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  3. Major life changes may play a role in as many as a quarter of chronic daily headache cases that arise among otherwise healthy ad

Major life changes may play a role in as many as a quarter of chronic daily headache cases that arise among otherwise healthy ad

admin2011-02-25  55
问题     Major life changes may play a role in as many as a quarter of chronic daily headache cases that arise among otherwise healthy adult men and women, study findings suggest. "Major life events may precipitate or co-occur with the development of chronic daily headaches," Dr. Ann I. Scher said. Major life changes literally shake up our world, and invite or pressure us to interact with life in new ways. To grow, we need to change our belief systems to allow for new levels of thinking and performance.
    Scher, of Uniformed Services University, in Bethesda, Maryland, and colleagues assessed re ports of major life changes among 206 men and women who met criteria for chronic daily headache (180 or more headache days per year). They assessed similar reports from 507 men and women with "episodic" headache (2 to 104 headache days per year).
    The investigators assessed changes in work, marital status, children’s status, or residence; as well as deaths of family or close friends. They also inquired about self-defined "extremely stressful situations," such as financial problems, an ongoing individual illness or that of a family member, or an ongoing abusive relationship. Compared with men and women with episodic headache, men and women with chronic daily headache were more likely to have experienced major life events in the 2-year period prior to the onset of their headache condition, the researchers report in the medical journal Cephalalgia.
    The strongest predictor of chronic daily headache was an ongoing extremely stressful situation. The researchers also noted a higher proportion of chronic daily headache among people 40 years and older. In this group, "a change in work status was related to increased risk for chronic daily headache, while in contrast, those younger than 40 years showed a decreased risk for chronic daily headache after a job change," Scher told Reuters Health.
    These findings are generally consistent with prior research related to other chronic pain conditions, the investigators note. "Our finding that the relationship may be stronger for those older than 40 was an interesting, but secondary, finding that should be replicated in other samples," Scher said.
What is the most important element to predict chronic daily headache?
选项 A、The experience of severe pressure.
B、An age of over 40 years old.
C、Too many job changes in the past.
D、The problems related to children.
答案A
解析 细节题；符合最高级的命题原则，这里的“the most important element to predict”在原文中有“The strongest predictor”这样的对应表达。所以我们需要寻找的是“an ongoing extremely stressful situation”的同义表达，比较4个选项，A选项表达的意思是正确的。
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