Sociodemographic and comorbidity profiles of chronic migraine and episodic migraine sufferers
Sociodemographic and comorbidity profiles of chronic migraine and episodic migraine sufferers
复制标题
DOI：
10.1136/jnnp.2009.192492
复制
发表时间：
2010-04-01
影响因子：
11
通讯作者：
Lipton, R. B.
中科院分区：
文献类型：
--
作者：
Buse, D. C.;Manack, A.;Lipton, R. B.
目的探讨和比较慢性偏头痛（CM）和阵发性偏头痛（EM）成人患者的社会人口学特征和常见合并症的频率。方法美国偏头痛患病率和预防（AMPP）研究是一项以人群为基础的纵向调查。对2005年调查的数据进行分析，以评估两组受访者之间社会人口学特征和常见合并症发生率的差异：CM（ICHD-2定义的偏头痛;每月头痛>= 15天）和EM（ICHD-2定义的偏头痛;每月头痛0-14天）。共患疾病的类别包括精神，呼吸，心血管，疼痛和“其他”，如肥胖和diabetes.Results的24000头痛患者在2005年调查，655名受访者有CM，11249名受访者有EM。与EM相比，CM受访者的家庭收入水平显著较低，全职就业的可能性较小，并且更有可能是职业残疾人。那些患有CM的人患抑郁症，焦虑症和慢性疼痛的可能性约为两倍。呼吸系统疾病，包括哮喘，支气管炎和慢性阻塞性肺疾病，心脏病的危险因素，包括高血压，糖尿病，高胆固醇和肥胖症，也显着更有可能被报告的CM。讨论CM人群的社会人口和合并症的配置文件不同的EM人口在多个维度上，这表明CM和EM不同的重要方式以外的头痛频率。
Objective To characterise and compare the sociodemographic profiles and the frequency of common comorbidities for adults with chronic migraine (CM) and episodic migraine (EM) in a large population-based sample.Methods The American Migraine Prevalence and Prevention (AMPP) study is a longitudinal, population-based, survey. Data from the 2005 survey were analysed to assess differences in sociodemographic profiles and rates of common comorbidities between two groups of respondents: CM (ICHD-2 defined migraine; >= 15 days of headache per month) and EM (ICHD-2 defined migraine; 0-14 days of headache per month). Categories of comorbid conditions included psychiatric, respiratory, cardiovascular, pain and 'other' such as obesity and diabetes.Results Of 24 000 headache sufferers surveyed in 2005, 655 respondents had CM, and 11 249 respondents had EM. Compared with EM, respondents with CM had stastically significant lower levels of household income, were less likely to be employed full time and were more likely to be occupationally disabled. Those with CM were approximately twice as likely to have depression, anxiety and chronic pain. Respiratory disorders including asthma, bronchitis and chronic obstructive pulmonary disease, and cardiac risk factors including hypertension, diabetes, high cholesterol and obesity, were also significantly more likely to be reported by those with CM.Discussion Sociodemographic and comorbidity profiles of the CM population differ from the EM population on multiple dimensions, suggesting that CM and EM differ in important ways other than headache frequency.