Perceived stress in patients with migraine: a case-control study.
Perceived stress in patients with migraine: a case-control study.
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DOI：
10.1186/s10194-017-0780-8
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Park SP
中科院分区：
文献类型：
--
作者：
Moon HJ;Seo JG;Park SP
感知压力是偏头痛最常见的诱因。本研究的目的是检查偏头痛患者感知压力的临床意义。这是一项病例对照研究。连续到三级医院就诊的偏头痛患者被纳入这项研究。他们完成了自我报告的问卷，包括感知压力量表 (PSS)、12 项异常性疼痛症状检查表 (ASC-12)、偏头痛残疾评估量表 (MIDAS)、患者健康问卷 - 9 (PHQ-9)、广泛性焦虑症 - 7 (GAD-7)、Epworth 嗜睡量表 (ESS)、失眠严重程度指数 (ISI) 和偏头痛特定的生活质量 调查问卷（MSQ）。测量偏头痛患者的感知压力程度并与健康对照进行比较。还确定了感知压力的预测因素及其对偏头痛患者生活质量（QOL）的影响。共有 227 名偏头痛患者符合本研究的资格，其中 103 名（45.4%）患有慢性偏头痛（CM）。调整教育程度、抑郁和焦虑后，CM 患者的平均 PSS 评分显着高于对照组 (p < 0.05)。尽管有多个因素与 PSS 评分相关，但 PSS 的主要预测因素是 GAD-7 评分 (β = 0.358，p < 0.001)、PHQ-9 评分 (β = 0.304，p < 0.001)、ISI 评分 (β = 0.154，p = 0.005) 和 CM (β = -0.104， p = 0.027）。 PSS 分数与 MSQ 三维分数之间存在反比关系 (p < 0.001)。慢性偏头痛是感知压力的一个关键因素。感知压力影响偏头痛患者的生活质量。
Perceived stress is the most common trigger for migraine. The objective of this study was to examine the clinical significance of perceived stress in migraine patients. This is a case-control study. Consecutive migraine patients who visited a tertiary care hospital were enrolled for this study. They completed self-reported questionnaires including Perceived Stress Scale (PSS), 12-item Allodynia Symptom Checklist (ASC-12), Migraine Disability Assessment Scale (MIDAS), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Epworth Sleepiness Scale (ESS), Insomnia Severity Index (ISI), and Migraine-Specific Quality of Life Questionnaire (MSQ). Degree of perceived stress in migraine patients was measured and compared to that in healthy controls. Predictors for perceived stress and their impact on quality of life (QOL) of migraine patients were also determined. A total of 227 migraine patients were eligible for this study, including 103 (45.4%) who had chronic migraine (CM). Mean PSS score was significantly (p < 0.05) higher in CM patients than that in controls after adjusting for education, depression, and anxiety. Although several factors were associated with PSS score, major predictors for PSS were GAD-7 score (β = 0.358, p < 0.001), PHQ-9 score (β = 0.304, p < 0.001), ISI score (β = 0.154, p = 0.005), and CM (β = −0.104, p = 0.027). There was an inverse relationship between PSS scores and three-dimensional scores of MSQ (p < 0.001). Chronic migraine is a critical factor for perceived stress. Perceived stress affects QOL of migraine patients.
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