Der Schmerz

, Volume 7, Issue 4, pp 287–297 | Cite as

Die Prävalenz von Kopfschmerzen in deutschland

Ein Untersuchung an einer repräsentativen Stichprobe auf der Basis der Kopfschmerzklassifikation der International Headache Society
  • H. Göbel
  • M. Petersen-Braun
  • D. Soyka
Originalien

Zusammenfassung

In dieser Studie wird erstmalig für Deutschland die Prävalenz verschiedener Kopfschmerz-erkrankungen sowie deren zeitliche Auftretenshäufigkeit nach den Kriterien der International Headache Society (IHS) und auf der Basis der vom Klassifikationskomitee legitimierten deutschen Übersetzung an einer großen repräsentativen Stichprobe beschrieben. Aus einem Panel von 30000 Haushalten wurden 5000 für die Gesamtbevölkerung repräsentative Personen ausgewählt und in einem Fragebogen zum Auftreten von Kopfschmerzen in der zurückliegenden Lebenszeit befragt (Lebenszeitprävalenz). Von den 5000 angeschriebenen Personen sandten 81,2% (n=4061) den Fragebogen ausgefüllt zurück. 71,4% (n=2902) gaben an, zumindest zeitweise an Kopfschmerzen zu leiden. Bezogen auf die Gesamtbasis vonn=4061 bzw. 100% erfüllten 27,5% (n=1116) die Kriterien der IHS-Klassifikation derMigräne. 38,3% (n=1557) wiesen die Kriterien desKopfschmerzes vom Spannungstyp auf. 5,6% (n=229) gaben an, an Kopfschmerzen zu leiden, erfüllten nicht die Kriterien der Migräne oder des Kopfschmerzes vom Spannungstyp und wurden entsprechend in die Kategorie „andere Kopfschmerzen” eingeteilt. Es fanden sich signifikante Zusammenhänge zwischen der Prävalenz der verschiedenen Kopfschmerzerkrankungen und soziodemographischen Variablen, wie Geschlecht, Lebensalter und Wohngebiet. Die Kopfschmerzprävalenz in den verschiedenen untersuchten Bundesländern zeigte keine signifikanten Unterschiede. Bei Übertragung der Ergebnisse auf die Gesamtbevölkerung wird deutlich, daß in Deutschland ca. 54 Millionen Menschen gelegentlich oder dauernd an Kopfschmerzen leiden. Die Bedeutung der neurologischen Erkrankungen Migräne und Kopfschmerz vom Spannungstyp werden derzeit ernsthaft unterschätzt. Sie sind eines der wichtigen Gesundheits-probleme unserer Zeit und bedürfen dringend einer wesentlich intensiveren Aufmerksamkeit unseres Gesundheitswesens.

Schlüsselwörter

Kopfschmerz Migräne Kopfschmerz vom Spannungstyp Epidemiologie Prävalenz 

Prevalence of headache syndromes in Germany

Abstract

This study presents the first-ever account of the prevalence of headache syndromes in Germany and the frequency with which they occur in a large representative sample according to the International Headache Society criteria, as set out in the German translation approved by the Classification Committee. 5000 persons representative of the total population were selected from a panel of 30000 households and requested to answer a questionnaire about headache occurrence during their life to date (lifetime prevalence). Of the 5000 persons who were sent questionnaires, 81.2% (n=4061) completed and returned them: 71.4% (n=2902) said they suffered from headache at least occasionally. Of the base population (all respondents: 100% orn=4061), 27.5% (n=1116) fulfilled the criteria for the IHS classification ofmigraine, 38.3% (n=1557) displayed the criteria oftension headache and 5.6% (n=229) said they suffered from headaches, but did not fulfil the criteria for either migraine or tension headache and were therefore classified in the category other headache. Significant correlations were found between the prevalence of the different headache syndromes and sociodemographic variables such as sex, age and place of residence. Headache prevalence in the various “länder” (states or regions) of Germany did not exhibit any significant differences. Applying the results to the total population reveals that some 54 million people in Germany occasionally or persistently suffer from headaches. The importance of the neurological disorders migraine and tension headache is currently seriously underestimated. They are one of the major health problems of our time. There is an urgent need for much greater attention to them by the health system.

Key words

Headache Migraine Tension headache Epidemiology Prevalence 

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Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • H. Göbel
    • 2
  • M. Petersen-Braun
    • 1
  • D. Soyka
    • 2
  1. 1.Bayer AGLeverkusen
  2. 2.Klinik für Neurologie der UniversitätKiel

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