and pain-related disability: Results from the American Registry for Migraine Research.

Background: Prior studies have established an association between a history of abuse and more severe migraine presentation.

Objectives: This cross-sectional, observational study of a clinic-based migraine population used validated measures to elucidate migraine-specific and migraine-related burdens among patients with a history of abuse.

Methods: Patients with migraine (n = 866) from the American Registry for Migraine Research self-reported if they had a history of emotional, physical, and/or sexual abuse and completed questionnaires assessing migraine-related burden: Migraine Disability Assessment, Subjective Cognitive Impairment Scale for Migraine Attacks, Work Productivity and Activity Impairment, Patient-Reported Outcomes Measurement Information System Pain Interference, Patient Health Questionnaire-2, and Generalized Anxiety Disorder-7. Migraine-related burden in patients with versus without a history of abuse was compared. Subsequently, a mediation analysis evaluated the impact of depression and anxiety symptoms in the relationship between abuse history and migraine burden.

Results: A history of abuse was reported by 36.5% (n = 316/866) of participants. After controlling for patient age, sex, years lived with headache, and headache frequency, a history of abuse was significantly associated with more severe migraine-related disability. The combined burden of depression and anxiety symptoms mediated the relationship.

Conclusion: A history of abuse is associated with greater migraine-related disability. Future studies should determine if identification and management of the psychological and physical sequelae of abuse reduce migraine burden.

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来源期刊
Headache
Headache 医学-临床神经学
CiteScore
9.40
自引率
10.00%
发文量
172
审稿时长
3-8 weeks
期刊介绍: Headache publishes original articles on all aspects of head and face pain including communications on clinical and basic research, diagnosis and management, epidemiology, genetics, and pathophysiology of primary and secondary headaches, cranial neuralgias, and pains referred to the head and face. Monthly issues feature case reports, short communications, review articles, letters to the editor, and news items regarding AHS plus medicolegal and socioeconomic aspects of head pain. This is the official journal of the American Headache Society.
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