Anger and Hostility in Tension‐Type Headache

Hatch, John P.; Schoenfeld, Lawrence S.; Boutros, Nashaat N.; Seleshi, Ermias; Moore, Patricia J.; Cyr-Provost, Margaret

doi:10.1111/j.1526-4610.1991.hed3105302.x

Cited by 65 publications

(62 citation statements)

References 3 publications

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“…First, anger control was significantly lower in all the headache patients we examined except in migraine, in accordance with some studies [12] but not with others [13,14]. Tension-type headache patients, regardless of the clinical subtype, the frequency of attacks or the duration of the disease, presented a reduced ability to monitor and to prevent the experience of anger.…”

Section: Discussionsupporting

confidence: 53%

“…Tension-type headache patients, regardless of the clinical subtype, the frequency of attacks or the duration of the disease, presented a reduced ability to monitor and to prevent the experience of anger. In patients with episodic tension-type headache, Hatch et al [12] found a reduced ability to control angry feelings but no data on migraine patients is available. The authors also found higher scores in anger suppression (anger-in), in general index of anger expression (AX/EX) and trait anger (T-anger), but no significant differences were found between the headache patients and the controls for the expressed anger (anger-out) scores.…”

Section: Discussionmentioning

confidence: 99%

“…Anger seems to increase disability also in other patients suffering from chronic pain [11]. Some studies have shown that patients with tension-type headache have a higher degree of anger and depression than healthy controls [12,13]. A recent study [14] found that headache patients suppress their anger more than people without headache even after controlling for levels of depression, anxiety and trait-anger.…”

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confidence: 99%

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Anger and emotional distress in patients with migraine and tension–type headache

Perozzo¹,

Savi

Castelli

et al. 2005

J Headache Pain

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The objective was to evaluate the prevalence and the characteristics of anger and emotional distress in migraine and tension– type headache patients. Two hundred and one headache patients attending the Headache Center of the University of Turin were selected for the study and divided into 5 groups: (1) migraine, (2) episodic tension–type headache, (3) chronic tension–type headache, (4) migraine associated with episodic tension–type headache and (5) migraine associated with chronic tension–type headache. A group of 45 healthy subjects served as controls. All the subjects completed the State–Trait Anger Expression Inventory, the Beck's Depression Inventory and the Cognitive Behavioral Assessment. Anger control was significantly lower in all headache patients ( p <0.05) except in migraineurs. Patients with migraine and tension–type headache showed a significantly higher level of angry temperament and angry reaction ( p <0.05). In addition, chronic tension–type headache and migraine associated with tension–type headache patients reported a higher level of anxiety ( p <0.05), depression ( p <0.001), phobias ( p <0.001) and obsessive–compulsive symptoms ( p <0.01), emotional liability ( p <0.001) and psychophysiological disorders ( p <0.001). Our study shows that chronic tension–type headache and migraine associated with tension–type headache patients present a significant impairment of anger control and suggests a connection between anger and the duration of headache experience.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Anger and emotional distress in patients with migraine and tension–type headache

Perozzo¹,

Savi

Castelli

et al. 2005

J Headache Pain

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“…Our findings also add to evidence that TTH is frequently co-morbid with anxiety and depression [57] and with reports of repressed anger and resentment [57][58][59]. We also found that adults with TTH were less antisocial in childhood and less aggressive during adolescence and early adulthood than individuals …”

Section: Precipitants and Correlates Of Tthsupporting

confidence: 69%

Tension-Type Headache: A Life-Course Review

Waldie

Buckley²,

Bull³

et al. 2015

Journal of Headache &Amp; Pain Management

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Background: Tension-type headache is the most prevalent primary headache type worldwide and is associated with a wide spectrum of disability. Although progress has been made in understanding the complex mechanisms that lead to the pathogenesis of tension-type headache, to date there are no clear-cut markers of what makes tension-type headache unique. Due to a relative lack of research (compared to migraine), the pathophysiology of tension-type headache is not well understood and there are gaps in the epidemiological data, particularly from Australasia.

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“…The median for persons without significant psychological problems is arbitrarily set to 35 [18]. The tendency to higher scores on the Aggressive personality scale among REDUC patients seems to be in concordance with studies showing less control with anger expression among headache patients [32,33] and a sug- gestion that anger of pain patients is appraisal related [34] and thus would be amenable to cognitive therapy.…”

Section: Discussionmentioning

confidence: 63%

Predictors of treatment outcome in headache patients with the Millon Clinical Multiaxial Inventory III (MCMI-III)

2007

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The objective was to discover possible psychological factors influencing treatment outcome for headache patients referred to psychological treatment in a tertiary headache centre by initial assessment using the Millon Clinical Multiaxial Inventory III (MCMI-III). The MCMI-III was administered to 136 referred patients. Patients with valid protocols who had completed their treatment by October 2003 were included. Multidisciplinary treatment was offered including psychological treatment, mainly pain and stress management, pharmacological treatment and physiotherapy. Medians of MCMI-III scales for patients with and without reduction in headache frequency were compared. All of the eligible 58 patients were included in the study. Patients with reduction in headache frequency after treatment had lower scores on the MCMI-III Somatoform, Major depression and Avoidant personality pattern scales and higher scores on the Alcohol Dependence, Self-Defeating personality pattern, Depressive personality pattern, Drug Dependence, Aggressive personality pattern and Bipolar: Manic scales before treatment compared to patients without effect. Patients with a positive treatment effect reported less symptoms of depression and seemed less inclined to somatisation than non-responders. Responders also appeared more likely to experience increased social or occupational distress and report difficulties with handling emotions and an enduring tendency to focus on negative aspects of the self-image. The results can give valuable information regarding treatment planning and development.

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Anger and Hostility in Tension‐Type Headache

Cited by 65 publications

References 3 publications

Anger and emotional distress in patients with migraine and tension–type headache

Anger and emotional distress in patients with migraine and tension–type headache

Tension-Type Headache: A Life-Course Review

Predictors of treatment outcome in headache patients with the Millon Clinical Multiaxial Inventory III (MCMI-III)

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