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Psychiatric disorders in chronic daily headache: detection by means of the SCID interview

机译:慢性日常头痛的精神疾病:通过SCID访谈进行检测

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The identification of possible individual or/and environmental factors responsible for the chronic evolution of headache has represented a critical issue in recent years. The goal of this research was to enroll adult chronic daily headache (CDH) sufferers and to seek for psychiatric disorders, as possible transformation factor, by means of a complex neuropsychological investigation. The psychiatric evaluation was performed using the Structured Clinical Interview (SCID), according to the DSM-IV diagnostic criteria. The overall prevalence of psychiatric disorders according to DSM-IV criteria was 66.1%. No statistical difference was found in psychiatric comorbidity according to gender (women, 68.9% men, 52,4%). The prevalence of psychiatric disorders was 69.7% in drug abusers (classified in accordance with clinical interview) and 57.1% in non-abusers (the difference was not statistically significant). Comparing the three subtypes of CDH, a psychiatric disorder was found in 50% of chronic tension-type headache patients, in 72.2% of those with chronic coexisting migraine and tension-type headache(CT vs. CCMT-TH, p<0.01) and in 70.3% of patients with chronic migraine.
机译:近年来,确定可能导致头痛慢性发展的个体或/和环境因素已成为一个关键问题。这项研究的目的是招募成年的慢性每日头痛(CDH)患者,并通过复杂的神经心理学研究来寻找可能是转化因素的精神疾病。根据DSM-IV诊断标准,使用结构化临床访谈(SCID)进行精神病学评估。根据DSM-IV标准,精神疾病的总体患病率为66.1%。根据性别,精神病合并症没有统计学差异(女性,男性为68.9%,男性为52.4%)。药物滥用者的精神病患病率为69.7%(根据临床访谈分类),非药物滥用者的精神病患病率为57.1%(差异无统计学意义)。比较CDH的三种亚型,在50%的慢性紧张型头痛患者,72.2%的慢性偏头痛和紧张型头痛共存患者中发现精神病(CT vs. CCMT-TH,p <0.01),并且有70.3%的慢性偏头痛患者。

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