药物过度使用性头痛患者人格特征分析  

Personality traits analysis of medication overused migraine

作　　者：王奎云 黄仕华 李荣梅 孔维刚 WANG Kuiyun;HUANG Shihua;LI Rongmei;KONG Weigang(Neurology Department,Jintang County First People′s Hospital/Jintang Hospital,West China Hospital,Sichuan University,Chengdu,Sichuan 610400,China)

机构地区：[1]四川省成都市金堂县第一人民医院/四川大学华西医院金堂医院神经内科,610400

出　　处：《重庆医学》2018年第10期1340-1342,共3页Chongqing medicine

摘　　要：目的探讨慢性偏头痛合并药物过度使用患者的人格特点。方法选择2016年3-12月在该院神经内科头痛专病门诊就诊的偏头痛患者(对照组)67例、药物过度使用性头痛(MOH)患者(观察组)175例,均符合国际头痛协会2004年制订的国际头痛疾病分类第3版的偏头痛诊断标准。人格测评采用国际通用的明尼苏达人格问卷。结果观察组男性和女性在疑病、抑郁、癔症、社会内向指标得分均较对照组高,比较差异有统计学意义(P<0.05)。观察组中,人格方面疑病、癔症、神经衰弱、社会内向与文化程度呈负相关(P<0.05)。观察组男性疑病、抑郁、癔症、精神病态和社会内向得分评分比女性更高(P<0.05)。观察组中,人格方面疑病、癔症、神经衰弱、社会内向与文化程度呈负相关(P<0.05)。结论药物过度使用性头痛患者在疑病、抑郁、癔症、社会内向4个方面人格改变较单纯慢性偏头痛明显。Objective To explore the personality characteristics of patients with chronic migraine complicating drugs overuse.Methods A total of 67 cases of migraine(control group)and 175 cases of medication overused migraine(MOH)were treated in the neurology department of this hospital from March to December 2016.The patients conformed to the migraine diagnostic criteria of the International Classification of Headache Disorders Third Edition(ICHD-3)formulated by the International Headache Society.The personality assessment adopted an internationally used Minnesota Personality Questionnaire.Results The scores of suspected disease,depression,rickets and social introgression in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).In the observation group,there was a negative correlation between personality suspicion,rickets,neurasthenia,social introversion and education(P<0.05).In the personality traits aspect of the observation group,hypochondriasis,hysteria,neuradynamia and social introversion were negatively correlated with the cultural degree(P<0.05).Conclusion The personality changes in the four aspects of hypochondria,depression,hysteria and social introversion in the patients with MOH are more obvious than those in the patients with simple chronic migraine.

关 键 词：偏头痛 人格 心理疗法 先兆偏头痛 药物过度使用性头痛 人格分析 共病 

分 类 号：R747.2[医药卫生—神经病学与精神病学]