Influence of psychological factors on acute exacerbation of tension-type headache: Investigation by ecological momentary assessment
Influence of psychological factors on acute exacerbation of tension-type headache: Investigation by ecological momentary assessment
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DOI：
10.1016/j.jpsychores.2015.06.008
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发表时间：
2015-09-01
影响因子：
4.7
通讯作者：
Yamamoto, Yoshiharu
中科院分区：
文献类型：
--
作者：
Kikuchi, Hiroe;Yoshiuchi, Kazuhiro;Yamamoto, Yoshiharu
目的：在本研究中，我们以前瞻性和生态学有效的方式，通过计算机生态瞬间评估来研究心理因素是否与紧张性头痛（TTH）的急性加重有关。方法：18名女性和5名男性TTH患者佩戴手表式电脑作为电子日记1周。受试者大约每隔6小时以及醒来、睡觉和急性头痛加重时，以0-100的视觉模拟量表记录短暂性头痛强度、心理压力、焦虑和抑郁情绪。以急性头痛加重发生率为结局进行多水平logistic回归分析。将个体均值中心应用于心理因素来分解个体间和个体内的关联。结果：短暂的心理应激与随后3 h内头痛加重的增加有关[10点增量的优势比(95% CI) = 1.32(1.07, 1.64)]，而心理应激的个体平均值则不相关。结论：这些结果支持心理应激可引起1TH急性加重的可能性。(C) 2015爱思唯尔公司版权所有。
Objective: In this study, we investigated whether psychological factors were associated with subsequent acute exacerbation of tension-type headache (TTH) in a prospective and ecologically valid manner with computerized ecological momentary assessment.Methods: Eighteen women and five men with TTH wore watch-type computers that acted as an electronic diary for 1 week. The subjects recorded momentary headache intensity, psychological stress, anxiety, and depressive mood with a visual analog scale of 0-100 approximately every 6 h as well as when waking up, when going to bed, and at acute headache exacerbations. Multilevel logistic regression analysis with acute headache exacerbation occurrence as the outcome was conducted. Person-mean centering was applied to psychological factors to disaggregate between- and within-individual association.Results: Momentary psychological stress was associated with subsequent increase in headache exacerbation within 3 h [Odds Ratio (95% CI) = 1.32 (1.07, 1.64) for 10-point increments] while the individual mean of psychological stress was not.Conclusion: These results support the possibility that psychological stress, could trigger acute exacerbations of 1TH. (C) 2015 Elsevier Inc. All rights reserved.