Headache complaints associated with psychiatric comorbidity in a population-based sample
Headache complaints associated with psychiatric comorbidity in a population-based sample
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DOI：
10.1590/s0100-879x2003001000021
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发表时间：
2003-10-01
影响因子：
2.3
通讯作者：
Andrade, L.
中科院分区：
文献类型：
--
作者：
Benseñor, I.M.;Tófoli, L.F.;Andrade, L.
本研究的目的是确定在巴西圣保罗，人们抱怨任何类型的头痛的频率，以及其与社会人口特征和精神共病的关系。采用三步整群抽样方法，选择了1，464名年龄在18岁或以上的受试者。他们主要来自社会经济中上层的家庭，生活在精神病研究所的集水区。然而，这一地区也有一些贫民窟和棚户区。使用巴西版的复合国际诊断访谈1.1版对受试者进行了访谈。(CIDI 1.1）由一位经过培训的面试官进行。对CIDI 1.1问题的回答使我们能够根据人们的精神状况和他们对疾病性质的看法对他们进行分类。头痛“有很多问题”的终生患病率为37.4%（其中76.2%归因于使用药物、药物/酒精、身体疾病或创伤，23.8%归因于紧张、紧张或精神疾病）。在有“神经质、紧张或精神疾病”的参与者中，头痛的比值比（OR）因抑郁发作而升高（OR，2.1; 95%CI，1.4-3.4）。与无头痛的患者相比，抑郁症（OR，3.4; 95%CI，1.6-7.4）和广泛性焦虑障碍（OR，4.3; 95%CI，2.1-8.6）。对于由药物、药物/酒精、身体疾病或创伤引起的头痛，心境恶劣的风险也会增加，但广泛性焦虑症的风险不会增加。这些数据表明，在巴西人口样本头痛和慢性精神疾病之间的高度关联。
The objective of the present study was to determine the frequency at which people complain of any type of headache, and its relationship with sociodemographic characteristics and psychiatric comorbidity in Sao Paulo, Brazil. A three-step cluster sampling method was used to select 1,464 subjects aged 18 years or older. They were mainly from families of middle and upper socioeconomic levels living in the catchment area of Instituto de Psiquiatria. However, this area also contains some slums and shantytowns. The subjects were interviewed using the Brazilian version of the Composite International Diagnostic Interview version 1.1. (CIDI 1.1) by a lay trained interviewer. Answers to CIDI 1.1 questions allowed us to classify people according to their psychiatric condition and their headaches based on their own ideas about the nature of their illness. The lifetime prevalence of "a lot of problems with" headache was 37.4% (76.2% of which were attributed to use of medicines, drugs/alcohol, physical illness or trauma, and 23.8% attributed to nervousness, tension or mental illness). The odds ratio (OR) for headache among participants with "nervousness, tension or mental illness" was elevated for depressive episodes (OR, 2.1; 95%CI, 1.4-3.4). dysthymia (OR, 3.4; 95%CI, 1.6-7.4) and generalized anxiety disorder (OR, 4.3; 95%CI, 2.1-8.6), when compared with patients without headache. For "a lot of problems with" headaches attributed to medicines, drugs/alcohol, physical illness or trauma, the risk was also increased for dysthymia but not for generalized anxiety disorder. These data show a high association between headache and chronic psychiatric disorders in this Brazilian population sample.