Naturalistic assessment of patterns and predictors of acute headache medication use among women with comorbid migraine and overweight or obesity.
Naturalistic assessment of patterns and predictors of acute headache medication use among women with comorbid migraine and overweight or obesity.
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对患有偏头痛和超重或肥胖的女性的急性头痛药物使用模式和预测因素进行自然评估。
DOI：
10.1093/tbm/ibab027
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发表时间：
2021
影响因子：
3.6
通讯作者：
Bond,DaleS
中科院分区：
文献类型：
--
作者：
Smith,KathrynE;Thomas,JGraham;Steffen,KristineJ;Lipton,RichardB;Farris,SamanthaG;Pavlovic,JelenaM;Bond,DaleS
考虑到肥胖使偏头痛治疗结果复杂化的可能性，有必要了解患有这种共病的个体急性用药的模式和相关性。经验抽样方法(ESM)被用来描述偏头痛和超重/肥胖者的急性用药模式，并检查与用药有关的个人和瞬时因素(包括偏头痛特效药和非特效药)。寻求行为偏头痛治疗的偏头痛和超重/肥胖妇女(N=170)完成了问卷调查，随后完成了28天的ESM头痛每日日记。参与者使用药物治疗了71.9%的发作，其中20%使用了针对偏头痛的药物治疗。参与者更有可能在当天早些时候开始的更长时间和更严重的发作的情况下使用药物。先兆的存在和更大的与工作相关的疼痛干扰，与偏头痛专用药物的使用独一无二。问卷评估的因素与药物使用无关，尽管年龄较大和教育程度较高与更频繁地使用药物有关。相当大比例的攻击没有得到治疗，这表明这一人群的治疗需求没有得到满足。结果还表明，与问卷相比，ESM评估的因素与药物使用的相关性更显著。需要对药物使用障碍进行额外的调查。
Given the potential for obesity to complicate migraine treatment outcomes, there is a need to understand patterns and correlates of acute medication use among individuals with this comorbidity. Experience sampling methodology (ESM) was used to characterize patterns of acute medication use among those with migraine and overweight/obesity and to examine individual and momentary factors related to medication use (both migraine-specific and nonspecific medications). Women with migraine and overweight/obesity (N= 170) seeking behavioral migraine treatment completed questionnaires followed by 28 days of daily ESM headache diaries. Participants used medications to treat 71.9% of attacks, 20% of which were treated with migraine-specific medications. Participants were more likely to use medication in the context of longer and more severe attacks that started earlier in the day. Presence of aura and greater work-related pain interference uniquely related to migraine-specific medication use. Questionnaire-assessed factors were not related to medication use, although older age and higher educational attainment related to more frequent use. A substantial proportion of attacks were left untreated, suggesting unmet treatment needs in this population. Results also suggest that ESM-assessed factors are more salient correlates of medication use compared to questionnaires. Additional investigation of barriers to medication use is needed.
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一项初步研究旨在调查晚期肺癌患者对长效阿片类药物的依从性。
影响因子：
2.8
作者：
J. Yoong;L. Traeger;E. Gallagher;W. Pirl;J. Greer;J. Temel
通讯作者：
J. Temel
DOI：
10.1037/hea0000306
发表时间：
2015-12
期刊：
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子：
--
作者：
Nahum-Shani I;Hekler EB;Spruijt-Metz D
通讯作者：
Spruijt-Metz D
影响因子：
5
作者：
Diamond, Seymour;Bigal, Marcelo E.;Lipton, Richard B.
通讯作者：
Lipton, Richard B.
DOI：
10.1186/1129-2377-14-96
发表时间：
2013-12-11
期刊：
The journal of headache and pain
影响因子：
--
作者：
Lisotto C;Guidotti M;Zava D;Savi L
通讯作者：
Savi L
影响因子：
4.2
作者：
Bigal, Marcelo E;Lipton, Richard B;Krymchantowski, Abouch V
通讯作者：
Krymchantowski, Abouch V