Psychological, sleep, lifestyle, and comorbid associations with headache
Psychological, sleep, lifestyle, and comorbid associations with headache
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DOI：
10.1111/j.1526-4610.2005.05133.x
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发表时间：
2005-06-01
期刊：
影响因子：
5
通讯作者：
Croft, PR
中科院分区：
文献类型：
--
作者：
Boardman, HF;Thomas, E;Croft, PR
客观。-研究头痛的发生、严重程度和频率与心理、睡眠和生活方式特征以及共病状况的关系。虽然已经研究了个体头痛类型，特别是偏头痛的关联，但尚未探索所有类型的头痛与一般健康特征之间的可能关联。在北斯塔福德郡的五个普通诊所注册的成年普通人群样本的横断面邮政调查，英国。头痛的发生与焦虑（比值比4.09，95%置信区间3.0，5.6）和睡眠问题（中度睡眠问题OR 3.60，95% CI 2.5，5.0）相关，并且随着焦虑和睡眠问题水平的升高，相关性的强度增加。虽然抑郁症与头痛有关，但在没有焦虑的抑郁症患者中没有发现这一点。头痛的发生也与身体任何部位的共病疼痛相关（OR 2.12，95% CI 1.7，2.6），与其他部位相比，颈部和上身部位的相关性最强。这与酒精或咖啡因的摄入没有总体联系。头痛的严重程度和频率增加导致更强的关联，头痛的发生、严重程度和频率与睡眠问题和心理困扰之间存在很强的关联。睡眠不佳和焦虑似乎对头痛对普通人群患者生活的影响做出了重大贡献。
Objective.-To investigate the associations of headache occurrence, severity, and frequency with psychological, sleep, and lifestyle characteristics, and comorbid conditions.Background.-Whilst associations for individual headache types, particularly migraine, have been investigated, possible associations between headache of all types and general health characteristics have not been explored.Methods.-Cross-sectional postal survey in an adult general population sample registered at five general practices in North Staffordshire, UK.Results.-Headache occurrence was associated with anxiety (odds ratio 4.09, 95% confidence interval 3.0, 5.6) and sleep problems (moderate sleep problems OR 3.60, 95% CI 2.5, 5.0), and the strength of the associations increased with higher levels of anxiety and sleep problem. Whilst depression showed an association with headache, this was not seen in respondents with depression in the absence of anxiety. Headache occurrence was also associated with comorbid pain anywhere in the body (OR 2.12, 95% CI 1.7, 2.6), with the strongest associations being for the neck and upper body areas compared with other areas. There was no overall link with alcohol or caffeine consumption. Increasing severity and frequency of headache resulted in stronger associations, and there were strong associations between the occurrence, severity, and frequency of headache, and both sleep problems and psychological distress.Conclusion.-Poor sleep and anxiety appear to make a substantial contribution to the impact of headache on sufferers' lives in the general population.