ÖMER FARUK AKÇA, Mehpare ÖZKAN, Serap Tıraş TEBER

Migren ve gerilim tipi baş ağrısı olan ergenlerde anksiyete duyarlılığı ve dissosiyatif belirtiler

Amaç: Bu araştırmada ergenlerde baş ağrısının anksiyete duyarlılığı (AD) ve dissosiyatif belirtilerle (DB) ilişkisinin incelenmesi amaçlanmıştır. Yöntem: Ankara Üniversitesi Tıp Fakültesi Çocuk Nörolojisi polikliniğine başvuran, migren (s=24) veya gerilim tipi baş ağrısı (GTBA) (s=22) tanısı konan ergenlere Çocukluk Çağı Anksiyete Duyarlılığı Ölçeği (ÇADÖ) ve Ergen Dissosiyatif Yaşantılar Ölçeği (E-DYÖ) uygulanmıştır. Sağlıklı ergenlerden oluşan kontrol grubuna da (s=28) aynı materyaller uygulanmış ve elde edilen sonuçlar karşılaştırılmıştır. Bulgular: Baş ağrısı olan çocukların ÇADÖ ve E-DYÖ puanları kontrol grubundan yüksek olarak bulunmuştur. Hasta grubu migren ve GTBA olarak ikiye ayrıldıktan sonra yapılan analizlerde ise migren ve GTBA gruplarının ÇADÖ ve EDYÖ puanlarının farklı olmadığı belirlenmiştir. Migren ve GTBA gruplarının kontrol grubu ile karşılaştırılması sonucunda E-DYÖ puanları bakımından migren grubu ile kontrol grubu arasındaki farkın istatistiksel olarak anlamlı olmadığı, ÇADÖ puanlarının ise migren grubunda kontrol grubundan yüksek olduğu bulunmuştur. GTBA grubunun ÇADÖ ve E-DYÖ puanlarının kontrol grubundan yüksek olduğu bulunmuştur. Tartışma ve sonuç: Baş ağrısı olan ergenlerin AD ve DB‟leri normal ergenlerden daha yüksektir. Baş ağrısının nedeninin migren veya GTBA olması AD için bu sonuçları etkilememektedir. Ancak migrenli gençlerin DB‟leri normal gençlerden yüksek değildir.

Anxiety sensitivity and dissociative experiences in adolescents with migraine and tension type headache

Objective: The aim of this study was to investigate the relationship between headache and anxiety sensitivity (AS), and also headache and dissociative experiences (DE) in adolescents. Methods: Patients were recruited from the adolescents who were admitted to Ankara University Faculty of Medicine Child Neurology Clinic with a complaint of headache and diagnoses of migraine (n=24) or tension type headache (TTH) (n=22). All patients and healthy controls (n=28) were encouraged to complete Childhood Anxiety Sensitivity Index (CASI) and Adolescent Dissociative Experiences Scale (ADES). Results: Patients with headache had higher scores from CASI and ADES instruments in comparison with the healthy adolescents. In case the patient group was divided into two groups regarding to their diagnoses, both migraine and TTH group had higher scores from CASİ than control group. However, although TTH group had higher ADES scores than control group, there was no significant differ- ence between migraine and control groups. Likewise, CASI and ADES scores of migraine and TTH groups were not different. Conclusion: Adolescents with headache are having higher AS and DE than normal controls. The diagnosis of migraine or TTH does not change these results in terms of AS. However, adolescents with migraine are not having higher DE than normal controls.

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