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Amaç: Bu çalışmanın amacı başağrısı olan hastalardaki psikiyatrik yüke de dikkat çekerek yaşam kalitesinin ve işlevselliğin nasıl etkilendiğini araştırmaktır. Gereç ve Yöntem: Sağlık Bakanlığı Üniversitesi Erenköy Ruh ve Sinir Hastalıkları Hastanesi Nöroloji Kliniği Baş ağrısı Özel Dal Polikliniği’ne Uluslararası Başağrısı Bozukluklarının Sınıflandırması (International Classification of Headache Disorders) ICHD-II’ye göre migren ve gerilim tipi baş ağrısı tanısı konmuş ardı sıra 100 hasta örneklem grubunu oluşturarak çalışmaya dahil edildi. Hastalara Veri Toplama Formu, Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I Ölçeği) ve Short Form (Yaşam Kalitesi Ölçeği) (SF-36 ) uygulandı. Bulgular: Baş ağrısı hastalarının tümü değerlendirildiğinde %56’sında fiziksel hastalık, %94’ünde, özgeçmişinde psikiyatrik hastalık, %73’ünde ailede psikiyatrik hastalık saptandı. Migren hastaları ‘Geçen hafta içinde kaç gün kendinizi iyi hissettiniz?’ sorusunda ortalama 3.5±1.9 gün şeklinde yanıt verirken, gerilim tipi hastalar ortalama 3.5±1.7 gün yanıtını vermişlerdir. Migren hastaları şikayetleri sebebi ile ortalama 1.3±1.7 gün işe gitmezken, gerilim tipi hastaları ortalama 1±1.2 gün işe gitmemiştir. Sonuç: Başağrısı depresyon, anksiyete bozukluğu, analjezik kötüye kullanımı, kişilik bozuklukları ve bipolarite gibi komorbid psikiyatrik hastalıklarla sık birliktelik gösterir ve etkin psikiyatrik tedavi yapılmadığında ağrı kronikleşerek işlevsellik kaybına ve hayat kalitesinin düşmesine neden olur. Bu sebeple baş ağrısına yaklaşım multidisipliner olmalıdır.
Purpose: The aim of this study is to investigate how the quality of life and functioning are affected by drawing attention to the psychiatric burden in headache patients. Materials and Methods: 100 patients included in the study, that applied to the University of Health Ministry , Erenkoy Mental Hospital Private Branch Headache Outpatient Clinic in Department of Neurologywith a diagnosed of migraine and tension type headache according to the International Classification of Headache Disorders ( ICHD-II). Data collection forms, SCID-I scale and Short Form (SF-36) were performed on the patients. Results: When all of the headache patients were evaluated, 56% had physical disease, 94% had psychiatric disease on their past lives, 73% had a family history of psychiatric disorder. Migraine patients responded with an average of 3.5 ± 1.9 days in the question "How many days did you feel well during the last week?" while the tension type patients answered an average of 3.5 ± 1.7 days. Migraine patients did not go to work for an average of 1.3 ± 1.7 days while patients with tension type headaches did not go to work for an average of 1 ± 1.2 days due to complaints. Headache is frequently associated with comorbid psychiatric disorders such as depression, anxiety disorder, analgesic abuse, personality disorders and bipolarity, and when effective psychiatric treatment is not performed, the pain becomes chronic, resulting in loss of functioning and loss of quality of life. For this reason, the approach to headache should be multidisciplinary.
Purpose: The aim of this study is to investigate how the quality of life and functioning are affected by drawing attention to the psychiatric burden in headache patients. Materials and Methods: 100 patients included in the study, that applied to University of Health Ministry , Erenkoy Mental Hospital Private Branch Headache Outpatient Clinic in Department of Neurologywith a a diagnosed of migraine and tension type headache according to International Classification of Headache Disorders ( ICHD-II). Data collection forms, SCID-I scale and Short Form (SF-36) were performed on the patients. Results: When all of the headache patients were evaluated, 56% had physical disease, 94% had psychiatric disease on their past lives, 73% had a family history of psychiatric disorder. Migraine patients responded with an average of 3.5 ± 1.9 days in the question "How many days did you feel well during the last week?", while the tension type patients answered an average of 3.5 ± 1.7 days. Migraine patients did not go to work for an average of 1.3 ± 1.7 days while patients with tension type headaches did not go to work for an average of 1 ± 1.2 days due to complaints. Conclusion: Headache is frequently associated with comorbid psychiatric disorders such as depression, anxiety disorder, analgesic abuse, personality disorders and bipolarity, and when effective psychiatric treatment is not performed, the pain becomes chronic, resulting in loss of functioning and loss of quality of life. For this reason, the approach to headache should be multidisciplinary.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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