偏头痛的注意缺陷:事件相关电位研究中的错配负极性和P3a。

IF 2.5 3区 医学 Q2 CLINICAL NEUROLOGY
Journal of Pain Research Pub Date : 2025-03-10 eCollection Date: 2025-01-01 DOI:10.2147/JPR.S506708
Ping Nie, Teng Wang, Qian Wu, Weikai Chen, Feifei Shen, Lin Huang, Xin Dong
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引用次数: 0

摘要

目的:慢性偏头痛患者的注意力表现尚不清楚。本研究旨在探讨失配负性(MMN)和P3a成分对慢性偏头痛(CM)患者前注意检测和注意定向能力的影响,并评估其与偏头痛特征的关系。方法:这项横断面观察性研究招募了25名发作性偏头痛(EM)患者、25名CM患者和25名年龄、性别和教育水平相匹配的健康对照(HC)。采用事件相关电位(ERPs)工具测量MMN和P3a成分,并收集偏头痛特征。结果:与HC (p = 0.004)和EM (p = 0.002)相比,CM个体MMN潜伏期更长(p = 0.010), P3a振幅更低。相关分析显示P3a振幅与头痛发作频率、偏头痛残疾评定量表(MIDAS)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)得分呈负相关。结论:CM个体在注意前检测和注意定向方面存在缺陷。此外,注意力导向功能障碍与头痛发作频率、头痛相关残疾、焦虑和抑郁有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Attention Deficits in Migraine: Mismatch Negativity and P3a in an Event-Related Potential Study.

Purpose: Attention performance in chronic migraine remains unclear. The present study aimed to explore the pre-attentive detection and attention orienting ability in individuals with chronic migraine (CM) measured by mismatch negativity (MMN) and P3a components and assess their associations with migraine characteristics.

Methods: This cross-sectional observational study recruited 25 individuals with episodic migraine (EM), 25 individuals with CM and 25 healthy controls (HC) matched for age, sex, and educational level. The MMN and P3a components were measured using event-related potential (ERPs) tools with auditory oddball paradigms and migraine characteristics were collected.

Results: Individuals with CM exhibited a longer MMN latency (p = 0.010) and a lower P3a amplitude than HC (p = 0.004) and EM (p = 0.002). Correlation analysis showed that P3a amplitude was negatively correlated with headache attack frequency and the Migraine Disability Assessment Scale (MIDAS), Hamilton Anxiety Scale (HAMA), and Hamilton Depression Scale (HAMD) scores.

Conclusion: Individuals with CM showed deficits in pre-attentive detection and attention orientation. Moreover, attention-oriented dysfunction is associated with headache attack frequency, headache-related disability, anxiety and depression.

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来源期刊
Journal of Pain Research
Journal of Pain Research CLINICAL NEUROLOGY-
CiteScore
4.50
自引率
3.70%
发文量
411
审稿时长
16 weeks
期刊介绍: Journal of Pain Research is an international, peer-reviewed, open access journal that welcomes laboratory and clinical findings in the fields of pain research and the prevention and management of pain. Original research, reviews, symposium reports, hypothesis formation and commentaries are all considered for publication. Additionally, the journal now welcomes the submission of pain-policy-related editorials and commentaries, particularly in regard to ethical, regulatory, forensic, and other legal issues in pain medicine, and to the education of pain practitioners and researchers.
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