Nervenheilkunde 2018; 37(01): 38-42
DOI: 10.1055/s-0038-1631170
Kopfschmerz
Schattauer GmbH

Gibt es einen psychogenen Kopfschmerz?

Does psychogenic headache exist?
K. Henkel
1   Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Uniklinik RWTH Aachen
› Institutsangaben
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Publikationsverlauf

eingegangen am: 01. Oktober 2017

angenommen am: 16. Oktober 2017

Publikationsdatum:
09. Februar 2018 (online)

Zusammenfassung

Es besteht eine hohe Komorbidität zwischen primären Kopfschmerzen und psychischen Erkrankungen. Eine gegenseitige Verstärkung und gemeinsame ätiologische Faktoren werden vermutet und wurden zum Teil nachgewiesen, so zum Beispiel bei Migräne und Depressionen. Eine nosologische Einteilung als sekundärer “Kopfschmerz zurückzuführen auf eine psychiatrische Störung“ verlangt eine hinreichende Evidenz für eine Auslösung oder wesentliche Verstärkung des Kopfschmerzes durch die psychische Erkrankung. Dieser Nachweis kann nur in Einzelfällen erfolgen. Größere systematische Untersuchungen fehlen. Die International Classification of Headache Disorders der International Headache Society erkennt auch in ihrer dritten Auflage (Beta-Version) nur die Somatisierungsstörung und die psychotische Störung als mögliche psychische Erkrankungen für die Auslösung sekundärer Kopfschmerzen an. Im Anhang der Klassifikation finden sich weitere psychische Erkrankungen, die möglicherweise sekundäre Kopfschmerzen auslösen können. Weitere prospektive und Längsschnittstudien sind nötig, um diese Zusammenhänge künftig besser beurteilen zu können.

Summary

There is a high rate of comorbidity of primary headache disorders and psychiatric disorders. A bidirectional fortification and common aetiological factors are assumed and partly established, e. g. in migraine and depression. A nosological classification as a secondary “headache attributed to psychiatric disorder“ postulates an acceptable evidence for a generation or a significant worsening of a headache by a psychiatric disorder. This can only be proven in particular cases. Systematic studies with a larger number of cases are missing. The International Classification of Headache Disorders of the International Headache Society up to now accepts only the somatisation disorder and the psychotic disorder as possible psychiatric diseases which might cause a secondary headache. In the appendix of the classification, further psychiatric disorders are listed which are possible candidates for causing secondary headache. Further prospective and longitudinal studies are required to reveal evidence for psychiatric diseases to induce headache disorders.

 
  • Literatur

  • 1 Bair MJ, Robinson RL, Katon W. et al. Depression and pain comorbidity: a literature review. Arch Intern Med 2003; 163: 2433-2445.
  • 2 Lampl C, Thomas H, Tassorelli C. et al. Headache, depression and anxiety: associations in the Eurolight project. J Headache Pain 2016; 17: 59.
  • 3 Jette N, Patten S, Williams J. et al. Comorbidity of migraine and psychiatric disorders – a national population-based study. Headache 2008; 48: 501-516.
  • 4 Fasmer OB, Oedegaard KJ. Clinical characteristics of patients with major affective disorders and comorbid migraine. World J Biol Psychiatry 2010; 02: 149-155.
  • 5 Breslau N, Schultz LR, Stewart WF. et al. Headache types and panic disorder: directionality and specificity. Neurology 2001; 56: 350-354.
  • 6 Breslau N, Lipton RB, Stewart WF. et al. Comorbidity of migraine and depression: investigating potential etiology and prognosis. Neurology 2003; 60: 1308-1312.
  • 7 Bigal ME, Lipton RB. Modifiable risk factors for migraine progression. Headache 2006; 46: 1334-1343.
  • 8 Stubbs B, Eggermont L, Mitchell AJ. et al. The prevalence of pain in bipolar disorder: a systematic review and large-scale meta-analysis. Acta Psychiatr Scand 2015; 131: 75-88.
  • 9 Fasmer OB. The prevalence of migraine in patients with bipolar and unipolar affective disorders. Cephalalgia 2001; 21: 894-899.
  • 10 Wang SJ, Juang KD, Fuh JL, Lu SR. Psychiatric comorbidity and suicide risk in adolescents with chronic daily headache. Neurology 2007; 68: 1468-1473.
  • 11 Pompili M, Di Cosimo D, Innamorati M. et al. Psychiatric comorbidity in patients with chronic daily headache and migraine: a selective overview including personality traits and suicide risk. J Headache Pain 2009; 10: 283-290.
  • 12 Merikangas KR, Merikangas JR, Angst J. Headache syndromes and psychiatric disorders: association and familial transmission. J Psychiatr Res 1993; 27: 197-210.
  • 13 Wang SJ, Fuh JL, Lu SR. et al. Chronic daily headache in Chinese elderly: prevalence, risk factors, and biannual follow-up. Neurology 2000; 54: 314-319.
  • 14 Zwart JA, Dyb G, Hagen K. et al. Depression and anxiety disorders associated with headache frequency. The Nord-Trøndelag Health Study. Eur J Neurol 2003; 10: 147-152.
  • 15 Song TJ, Cho SJ, Kim WJ. et al. Anxiety and depression in tension-type headache: A Population-Based Study. PLoS One 2016; 26 11 (10) e0165316.
  • 16 Stubbs B, Thompson T, Acaster S. et al. Decreased pain sensitivity among people with schizophrenia: a meta-analysis of experimental pain induction studies. Pain 2015; 156: 2121-2131.
  • 17 Stubbs B, Mitchell AJ, De Hert M, Correll CU. et al. The prevalence and moderators of clinical pain in people with schizophrenia: a systematic review and large scale meta-analysis. Schizophr Res 2014; 160: 1-8.
  • 18 Kuritzky A, Mazeh D, Levi A. Headache in schizophrenic patients: a controlled study. Cephalalgia 1999; 19: 725-727.
  • 19 Jensen R, Stovner LJ. Epidemiology and comorbidity of headache. Lancet Neurol 2008; 07: 354-361.
  • 20 Engels G, Francke AL, van Meijel B. et al. Clinical pain in schizophrenia: a systematic review. J Pain 2014; 15: 457-467.
  • 21 Connaughton J, Wand B. Prevalence, characteristics and management of headache experienced by people with schizophrenia and schizoaffective disorder: a cross sectional cohort study. Australas Psychiatry 2017; 25: 381-384.
  • 22 Bruffaerts R, Demyttenaere K, Kessler RC. et al. The associations between preexisting mental disorders and subsequent onset of chronic headaches: a worldwide epidemiologic perspective. J Pain 2015; 16: 42-52.
  • 23 Smitherman TA, Kolivas ED, Bailey JR. Panic disorder and migraine: comorbidity, mechanisms, and clinical implications. Headache 2013; 53: 23-45.
  • 24 Schur EA, Noonan C, Buchwald D. et al. A twin study of depression and migraine: evidence for a shared genetic vulnerability. Headache 2009; 49: 1493-1502.
  • 25 Pellegrino ABW, Davis-Martin RE, Houle TT. et al. Perceived triggers of primary headache disorders: A meta-analysis. Cephalalgia. 2017 doi: 10.1177/0333102417727535.
  • 26 Palacios-Ceña M, Fernández-Muñoz JJ, Castaldo MH. et al. The association of headache frequency with pain interference and the burden of disease is mediated by depression and sleep quality, but not anxiety, in chronic tension type headache. Headache Pain 2017; 18: 19.
  • 27 Egle UT, Egloff N, von Känel R. Stressinduzierte Hyperalgesie (SIH) als Folge von emotionaler Deprivation und psychischer Traumatisierung in der Kindheit. Schmerz 2016; 30: 526-536.
  • 28 International Headache Society (IHS).. Die Internationale Klassifikation von Kopfschmerzerkrankungen. 2. Aufl. Nervenheilkunde 2003; 22: 531-670.
  • 29 International Headache Society (IHS).. The International Classification of Headache Disorders 3rd edition (Beta version). https://www.ichd-3.org/12-headache-attributed-to-psychiatric-disorder
  • 30 Ghanizadeh A, Firoozabadi A. A review of somatoform disorders in DSM-IV and somatic symptom disorders in proposed DSM-V. Psychiatr Danub 2012; 24: 353-358.
  • 31 Loder E, Biondi D. Headache attributed to psychiatric disorder: a case series. Psychosomatics 2005; 46: 326-333.
  • 32 Radat F, Milowska D, Valade D. Headaches secondary to psychiatric disorders (HSPD): a retrospective study of 87 patients. Headache 2011; 51: 789-795.
  • 33 Salem H, Vivas D, Cao F. et al. ADHD is associated with migraine: a systematic review and meta-analysis. Eur Child Adolesc Psychiatry. 2017 doi: 10.1007/s00787-017-1045-4.
  • 34 Manzoni GC, Torelli P. Does NDPH exist? Some clinical considerations. Neurol Sci 2011; 32 Suppl (Suppl. 01) 45-9.
  • 35 Gameroff MJ, Olfson M. Major depressive disorder, somatic pain, and health care costs in an urban primary care practice. The Journal of clinical psychiatry 2006; 67: 1232-1239.
  • 36 Lake AE, Rains JC, Penzien DB. et al. Headache and psychiatric comorbidity: historical context, clinical implications, and research relevance. Headache 2005; 45: 493-506.