臨床神経学

<教育講演(2)―4>

心療内科的アプローチが必要となる慢性頭痛

端詰 勝敬

東邦大学大森病院心療内科〔〒143―8541 東京都大田区大森西6―11―1〕

Chronic headache is caused by several reasons, such as medication over use, psychological stress, depression, anxiety and psychiatric disease. It is often difficult to treat medication over use headache. So it is important to manage the psychological factor before abuse. There are the relationships in migraine and psychiatric disease, especially major depression and panic disorder. In the treatment for chronic headache, it is necessary to assess the personal profile. The Hospital Anxiety and Depression Scale is useful for assess depression and anxiety in patients with painful symptoms.
Full Text of this Article in Japanese PDF (271K)

(臨床神経, 52:866−868, 2012)
key words:慢性頭痛,ストレス,うつ,不安

(受付日:2012年5月24日)