偏头痛患儿的心理行为特征研究

Study on the psychological characteristic of migraine in children

【目的】用国内通用的儿童心理量表检测偏头痛是否有其特殊的心理易患基础,有针对性地进行干预和疏导,提高患儿的生活质量。【方法】50例无先兆偏头痛患者于发作间歇期和50名正常健康查体儿童气质类型测定,儿童行为量表,艾森克个性问卷(Eysenck Personality Questionnaire,EPQ)和症状自评量表检测。【结果】偏头痛患儿气质维度因子中活动水平较低,适应性与心境均较高,行为量表显示行为问题发生率较高,行为因子社交退缩、抑郁、躯体诉述分值均较正常对照组高,EPQ的神经质分(N)高于正常对照组,症状自评量表中躯体化、人际关系、焦虑、抑郁、敌对、精神病质因子分值均高于正常对照组。【结论】偏头痛具有特殊心理基础,主要表现为焦虑、抑郁等负性情绪及社交退缩,人际关系紧张可能为发病基础或诱因,应重视偏头痛防治中的心理因素。

[Objective] To explore the psychological characteristic of migraine in children using the psychological assessments. [Methods] 50 migraineurs and 50 age and sex matched normal controls were examined by the psychological assessments, including Parent Temperament Questionnaire（PTQ）, Child Behavior Checklist（CBCL）, Eysenck Personality Questionnaire （EPQ） and Symptom Checklist 90 （SCL-90）. [ Results] There were highly significant differences in their activity level, adaptability intensity of reaction, mood in PTQ. The migraineurs had signiificantly higher scores on social intercourse retraction factor, depression factor and somatization factor in CBCI.. Neuroticism factor was higher in EPQ in migraineur children. Also there were significant difference in somatization, depression, sensitivity, anxiety, hostility and psychoticism factors in migraineurs. [ Conclusions] Specific psychological characteristics do exist in migraine in children, The study indicates that the psychological factor should be emphasized in the management of migraine in children.