头痛专病门诊患者抑郁焦虑患病特点分析

CLINICAL FEATURES OF DEPRESSION AND ANXIETY OF PATIENTS FROM A HEADACHE CLINIC

目的:评估头痛门诊原发性头痛患者的抑郁焦虑共病情况。方法:使用9条目患者健康问卷(patient health questionnaire-9,PHQ-9)和7条目广泛性焦虑量表(generalized anxiety disorder-7,GAD-7)对2012年10月8日至2012年12月29日就诊于解放军总医院头痛门诊的原发性头痛患者进行评估。结果:在225例头痛患者中,偏头痛为58例(25.8%),紧张型头痛为97例(43.1%),丛集性头痛为14例(6.2%),慢性每日头痛为56例(24.9%);头痛患者的抑郁和广泛性焦虑的检出率分别为37.8%和34.2%。慢性每日头痛出现抑郁和广泛性焦虑共病的比例明显高于其他类型头痛(P<0.01,P=0.03)。结论:头痛专病门诊中原发性头痛的抑郁和广泛性焦虑患病比例高,和其他类型头痛相比,慢性每日头痛更容易出现抑郁焦虑共病。

Objective： To evaluate the prevalence of depression and anxiety for primary headache patients in a headache clinic. Methods： A cross-sectional study was conducted consecutively at our headache clinic between October 8, 2012 and December 29, 2012, according to International Classification of Headache Disorders, 2nd edition （ICHD-II）. Demographic characteristics and clinical features were collected by headache questionnaire. Anxiety and depression symptoms for headache patients were assessed using patient health questionnaire-9 （PHQ- 9） and generalized anxiety disorder-7 （GAD-7）. Results： The total of 225 headache patients were enrolled which included migraine （25.8%）, tension-type headache （43.1%）, cluster headache （6.2%）, and chronic daily headache （24.9%）. Overall, 37.8% and 34.2% of patients suffered depression and anxiety, respectively. The score of chronic daily headache was significantly higher than other headaches both in PHQ-9 （P 〈 0.01） and in GAD-7 （P = 0.03）. Conclusion： This study indicated that depression and anxiety of headache patients in our clinic are also common. These comorbidities are more serious in chronic daily headache than other headaches.