Personality and Headache Type: a Controlled Study

Passchier, Jan; Helm-Hylkema, H. Van Der; Orlebeke, J.F.

doi:10.1111/j.1526-4610.1984.hed2403140.x

Cited by 27 publications

(11 citation statements)

References 13 publications

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“…Consistently, children with migraine showed similar levels of achievement motivation compared to their healthy siblings . However, elevated levels of achievement motivation in headache patients compared to healthy controls have also been reported . Although achievement motivation was not elevated, the present result might seem remarkable in view of the fact that our patients had on average 15 headache days per month.…”

Section: Discussionsupporting

confidence: 84%

High Achievement Motivation is Not Related to Increased Use of Acute Headache Medication in Migraine: A Cross‐sectional Observational Cohort Study

et al. 2018

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Objective To determine if migraine patients with high achievement motivation have an increased use of acute headache medication. Background It has been hypothesized that high achievement‐motivated migraine patients have an increased use of acute headache medication to be able to perform at work and during daily life, putting them at risk for medication overuse headache (MOH). Methods The Achievement Motivation Inventory and use of acute headache medication were assessed in 117 migraine patients (60 episodic, 57 chronic) at their first appointment at our tertiary headache center. Results Patients with low vs high achievement motivation were not significantly different in acute headache medication days per month (10.8 ± 6.9 vs 10.9 ± 7.8, P = .98), in acute headache medication use in the absence of headache (to prevent occurrence of headache later that day: 51.8% vs 48.2%, P = .38), in having a diagnosis of MOH (37.9 vs 23.7%, P = .12), or in reduction of acute headache medication days at 3 and 6 months follow‐up (both P > .20). Conclusions High achievement motivation in migraine patients was not associated with increased acute headache medication use or more frequent diagnosis of MOH.

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Section: Discussionsupporting

confidence: 84%

High Achievement Motivation is Not Related to Increased Use of Acute Headache Medication in Migraine: A Cross‐sectional Observational Cohort Study

et al. 2018

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“…Among children and youth, elevated FF has been linked to decreased school engagement, increased behavioral problems, and reduced academic and peer competence (Caraway, Tucker, Reinke, & Hall, 2003;Singh, 1992). Among adults, elevated FF has been linked with health problems such as clinical headache disorders, erectile dysfunction, and eating disorders (Bruce & Barlow, 1990;Passchier, van der Helm Hylkema, & Orlebeke, 1984;Weeda-Mannak & Drop, 1985). Over a third of the students presenting to a university counseling center identify FF as one of their complaints, and 35% of music students report having problems attributed to FF (Bishop, Bauer, & Becker, 1998;Young & Hipple, 1996).…”

Section: Fear Of Failurementioning

confidence: 99%

Coaching Behaviors Associated With Changes in Fear of Failure: Changes in Self‐Talk and Need Satisfaction as Potential Mechanisms

Conroy

Coatsworth

2007

Journal of Personality

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Cognitive-interpersonal and motivational mechanisms may regulate relations between youth perceptions of interpersonal aspects of the social ecology and their fear-of-failure (FF) levels. Youth (N=165) registered for a summer swim league rated their fear of failure at the beginning, middle, and end of the season. Extensive model comparisons indicated that youths' end-of-season ratings of coach behaviors could be reduced to three factors (affiliation, control, blame). Perceived control and blame from coaches predicted residualized change in corresponding aspects of youths' self-talk, but only changes in self-blame positively predicted changes in FF levels during the season. Perceived affiliation from coaches predicted autonomy need satisfaction which, in turn, negatively predicted the rate of change in FF levels during the season. These findings indicate that (a) youth perceptions of coaches were directly and indirectly related to acute socialization of FF and (b) both cognitive-interpersonal and motivational mechanisms contributed to this socialization process. Further research is needed to test for developmental differences in these mechanisms to determine whether findings generalize to more heterogeneous and at-risk populations and to investigate other potential social-ecological influences on socialization.

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“…Details of our diagnostic criteria for migraine and tension headache can be found in former reports. 10,29 Patients gave consent for their participation after having been informed about the procedures of the treatment and the study. Eight migraine patients and three tension headache patients from the 91 patients who entered the project were removed from the design because of drop-out, unplanned changes in the treatment program, and failures in headache recording.…”

Section: Methodsmentioning

confidence: 99%

“…14,23,24 Higher scores on measures of neuroticism, obsessive-compulsive behavior, rigidity, achievement motivation, and fear of failure have been found in both migraine and tension headache patients, but the results are inconsistent and dependent on the severity of the headache complaints. 4,23,[25][26][27][28][29] Several variants of behavioral treatment, like assertive training 30,31 and cognitive therapy, 18 start from these findings and teach the headache patient to use effective stress-coping strategies instead of maladaptive methods often associated with the traits above. Headache reduction by such techniques is related possibly to a diminution of the disposition to stress responses, i.e., a decrease in stress-prone personality measures.In the present study, migraine and tension headache patients were evaluated before and after behavioral treatment by physiological and psychological measures.The main questions of the study were:1.…”

mentioning

confidence: 99%

Lack of Concordance Between Changes in Headache Activity and in Psychophysiological and Personality Variables Following Treatment

Passchier¹,

Helm-Hylkema²,

Orlebeke³

1985

Headache

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SYNOPSISHypotheses about the involvement of physiological and personality mechanisms in the relation between stress and headache have not yet been tested in a pretreatment-post-treatment treatment design though many behavioral techniques are based on these notions. Effects of four treatments (stress-coping, stress-coping including finger temperature biofeedback, stress-coping including temporal vasoconstriction biofeedback and waiting list-control) were analysed in migraine patients with regard to headache measures, psychophysiological functioning and personality variables. In tension headache patients three treatments were compared (stress-coping, stress-coping including frontalis EMG biofeedback, and waiting list-control). Changes neither in physiological nor in personality measures showed concurrency with changes in headache variables. Our results do not confirm the hypothesis of a mediating role between stress and headache for temporal artery and frontal muscle stress responses in migraine patients and tension headache patients, respectively. Neither was the notion of involvement of personality change in headache improvement sustained. (Headache 25:310-316, 1985) While stress is mentioned as a predominant elicitor of headache complaints, in particular migraine, 1-6 the psychophysiological mechanisms by which arousing events lead to such suffering are still unknown. Cephalic artery responses to stress have been given much emphasis in theories concerning the link between stress and migraine, and, analogously, cephalic muscular responses in hypotheses with regard to tension headache. Several authors studied extracranial vasomotor responses in migraine patients' 7-10 and reactions of head muscles in tension headache patients. 7-16 So far, little evidence agrees with hypotheses of abnormal physiological responding in these groups.Assuming a mediating role for vascular and muscular responses between stress and headache it can be predicted that response decrement will accompany a reduction in headache complaints. Evaluation studies of biofeedback treatments have been focused mainly on the relation between headache improvement and changes in physiological activity under non-stress conditions. 17-22 Headache improvement, to our knowledge however, has not been related to alterations in physiological reactions to stress.Whether a stimulus will be stressful or not depends on a large number of factors, many of these subjective. It is suggested that migraine and tension headache patients experience more stress than most people due to a stress-disposed personality Structure. 14,23,24 Higher scores on measures of neuroticism, obsessive-compulsive behavior, rigidity, achievement motivation, and fear of failure have been found in both migraine and tension headache patients, but the results are inconsistent and dependent on the severity of the headache complaints. 4,23,[25][26][27][28][29] Several variants of behavioral treatment, like assertive training 30,31 and cognitive therapy, 18 start from these findings and teach the...

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Personality and Headache Type: a Controlled Study

Cited by 27 publications

References 13 publications

High Achievement Motivation is Not Related to Increased Use of Acute Headache Medication in Migraine: A Cross‐sectional Observational Cohort Study

High Achievement Motivation is Not Related to Increased Use of Acute Headache Medication in Migraine: A Cross‐sectional Observational Cohort Study

Coaching Behaviors Associated With Changes in Fear of Failure: Changes in Self‐Talk and Need Satisfaction as Potential Mechanisms

Lack of Concordance Between Changes in Headache Activity and in Psychophysiological and Personality Variables Following Treatment

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