Therapy for Psychiatric Comorbidities in Patients with Episodic Cluster Headache: A Prospective Multicenter Study
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Le résumé fourni par la source
Purpose: To explore changes of depression, anxiety and sleep disturbance in patients with episodic cluster headache inside and outside the attack period and assess the therapy to improve the treatment. Patients and Methods: We prospectively recruited 396 patients from 11 specialized headache outpatients and analyzed their headache characteristics, Hospital Anxiety Depression Scale scores, Pittsburgh sleep quality index scores, and the usage of psychiatric medications during as well as 1 month after the attack period. Results: A total of 220 patients completed the follow-up, 52.73% of whom had anxiety, 47.27% had depression and 49.09% had sleep disturbance inside the attack period. At follow-up, the percentage of these patients significantly decreased to 16.36%, 21.82% and 14.55% in the remission period, respectively (p < 0.05). Antidepressants and mood stabilizers were prescribed to 58.18% of the patients. However, both of the changes of Hospital Anxiety Depression Scale scores after the end of the attack period for anxiety (3.52±2.91 vs 3.32±3.09, p =0.61) and depression (3.41±3.33 vs 2.90±3.58, P =0.28) were comparable in patients with and without taking these medications. Nocturnal onset of headache was positively correlated with Pittsburgh score (OR=8.71), anxiety (OR=2.33) and depression scores (OR=3.56) (p < 0.05). Conclusion: Depression, anxiety and sleep disturbance were significantly alleviated after the attack period. However, psychiatric medications showed limited effect on depression and anxiety. Additionally, the nocturnal attack may cause anxiety and depression in episodic cluster headache.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Therapy for Psychiatric Comorbidities in Patients with Episodic Cluster Headache: A Prospective Multicenter Study
- Date Crossref
- 01/10/2022
- Éditeur
- Informa UK Limited
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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The Affiliated Yongchuan Hospital of Chongqing Medical University Department of Intelligent Medical Systems pays non établi dans la noticeÉtablissement de santé
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Chongqing Medical University Department of Neurology pays non établi dans la noticeUniversité ou école supérieure
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People's Hospital of Bishan District Department of Neurology pays non établi dans la noticeÉtablissement de santé
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Jiangsu University pays non établi dans la noticeUniversité ou école supérieure
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Jintan People's Hospital pays non établi dans la noticeÉtablissement de santé
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Jining First People's Hospital pays non établi dans la noticeÉtablissement de santé
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Guizhou Provincial People's Hospital Department of Neurology pays non établi dans la noticeÉtablissement de santé
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Suizhou Central Hospital pays non établi dans la noticeÉtablissement de santé
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First People's Hospital of Chongqing pays non établi dans la noticeÉtablissement de santé
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Jintang First People's Hospital Department of Neurology pays non établi dans la noticeÉtablissement de santé
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Suining Central Hospital Department of Neurology pays non établi dans la noticeÉtablissement de santé
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Chongqing General Hospital Department of Neurology pays non établi dans la noticeÉtablissement de santé
Department of Intelligent Medical Systems — The Affiliated Yongchuan Hospital of Chongqing Medical University, Department of Neurology — Chongqing Medical University et Department of Neurology — People's Hospital of Bishan District, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.