Personality, Depression, and Anxiety as Risk Factors for Chronic Migraine

Karakurum, Başak; Tunçel, Tuba; Karataş, Mehmet Baran; Gıray, Semih; Tan, Meliha; Arlıer, Zülfikar; Benli, Sibel

doi:10.1080/00207450490476002

Cited by 39 publications

(32 citation statements)

References 15 publications

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“…Both groups of CM patients scored higher on hypochondriasis, depression, schizophrenia, and social introversion than EM patients. Karakurum and colleagues [18] replicated these findings with respect to hypochondriasis, depression, and social introversion. These data, as well as data indicating a lack of MMPI scale differences between patients with chronic migraine and chronic TTH [19], suggest that headache chronicity (i.e., frequency) is associated with particular traits on the MMPI.…”

Section: Other Personality Traitssupporting

confidence: 67%

Personality traits, personality disorders, and migraine: a review

2013

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The personality trait of neuroticism has been associated with migraine, although research is needed to clarify potential moderators of this relationship and the extent to which neuroticism reflects a stable disposition or instead is a function of general somatic distress or situational influences. With the possible exception of harm avoidance, research has not consistently identified any other personality trait unique among migraineurs. Personality disorders have been researched less extensively, but existing data suggests that borderline personality disorder, in particular, is associated with increased negative impact of migraine, risk for medication overuse, and poor response to treatment that is likely of greater clinical importance than any personality trait per se.

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Section: Other Personality Traitssupporting

confidence: 67%

Personality traits, personality disorders, and migraine: a review

2013

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“…Another illness phobia frequently observed in headache care is the phobia of having a brain tumour or aneurysm. Our patients did not present hypochondriasis; although MMPI scores regarding this aspect are elevated in CM [18], we did not use these in our sample. The instrument may not be as accurate for psychiatric diagnosis as the DSM-IV.…”

Section: Discussionmentioning

confidence: 92%

Cephalalgiaphobia: a possible specific phobia of illness

et al. 2007

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Psychiatric comorbidity, mainly anxiety and depression, are common in chronic migraine (CM). Phobias are reported by half of CM patients. Phobic avoidance associated with fear of headache or migraine attack has never been adequately described. We describe 12 migraine patients with particular phobic-avoidant behaviours related to their headache attacks, which we classified as a specific illness phobia, coined as cephalalgiaphobia. All patients were women, mean age 42, and all had a migraine diagnosis (11 CM, all overused acute medications). Patients had either a phobia of a headache attack during a pain-free state or a phobia of pain worsening during mild headache episodes. Patients overused acute medication as phobic avoidance. It is a significant problem, associated with distress and impairment, interfering with medical care.Cephalalgiaphobia is a possible specific phobia of illness, possibly linked to progression of migraine to CM and to acute medication overuse headache.

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“…27 Yine Karakurum ve ark., 87 migrenli hastada yaptıkları çalışmada, depresyon, anksiyete ve histeri, hipokondriyaz ve psikasteni gibi kişilik özelliklerinin migrenlilerde daha sık görüldüğünü belirtmişlerdir. 28 Çalışmamızda, migrenlilerdeki depresyon ve anksiyete düzeylerini belirlemek üzere hasta ve sağlıklı kontrol grubuna HAM-A, HAM-D ölçekleri uygulanmıştır. Daha önce yapı-lan araştırmalarla uyumlu olarak depresyon ve/veya anksiyete skorları migren olguları lehine anlamlı düzeyde daha yüksek saptanmıştır.…”

Section: Discussionunclassified

Neurologic and Psychiatric Comorbidity in Migraine Patients

Aydin¹,

Kutluhan²,

Yürekli³

et al. 2013

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Migren tipi baş ağrısı olan hastalarda sessiz infarkt ve beyaz cevher lezyonu (BCL) sıklığı-nın belirlenmesi, depresyon, anksiyete ve obsesif-kompulsif belirtilerin düzeyi ile migren arasındaki iliş-kinin incelenmesi ve migren tipi ve atak sıklığının bu ilişkiler üzerindeki etkisinin araştırılmasıdır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmaya, Süleyman Demirel Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı Baş Ağ-rısı Polikliniği'nde Uluslararası Baş Ağrısı Topluluğu (International Headache Society-IHS)'nun kriterlerine göre migren tanısı alan, yaşları 19-60 arasında 32 auralı, 91 aurasız 123 hasta ve 114 sağlıklı kontrol olgusu dâhil edildi. Psikiyatrik değerlendirmeler Hamilton Depresyon ve Anksiyete Derecelendirme Öl-çeği ve Maudsley Obsesif Kompulsif Soru Listesi (MOKSL) kullanılarak yapıldı. B Bu ul lg gu ul la ar r: : Migren olgularının %16,9'unda BCL tespit edildi. Derin beyaz cevher lezyonu (DBCL) görülme oranı kontrol grubuna göre daha yüksekti; bu fark istatistiksel olarak anlamlı bulundu (p=0,003). Periventriküler beyaz cevher lezyonu (PBCL) kontrol grubuna göre daha yüksek oranda görülmesine rağmen fark anlamlı değildi. Aurasız migreni olan hastalarda, auralı migreni olan hastalara göre, kraniyal manyetik rezonans görüntü-leme incelemesinde DBCL ve PBCL görülme oranı yüksek saptandı, fakat istatistiksel anlamlılık tespit edilmedi (p>0,05). Her üç psikiyatrik ölçekte (Hamilton Depresyon ve Anksiyete Derecelendirme Ölçeği; MOKSL) migren hastalarında puan ortalaması kontrol grubuna göre daha yüksekti. Bu fark, MOKSL skoru hariç tümünde istatistiksel anlamlılık düzeyindeydi (p<0,05). S So on nu uç ç: : Migren hastalarında depresyon ve anksiyete düzeyleri yüksektir; dolayısıyla migren hastalarının izleminde psikiyatrik değerlendirme önem-lidir. Migren hastalarında beyaz cevher lezyonu bulunması, bu lezyonlar serebrovasküler hastalıklar için risk faktörü ve gösterge olarak öne sürüldüğünden dikkatle değerlendirilmelidir.A An na ah ht ta ar r K Ke el li im me el le er r: : Eş zamanlı hastalık; migren bozuklukları A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of this study was to determine the frequency of subclinical infarctions and white matter lesions (WML), to analyze the relation between migraine and the level of depression, anxiety and obsessive-compulsive symptoms, and to examine the effect of the frequency and type of migraine on these disorders in patients with migraine-type headache. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Patients who were followed-up in the Headache Outpatient Clinic in the Department of Neurology at the Süleyman Demirel University with a diagnosis of migraine according to the International Headache Society criteria were included in the study. The study group included, 123 patients (aged between 19 and 60) with migraine-32 with aura, 91 without aura-and 114 healthy controls. Hamilton Depression and Anxiety Rating Scale and Maudsley Obsessive-Compulsive Inventory (MOCI) were used for psycho...

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Personality, Depression, and Anxiety as Risk Factors for Chronic Migraine

Cited by 39 publications

References 15 publications

Personality traits, personality disorders, and migraine: a review

Personality traits, personality disorders, and migraine: a review

Cephalalgiaphobia: a possible specific phobia of illness

Neurologic and Psychiatric Comorbidity in Migraine Patients

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