docruДоктор.РуTitle1727-23782713-2994ООО "ГК "РУСМЕДИКАЛ"10.31550/1727-2378-2022-21-7-28-33docru-103Research ArticleНЕВРОЛОГИЯNEUROLOGYНекоторые особенности психоэмоциональной сферы у детей и подростков (5–18 лет) с мигреньюSome Characteristics of the Psychoemotional Aspect in Children and Adolescents (5–18 years old) with Migrainehttps://orcid.org/0000-0001-8519-3822ЖмылёваП. В.ZhmylevaP. V.

Жмылёва Полина Владимировна  — аспирант кафедры нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского; врач-невролог детского психоневрологического отделения

119021, г. Москва, ул. Россолимо, д. 11, стр. 1

8 Trubetskaya St., Bldg. 2, Moscow, 119991

80 Ryleeva Str., Tambov, 392000

polunapro@yandex.ruhttps://orcid.org/0000-0002-8437-7205КовальчукН. А.KovalchukN. A.

Ковальчук Надежда Александровна — аспирант кафедры нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

119021, г. Москва, ул. Россолимо, д. 11, стр. 1

8 Trubetskaya St., Bldg. 2, Moscow, 119991

dr.N.Kovalchuk@yandex.ruhttps://orcid.org/0000-0002-3833-532XТабееваГ. Р.TabeevaG. R.

Табеева Гюзяль Рафкатовна  — д. м. н., профессор кафедры нервных болезней и нейрохирургии Института клинической медицины им. Н.В. Склифосовского

119021, г. Москва, ул. Россолимо, д. 11, стр. 1

8 Trubetskaya St., Bldg. 2, Moscow, 119991

grtabeeva@gmail.comФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский Университет); ГБУЗ «Тамбовская областная детская клиническая больница»РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University) (a Federal Government Autonomous Educational Institution of Higher Education), Russian Federation Ministry of Health; Tambov Regional Children Clinical HospitalRussian FederationФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Министерства здравоохранения Российской Федерации (Сеченовский Университет)РоссияI.M. Sechenov First Moscow State Medical University (Sechenov University) (a Federal Government Autonomous Educational Institution of Higher Education), Russian Federation Ministry of HealthRussian Federation202216022025217ПЕДИАТРИЯ2833Copyright © Жмылёва П.В., Ковальчук Н.А., Табеева Г.Р., 20252025Жмылёва П.В., Ковальчук Н.А., Табеева Г.Р.Zhmyleva P.V., Kovalchuk N.A., Tabeeva G.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://docru.elpub.ru/jour/article/view/103Цель исследования

Цель исследования: выявление особенностей психоэмоциональных характеристик детей и подростков с мигренью.

Дизайн

Дизайн: сравнительное исследование.

Материалы и методы

Материалы и методы. Обследованы 160 пациентов дошкольного (5–6 лет), младшего школьного (7–10 лет), среднего школьного (11 14 лет) и старшего школьного возраста (15–18 лет). Пациенты с верифицированным диагнозом «мигрень» (G43.0, 43.1, 43.3, 43.8 по МКБ-10) составляли основную группу (I, n = 80), без мигрени — группу сравнения (II, n = 80). Проведены анкетирование со сбором жалоб, анамнеза заболевания и жизни, семейного анамнеза и данных об особенностях течения раннего периода жизни ребенка, стандартный неврологический и соматический осмотр, комплексное клиническое и клинико-лабора торное обследование.

Результаты

Результаты. Среди обследованных с жалобами на головные боли 80,0% оценивали цефалгию как сильную, сопровождающуюся выраженным ограничением (в 1/3 случаев) или значительным снижением (в 2/3 случаев) повседневной активности. У подростков I группы чаще, чем во II группе, отмечалось наличие легкой депрессии ситуационного или невротического генеза (18,7% против 13,5%), а также чаще выявлялись высокие уровни ситуативной и личностной тревожности (28,8% против 11,4% и 33,8% против 11,4% соответственно).

Заключение

Заключение. Особенности психоэмоционального состояния детей и подростков с мигренью обусловливают необходимость их психологической поддержки, особенно при наличии депрессии и тревоги.

Study Objective

Study Objective: To identify the features of psychoemotional characteristics of children and adolescents with migraine.

Study Design

Study Design: Comparative study. Materials and methods. We have examined 160 patients: preschool children (5–6 years old), primary school-aged children (7–10 years old), secondary school-aged children (11–14 years old), and high school-aged children (15–18 years old). Patients with verified migraine (G43.0, 43.1, 43.3, 43.8 as per ICD-10) were included into study group (I , n = 80), patients without migraine comprised group (controls) II, n = 80). Questionnaires were used to find out complaints, collect medical and family history, history of early development of the child; children underwent standard neurological and somatic tests and a comprehensive clinical and laboratory examination

Study Results

Study Results. 80.0% of subjects who complained of headache said their headache was severe and either markedly (1/3 of cases), or significantly (2/3 of cases) affecting their daily life. Patients in group I more frequently had mild situational or neurotic depression vs. group II (18.7% vs. 13.5%) and situational or personal anxiety (28.8% vs. 11.4% and 33.8% vs. 11.4%, respectively).

Conclusion

Conclusion. The specific features of the psychoemotional state of children and adults with migraine require psychological support, especially in depression and anxiety.

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The authors declare that there are no conflicts of interest present.