Migren Tipi Baş Ağrısının Psikiyatrik Yönü

Year 2018, Volume: 6 Issue: 1, 19 - 23, 08.01.2018

Prof. Dr. Çiçek Hocaoğlu

Abstract

Öz

Baş ağrısı, genel hasta poliklinikleri ve nöroloji polikliniklerine başvuran hastaların enyoğun yakınmasıdır. Ağrı şiddeti, hayat kalitesine etkisi, kişisel ve ülke ekonomisine etkisine bakıldığında, migren, bilinmesi gereken en önemli konudur ki, dünyada yaklaşık 700 milyon migren hastası vardır. Migren tipi baş ağrısı, ataklarla seyreden ve günlerce devameden, çoğunlukla tek taraflı yerleşimli, zonklayıcı özellikte, şiddetli ve kişinin günlük aktivitelerini olumsuz etkileyen kronik bir baş ağrısıdır. Hastalarda eş zamanlı psikiyatrik bozukluk görülme oranları oldukça yüksek düzeylerde olduğu gibi, migren oluşunda ve gidişinde etkili olduğu gösterilmiş birçok psikolojik etken de tanımlanmıştır. Ancak kullanılan tanı ölçütleri, ölçekler ve çalışmaların yapıldığı popülasyonların farklılığı, tipik özelliklerin saptanmasını güçleştirmektedir. Psikiyatrik belirtilerin  migren tipi baş ağrısı içinbir risk faktörü olduğu ileri sürülmüştür. Anksiyete ve öfke  uzun zamandır migren atak-ları  ile ilişkilendirilmiştir. Bu gözden geçirme yazısında migren tipi baş ağrısı nedenlerive psikiyatrik belirtiler arasındaki ilişkisinin incelenmesi amaçlanmıştır.

Keywords

Migren Tipi Baş Ağrısı, Ank-siyete, Aleksitimi, BedenselDuyumları Abartma, öfke

Psychiatric Aspects of Migraine Type Headache

Abstract

Abstract

Headache is the most common complaint of the patients, who applied to general orneurology outpatient clinics. While considering headache intensity and its impact on lifequality and individual or national economy; migraine type headache can be accepted asone of the most important problems that affected approximately 700 million of world population. Migraine type headache is a chronic disease that generally has unilateral localization and characterized by severe and pulsating headache which could be continuousfor days and affecting people’s daily activities negatively. As well as it is common to havehigh incidence of concurrent psychiatric disorders in patients, many psychological factors have been shown to be effective in the onset and course of migraine type headache.However, the used different diagnostic criteria, scale and patient populations makes the determination of typical characteristics difficult. Psychiatric symptoms has been suggested as a risk factor for migraine type headache. Anxiety and anger. have long been associated with migraine type headache. The aim of this review article is to investigate theetiology of migraine type headache and relationship between psychiatric symptoms.

Keywords

Migraine Type Headache, An-xiety, Alexithymia, Somatosen-sory Amplification, anger

References

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