偏头痛患者感觉和神经心理参数的调查:一项阴性结果的横断面研究。

IF 4.8 3区 医学 Q1 CLINICAL NEUROLOGY
Neurology and Therapy Pub Date : 2025-10-01 Epub Date: 2025-09-06 DOI:10.1007/s40120-025-00824-9
Bernhard Taxer, Wanda Lauth, Harry von Piekartz, Eugen Trinka, Stefan Leis
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引用次数: 0

摘要

引言:偏头痛不仅与高水平的痛苦有关,而且代表着相当大的社会经济挑战。它与各种心理和生理障碍有关,包括感觉运动和体感功能障碍,就像在其他持续性疼痛综合征中观察到的那样。本研究旨在确定与健康个体相比,高频发作性偏头痛(HFEM)或慢性偏头痛(CM)患者在体感知觉方面是否存在差异,并探讨其与神经心理学特征的潜在相关性。方法:采用横断面设计,采用定量感觉测试(QST)、条件疼痛调节测试和中枢致敏量表(CSI)和多伦多述情量表(TAS-20)等神经心理学问卷,对HFEM或CM患者(n = 45)和健康对照(n = 25)进行评估。结果:分析了45名HFEM或CM参与者(39名女性)和25名健康对照组(21名女性)的数据。偏头痛组每月头痛天数的中位数(范围)为12.3(6)。结论:总体而言,结果没有提供证据表明偏头痛组和健康对照组之间存在显著差异。缺乏显著差异可能归因于方法上的限制。然而,QST的全面和标准化实施严格遵循德国神经性疼痛研究网络(DFNS)的协议,稳健的问卷选择,统一的诊断标准和严格的统计分析体现了方法学上的优势,并支持了结果的有效性。然而,这些发现与现有文献部分相反,可能反映了样本和方法的局限性,应谨慎解释。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Investigation of Sensory and Neuropsychological Parameters in Migraine Sufferers: A Cross-Sectional Study with Negative Findings.

Investigation of Sensory and Neuropsychological Parameters in Migraine Sufferers: A Cross-Sectional Study with Negative Findings.

Investigation of Sensory and Neuropsychological Parameters in Migraine Sufferers: A Cross-Sectional Study with Negative Findings.

Investigation of Sensory and Neuropsychological Parameters in Migraine Sufferers: A Cross-Sectional Study with Negative Findings.

Introduction: Migraine headache not only is associated with high levels of suffering but also represents a considerable socioeconomic challenge. It is linked to various psychological and physiological impairments, including sensorimotor and somatosensory dysfunction, like those observed in other persistent pain syndromes. This study aims to determine whether individuals with high-frequency episodic (HFEM) or chronic migraine (CM) exhibit differences in somatosensory perception compared to healthy individuals and to explore potential correlations with neuropsychological features.

Methods: Using a cross-sectional design, we assessed individuals with HFEM or CM (n = 45) and healthy controls (n = 25) using quantitative sensory testing (QST), conditioned pain modulation testing and neuropsychological questionnaires such as the Central Sensitization Inventory (CSI) and the Toronto Alexithymia Scale (TAS-20).

Results: Data from 45 participants (39 females) with HFEM or CM and a healthy control group of 25 individuals (21 female) were analysed. Median (range) number of monthly headache days of was 12.3 (6) in the migraine group. Statistically significant differences were found only in the assessment of central sensitization (p < 0.0010) but not for QST parameters. Correlations with QST parameters were generally weak, only the wind-up ratio (WUR) showing weak to moderate monotonic associations with both emotion- and somatosensory-associated parameters.

Conclusion: Overall, the results provided no evidence of significant differences between the migraine and healthy control groups. The lack of significant differences might be attributed to methodological limitations. However, the comprehensive and standardized implementation of QST strictly following the protocol of the German Research Network on Neuropathic Pain (DFNS), the selection of robust questionnaires, uniform diagnostic criteria and rigorous statistical analysis represent methodological strengths and support the validity of the results. Nevertheless, these findings, which partly contrast with existing literature, may reflect limitations of the sample and methodology and should be interpreted with caution.

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来源期刊
Neurology and Therapy
Neurology and Therapy CLINICAL NEUROLOGY-
CiteScore
5.40
自引率
8.10%
发文量
103
审稿时长
6 weeks
期刊介绍: Aims and Scope Neurology and Therapy aims to provide reliable and inclusive, rapid publication for all therapy related research for neurological indications, supporting the timely dissemination of research with a global reach, to help advance scientific discovery and support clinical practice. Neurology and Therapy is an international, open access, peer reviewed, rapid publication journal dedicated to the publication of high-quality clinical (all phases), observational, real-world and health outcomes research around the discovery, development, and use of neurological and psychiatric therapies, (also covering surgery and devices). Studies relating to diagnosis, pharmacoeconomics, public health, quality of life, and patient care, management, and education are also welcomed. The journal is of interest to a broad audience of healthcare professionals and publishes original research, reviews, case reports, trial designs, communications and letters. The journal is read by a global audience and receives submissions from all over the world. Neurology and Therapy will consider all scientifically sound research be it positive, confirmatory or negative data. Submissions are welcomed whether they relate to an international and/or a country-specific audience, something that is crucially important when researchers are trying to target more specific patient populations. This inclusive approach allows the journal to assist in the dissemination of all scientifically and ethically sound research. Rapid Publication The journal’s rapid publication timelines aim for a peer review decision within 2 weeks of submission. If an article is accepted, it will be published online 3-4 weeks from acceptance. These rapid timelines are achieved through the combination of a dedicated in-house editorial team, who closely manage article workflow, and an extensive Editorial and Advisory Board who assist with rapid peer review. This allows the journal to support the rapid dissemination of research, whilst still providing robust peer review. Combined with the journal’s open access model, this allows for the rapid and efficient communication of the latest research and reviews to support scientific discovery and clinical practice. Open Access All articles published by Neurology and Therapy are open access. Personal Service The journal’s dedicated in-house editorial team offer a personal “concierge service” meaning that authors will always have a personal point of contact able to update them on the status of their manuscript. The editorial team check all manuscripts to ensure that articles conform to the most recent COPE and ICMJE publishing guidelines. This supports the publication of ethically sound and transparent research. We also encourage pre-submission enquiries and are always happy to provide a confidential assessment of manuscripts. Digital Features and Plain Language Summaries Neurology and Therapy offers a range of additional features designed to increase the visibility, readership and educational value of the journal’s content. Each article is accompanied by key summary points, giving a time-efficient overview of the content to a wide readership. Articles may be accompanied by plain language summaries to assist readers who have some knowledge of, but not in-depth expertise in, the area to understand the scientific content and overall implications of the article. The journal also provides the option to include various types of digital features including animated abstracts, video abstracts, slide decks, audio slides, instructional videos, infographics, podcasts and animations. All additional features are peer reviewed to the same high standard as the article itself. If you consider that your paper would benefit from the inclusion of a digital feature, please let us know. Our editorial team are able to create high-quality slide decks and infographics in-house, and video abstracts through our partner Research Square, and would be happy to assist in any way we can. For further information about digital features, please contact the journal editor (see ‘Contact the Journal’ for email address), and see the ‘Guidelines for digital features and plain language summaries’ document under ‘Submission guidelines’. For examples of digital features please visit our showcase page https://springerhealthcare.com/expertise/publishing-digital-features/ Publication Fees Upon acceptance of an article, authors will be required to pay the mandatory Rapid Service Fee of €5250/$6000/£4300. The journal will consider fee discounts and waivers for developing countries and this is decided on a case-by-case basis. Peer Review Process Upon submission, manuscripts are assessed by the editorial team to ensure they fit within the aims and scope of the journal and are also checked for plagiarism. All suitable submissions are then subject to a comprehensive single-blind peer review. Reviewers are selected based on their relevant expertise and publication history in the subject area. The journal has an extensive pool of editorial and advisory board members who have been selected to assist with peer review based on the afore-mentioned criteria. At least two extensive reviews are required to make the editorial decision, with the exception of some article types such as Commentaries, Editorials and Letters which are generally reviewed by one member of the Editorial Board. Where reviews conflict, an Editorial Board Member will be contacted for further advice and a presiding decision. Manuscripts are then either accepted, rejected or authors are required to make major or minor revisions (both reviewer comments and editorial comments may need to be addressed. Once a revised manuscript is re-submitted, it is assessed along with the responses to reviewer comments and if it has been adequately revised, it will be accepted for publication. Accepted manuscripts are then copyedited and typeset by the production team before online publication. Appeals against decisions following peer review are considered on a case-by-case basis and should be sent to the journal editor, and authors are welcome to make rebuttals against individual reviewer comments, if appropriate. Preprints We encourage posting of preprints of primary research manuscripts on preprint servers, authors'' or institutional websites, and open communications between researchers whether on community preprint servers or preprint commenting platforms. Posting of preprints is not considered prior publication and will not jeopardize consideration in our journals. Please see here for further information on preprint sharing: https://www.springer.com/gp/authors-editors/journal-author/journal-author-helpdesk/submission/1302#c16721550 Copyright Neurology and Therapy is published under the Creative Commons Attribution-Noncommercial License, which allows users to read, copy, distribute, and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited. The author assigns the exclusive right to any commercial use of the article to Springer. For more information about the Creative Commons Attribution-Noncommercial License, click here: http://creativecommons.org/licenses/by-nc/4.0. Contact For more information about the journal, including pre-submission enquiries, please contact managing editor Lydia Alborn at lydia.alborn@springer.com.
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