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因 COVID 感染而隔离对偏头痛的影响:意大利热那亚的一项调查。

Impact of quarantine due to COVID infection on migraine: a survey in Genova, Italy.

机构信息

Neurology Unit, Galliera Hospital Genova, Genoa, Italy.

Neurological Clinic, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, Italy.

出版信息

Neurol Sci. 2020 Aug;41(8):2025-2027. doi: 10.1007/s10072-020-04543-x. Epub 2020 Jul 1.

Abstract

Quarantine is a well-known risk factor for psychological and psychiatric disturbances. We evaluated burden of migraine during lockdown due to COVID 19 pandemia. Forty-nine subjects followed in our headache clinic for migraine were evaluated for migraine burden by means of global assessment of migraine severity (GAMS) and visual analogue scale (VAS) by phone interview. Moreover, depression and anxiety were quantified by Beck depression inventory (BDI) and Zung Self-Rating Anxiety Scale (SAS). We evaluated changes in the value of migraine score from the 2 months immediately before lockdown (from January 1 to March 9) to the 2 months of quarantine (from March 10 to May 3). Value of GAMS was 5.61 ± 0.76 before and 4.16 ± 1.46 during quarantine (p < .001). VAS was 7.49 ± 1.10 before and 5.47 ± 1.88 during quarantine (p < .001). We also found a time by depression level interaction, F(1,47) = 6.21, p = .016, F(1,47) = 14.52, p < .006, respectively, showing that subjects with lower level of depression had better course of migraine. In conclusion, we showed that, during quarantine due to COVID pandemia, subjects with migraine had fewer migraine attacks and lesser pain and show moderate level of depression, correlated to migraine burden.

摘要

隔离是心理和精神障碍的一个众所周知的危险因素。我们评估了由于 COVID-19 大流行而导致的隔离期间偏头痛的负担。通过电话访谈,我们对在头痛诊所接受偏头痛治疗的 49 名患者进行了偏头痛负担的评估,包括偏头痛严重程度的全球评估(GAMS)和视觉模拟量表(VAS)。此外,通过贝克抑郁量表(BDI)和zung 自评焦虑量表(SAS)来量化抑郁和焦虑。我们评估了从隔离前 2 个月(从 1 月 1 日至 3 月 9 日)到隔离期间的 2 个月(从 3 月 10 日至 5 月 3 日)偏头痛评分值的变化。GAMS 值在隔离前为 5.61±0.76,隔离期间为 4.16±1.46(p<.001)。VAS 值在隔离前为 7.49±1.10,隔离期间为 5.47±1.88(p<.001)。我们还发现抑郁水平的时间交互作用,F(1,47)=6.21,p=0.016,F(1,47)=14.52,p<.006,这表明抑郁水平较低的患者偏头痛的病情更好。总之,我们表明,在由于 COVID 大流行而导致的隔离期间,偏头痛患者的偏头痛发作次数减少,疼痛减轻,并且表现出中度的抑郁,与偏头痛负担相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a274/7329264/edf135d1aadf/10072_2020_4543_Fig1_HTML.jpg

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