Psychiatric disorders and headache familial recurrence: a study on 200 children and their parents.

Psychiatric disorders and headache familial recurrence: a study on 200 children and their parents.
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DOI:
10.1007/s10194-009-0105-7
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发表时间:
2009-06
影响因子:
7.4
通讯作者:
Guidetti, Vincenzo
Guidetti, Vincenzo
中科院分区:
医学1区
文献类型:
--
作者:
Galli, Federica;Canzano, Loredana;Scalisi, Teresa Gloria;Guidetti, Vincenzo

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这项研究的主要目的是检查头痛和父母及其子女的精神疾病家族复发之间的关系。采用半结构化访谈(ICHD-II标准),收集了200例患者及其家属的头痛病史和头痛学。精神科合并症采用DSM-IV标准评估。计算卡方和对数线性分析,以评估以下因素之间的主要影响和相互作用:频率和头痛亚型(偏头痛/非偏头痛)儿童,头痛(偏头痛/非偏头痛-不存在/存在)父母,头痛(不存在/存在)祖父母和精神病合并症(无/存在)进行了分析:94名母亲(47%)和51名父亲(25.5%)至少有一种精神疾病,主要是情绪和焦虑障碍。考虑到Psi-co在儿童中的显著患病率(P < 0.0001),我们将其与头痛的熟悉程度进行了比较:发现了显著的相互作用(P < 0.05),表明头痛家族复发率高的偏头痛患者精神障碍的百分比(74.65%)高于非偏头痛患者(52.17%)。头痛家族性负荷的缺失似乎仅与非偏头痛患者的psi-co相关(87.5%对45.5%)。精神疾病的发生率是高的儿童头痛,但一个非常不同的模式似乎特点偏头痛(家族性共同传播偏头痛和Psi-Co?与非偏头痛相比。
The main aim of the study was to examine the relationship between headache and familial recurrence of psychiatric disorders in parents and their children. Headache history and symptomatology have been collected in a clinical sample of 200 patients and their families, using a semi-structured interview (ICHD-II criteria). Psychiatric comorbidity was assessed by DSM-IV criteria. Chi squares and a loglinear analysis were computed in order to evaluate the main effects and interactions between the following factors: frequency and headache subtypes (migraine/not-migraine) in children, headache (migraine/not-migraine-absent/present) in parents, headache (absent/present) in grandparents, and psychiatric comorbidity (absent/present) have been analyzed: 94 mothers (47%) and 51 fathers (25.5%) had at least one psychiatric disorder, mainly mood and anxiety disorders. Considering the significant prevalence of Psi-co in children (P < 0.0001), we compared it with the presence of familiarity to headache: a significant interaction has been found (P < 0.05) showing that migraineurs with high familial recurrence of headache had a higher percentage (74.65%) of psychiatric disorders, than no-migraineurs (52.17%). Absence of headache familial loading seems to be related to psi-co only in no-migraine headache (87.5 vs. 45.5%). The occurrence of psychiatric disorders is high in children with headache, but a very different pattern seems to characterize migraine (familial co-transmission of migraine and Psi-Co?) if compared with non-migraine headache.
DOI: 10.1590/s0100-879x2003001000021
发表时间: 2003-10-01
影响因子: 2.3
作者:
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通讯作者: Andrade, L.
DOI: 10.1136/jnnp.53.7.573
发表时间: 1990-07-01
影响因子: 11
作者:
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通讯作者: SANDLER, M
DOI: 10.1046/j.1468-2982.2002.00407.x
发表时间: 2002-09-01
期刊: CEPHALALGIA
影响因子: 4.9
作者:
Mattsson, P;Ekselius, L
通讯作者: Ekselius, L
DOI: 10.1111/j.1526-4610.1995.hed3509513.x
发表时间: 1995-10-01
期刊: HEADACHE
影响因子: 5
作者:
LARSSON, B;BILLE, B;PEDERSEN, NL
通讯作者: PEDERSEN, NL
DOI: 10.1016/0022-3956(88)90076-3
发表时间: 1988-01-01
影响因子: 4.8
作者:
MERIKANGAS, KR;RISCH, NJ;KIDD, KK
通讯作者: KIDD, KK