Migraine, major depression, panic disorder, and personality traits in women aged 40-74 years: a population-based study

Migraine, major depression, panic disorder, and personality traits in women aged 40-74 years: a population-based study
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DOI:
10.1046/j.1468-2982.2002.00407.x
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发表时间:
2002-09-01
期刊:
影响因子:
4.9
通讯作者:
Ekselius, L
Ekselius, L
中科院分区:
医学2区
文献类型:
--
作者:
Mattsson, P;Ekselius, L

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这项研究一方面调查了偏头痛与使用瑞典大学人格量表评估的终生重度抑郁症、终生恐慌症和神经质之间的关联。一位神经科医生对 728 名参加基于人群的乳房 X 光检查项目的 40-74 岁女性进行了临床评估。在多变量分析中,终生偏头痛与人格特征和精神疾病之间的关联并不显着。然而,在老年女性(60-74岁)中,活动性偏头痛的风险与重度抑郁症病史、高水平的压力敏感性和躯体特质焦虑密切相关。此外,在老年女性中,高水平的压力敏感性和躯体特质焦虑与偏头痛疼痛强度的低评级相关,并且在控制偏头痛期间的残疾后,这些特质的水平较低与高评级相关,而在中年女性中只有很小的差异。结果表明,神经质的某些方面与老年女性忍受偏头痛的能力具有重要的心理相关性。
This study investigates the associations between migraine on the one hand and lifetime major depression, lifetime panic disorder, and neuroticism evaluated using the Swedish universities Scales of Personality on the other. A neurologist clinically assessed 728 women aged 40-74 years attending a population-based mammography screening programme. The associations between lifetime migraine and personality traits and psychiatric disorders were insignificant in multivariable analysis. However, in old women (60-74 years) the risk for active migraine was strongly associated with a history of major depression and high levels of stress susceptibility and somatic trait anxiety. Furthermore, in old women, high levels of stress susceptibility and somatic trait anxiety were associated with low ratings of migraine pain intensity and lower levels of these traits with high ratings after controlling for disability during migraines, whereas there were only small differences in middle-aged women. The results suggest that certain aspects of neuroticism are important mental correlates of the ability of old women to endure migraine pain.