儿童和青少年头痛的精神合并症:来自孟加拉国横断面研究的结果

IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES
Sifat E. Syed, Mohammad S. I. Mullick
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引用次数: 0

摘要

儿科人群中的头痛越来越被认为与精神疾病有关,预示着不良的临床结果。尽管有全球证据,但来自南亚,特别是孟加拉国的数据仍然稀少,限制了对这种合并症的特定区域见解。方法本描述性横断面研究于2019年7月至2020年3月在孟加拉国达卡的两家三级医院的儿科神经内科进行。共有151名儿童和青少年使用国际头痛疾病分类(ICHD-III测试版)进行头痛分类,并使用经过验证的孟加拉国版发展与福祉评估(DAWBA)进行精神诊断。结果紧张性头痛是最常见的头痛类型(62.9%),其次是偏头痛(16.6%)。39.7%的参与者存在精神疾病合并症,其中13.2%的参与者存在多重精神疾病。焦虑症(19.9%)和抑郁症(12.6%)最为常见。经常头痛的儿童有更高的精神并发症发生率(p = 0.020, 95% CI: 0.000-0.042)。Logistic回归分析显示,头痛频率是精神病合并症的一个次要但值得注意的预测因子(OR = 1.06, 95% CI: 1.016-1.093)。本研究强调了孟加拉国儿童和青少年头痛患者的高精神疾病负担,强调了精神病学筛查和儿科头痛多学科管理方法的重要性。研究结果提供了有价值的区域数据,并加强了儿科医生与精神科医生合作以改善结果的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Psychiatric Co-Morbidities Among Children and Adolescents With Headache: Findings From a Cross-Sectional Study in Bangladesh

Psychiatric Co-Morbidities Among Children and Adolescents With Headache: Findings From a Cross-Sectional Study in Bangladesh

Introduction

Headaches in pediatric populations are increasingly recognized as being associated with psychiatric disorders, predicting poor clinical outcomes. Despite global evidence, data from South Asia, particularly Bangladesh, remain sparse, limiting region-specific insights into this comorbidity.

Methods

This descriptive, cross-sectional study was conducted in the Pediatric Neurology Departments of two tertiary care hospitals in Dhaka, Bangladesh, between July 2019 and March 2020. A total of 151 children and adolescents were assessed using the International Classification of Headache Disorders (ICHD-III beta version) for headache classification and the validated Bangla version of the Development and Well-Being Assessment (DAWBA) for psychiatric diagnoses.

Results

Tension-type headache was the most common type of headache (62.9%), followed by migraines (16.6%). Psychiatric co-morbidities were identified in 39.7% of participants, with 13.2% presenting with multiple psychiatric disorders. Anxiety disorders (19.9%) and depressive disorders (12.6%) were the most prevalent. Children experiencing frequent headaches had significantly higher rates of psychiatric co-morbidities (p = 0.020, 95% CI: 0.000–0.042). Logistic regression analysis revealed headache frequency as a minor but noteworthy predictor of psychiatric co-morbidity (OR = 1.06, 95% CI: 1.016–1.093).

Conclusion

This study highlights a high burden of psychiatric disorders among children and adolescents with headaches in Bangladesh, emphasizing the importance of psychiatric screening and multidisciplinary management approaches for pediatric headache. The findings provide valuable regional data and reinforce the need for pediatrician-psychiatrist collaboration to improve outcomes.

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来源期刊
Brain and Behavior
Brain and Behavior BEHAVIORAL SCIENCES-NEUROSCIENCES
CiteScore
5.30
自引率
0.00%
发文量
352
审稿时长
14 weeks
期刊介绍: Brain and Behavior is supported by other journals published by Wiley, including a number of society-owned journals. The journals listed below support Brain and Behavior and participate in the Manuscript Transfer Program by referring articles of suitable quality and offering authors the option to have their paper, with any peer review reports, automatically transferred to Brain and Behavior. * [Acta Psychiatrica Scandinavica](https://publons.com/journal/1366/acta-psychiatrica-scandinavica) * [Addiction Biology](https://publons.com/journal/1523/addiction-biology) * [Aggressive Behavior](https://publons.com/journal/3611/aggressive-behavior) * [Brain Pathology](https://publons.com/journal/1787/brain-pathology) * [Child: Care, Health and Development](https://publons.com/journal/6111/child-care-health-and-development) * [Criminal Behaviour and Mental Health](https://publons.com/journal/3839/criminal-behaviour-and-mental-health) * [Depression and Anxiety](https://publons.com/journal/1528/depression-and-anxiety) * Developmental Neurobiology * [Developmental Science](https://publons.com/journal/1069/developmental-science) * [European Journal of Neuroscience](https://publons.com/journal/1441/european-journal-of-neuroscience) * [Genes, Brain and Behavior](https://publons.com/journal/1635/genes-brain-and-behavior) * [GLIA](https://publons.com/journal/1287/glia) * [Hippocampus](https://publons.com/journal/1056/hippocampus) * [Human Brain Mapping](https://publons.com/journal/500/human-brain-mapping) * [Journal for the Theory of Social Behaviour](https://publons.com/journal/7330/journal-for-the-theory-of-social-behaviour) * [Journal of Comparative Neurology](https://publons.com/journal/1306/journal-of-comparative-neurology) * [Journal of Neuroimaging](https://publons.com/journal/6379/journal-of-neuroimaging) * [Journal of Neuroscience Research](https://publons.com/journal/2778/journal-of-neuroscience-research) * [Journal of Organizational Behavior](https://publons.com/journal/1123/journal-of-organizational-behavior) * [Journal of the Peripheral Nervous System](https://publons.com/journal/3929/journal-of-the-peripheral-nervous-system) * [Muscle & Nerve](https://publons.com/journal/4448/muscle-and-nerve) * [Neural Pathology and Applied Neurobiology](https://publons.com/journal/2401/neuropathology-and-applied-neurobiology)
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