如何走出 “让人头痛”的恶性循环

Core Viewpoint - Chronic headaches are a significant health issue in urban populations, often intertwined with insomnia, anxiety, and depression, creating a vicious cycle that needs to be addressed by both neurology and mental health fields [1] Group 1: Impact of Chronic Headaches - The prevalence of chronic headaches, defined as headaches occurring more than 15 days a month for over three months, is alarming among modern urban populations [1] - Chronic headache patients experience "anticipatory anxiety," where the fear of impending pain leads to real tension headaches, perpetuating a self-fulfilling cycle [2] - The risk of depression in chronic headache patients is significantly higher than in the general population, with pain also affecting patience and increasing irritability, which can strain relationships [2] Group 2: Sleep Issues - Chronic headache patients, particularly those with migraine, often struggle with sleep, either having difficulty falling asleep or waking up due to pain, leading to a cycle of sleep deprivation and subsequent headaches [3] Group 3: Treatment Strategies - A comprehensive approach is necessary for treating chronic headaches, including lifestyle changes, psychological adjustments, and scientific medical treatments [4] - Establishing a healthy routine, ensuring a dark sleeping environment, and avoiding electronic devices before bed can improve sleep quality [4] - Cognitive-behavioral therapy is effective in helping patients alter negative thoughts and behaviors related to pain and stress, while mindfulness meditation and relaxation training can reduce fear and anxiety [4] - Patients with frequent headaches may need to follow medical advice for medication to reduce the frequency and severity of headaches, while being cautious of "medication-overuse headaches" [4] Group 4: Expert Commentary - The article effectively highlights the interplay between chronic headaches, insomnia, and psychological disorders, providing practical insights that are relevant to clinical practice and patient self-management [5]