The Psychiatric Approach to Headache

Shulman, Robert

doi:10.1016/b978-0-12-800901-7.00018-5

Cited by 3 publications

(5 citation statements)

References 41 publications

(38 reference statements)

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“…The higher prevalence of stress and stress-related disorders in patients with migraine compared to non-migraineurs might be explained by the central sensitization theory, which postulates a stress-induced abnormal activation of the trigeminal nucleus caudalis, hypothesized to be involved in pain processing [131]. Stress-induced mechanisms acting on underlying genetic and epigenetic vulnerability are able to modify neural circuits, neurotransmitter balance, and autonomic and endocrine responses [132]. The stress response seems to be dysfunctional even in children with migraine [111, 133].…”

Section: Stress and Post-traumatic Stress Disordermentioning

confidence: 99%

“…This phenomenon is shared by both migraine and PTSD, in which the exposure to major traumatic events impairs the normal limbic response. Another possible explanation of the comorbidity between stress and migraine is that chronic stress provokes a state of prolonged inflammation leading to a damage and substantial modifications on some sensitive specific brain areas, even implied in pain perception [132, 136–139].…”

Section: Stress and Post-traumatic Stress Disordermentioning

confidence: 99%

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Understanding the nature of psychiatric comorbidity in migraine: a systematic review focused on interactions and treatment implications

Dresler¹,

Caratozzolo

Guldolf³

et al. 2019

J Headache Pain

152

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BackgroundMigraine is a highly prevalent and disabling neurological disorder which is commonly linked with a broad range of psychiatric comorbidities, especially among subjects with migraine with aura or chronic migraine. Defining the exact nature of the association between migraine and psychiatric disorders and bringing out the pathophysiological mechanisms underlying the comorbidity with psychiatric conditions are relevant issues in the clinical practice.MethodsA systematic review of the most relevant studies about migraine and psychiatric comorbidity was performed using “PubMed”, “Scopus”, and “ScienceDirect” electronic databases from 1 January 1998 to 15 July 2018. Overall, 178 studies met our inclusion criteria and were included in the current review.ResultsAccording to the most relevant findings of our overview, the associations with psychiatric comorbidities are complex, with a bidirectional association of major depression and panic disorder with migraine. Importantly, optimizing the pharmacological and non-pharmacological treatment of either migraine or its psychiatric comorbidities might help clinicians to attenuate the burden of both these conditions.ConclusionsThe available data highlight the need for a comprehensive evaluation of psychiatric disorders in migraine in order to promote an integrated model of care and carefully address the burden and psychosocial impairment related to psychiatric comorbidities in migraine.

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Section: Stress and Post-traumatic Stress Disordermentioning

confidence: 99%

Section: Stress and Post-traumatic Stress Disordermentioning

confidence: 99%

Understanding the nature of psychiatric comorbidity in migraine: a systematic review focused on interactions and treatment implications

Dresler¹,

Caratozzolo

Guldolf³

et al. 2019

J Headache Pain

152

View full text Add to dashboard Cite

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“…Their self-esteem is fragile, and they have a lack of trust towards other people. Their egotism and self-awareness are abnormally increased; making them feel socially uncomfortable and be afraid of negative opinions (Shulman, 2015). Furthermore, some narcissists are aware of their undesirable side, such as arrogance and bragging; and that others do not see them as favorable as they see themselves (Carlson, 2013).…”

Section: Narcissistic Relationshipsmentioning

confidence: 99%

“…Narcissism is correlated to dissatisfaction and dysfunction in interpersonal relationships (Lamkin et al, 2017: 224-228). In romantic relationships, they use their partners as an object to boost and encourage their own self-esteem (Shulman, 2015). According to a study, women with higher levels of narcissism showed significantly higher levels of hostility compared to their male partners.…”

Section: Narcissistic Relationshipsmentioning

confidence: 99%

“…If narcissists are criticized, they may react with rage, humiliation or shame. Their dissatisfaction leads to anger, depression, lack of empathy and disturbed relationships (Shulman, 2015). Some specific problems of these patients are their tendencies for depressive crises due to an insult (Saß, 2001) or lack of special attention.…”

Section: Narcissistic Aggressionmentioning

confidence: 99%

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Shining on the Stage: Narcissism and Performing Arts / İcrada Öne Çikmak: Narsi̇si̇zm Ve Sahne Sanatlari

Özgür¹

2020

SOBIDER

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Narcissism is defined as a personality disorder by clinical psychologists, who consider narcissists as seekers of admiration with a lack of empathy. According to social psychologists, narcissists are self-assured individuals with leadership traits and excessive interest in themselves. This study makes a literature review to find out about the beneficial and non-beneficial characteristics of narcissists, their relationships, anger management and decision making processes, as well as the reflections of these features on performing arts, which may force artists to be narcissistic. Narcissists' interpersonal relationships are generally weak and they tend to be aggressive towards criticism and negative feedback. They focus on reward and give risky decisions due to overconfidence, making them attractive and dangerous at the same time. Performers should distinguish between an inner self and a commercial self in order to eliminate the harmful effects of narcissism and to have a more peaceful and healthy performing life.

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Is headache only headache? Comorbidity of headaches and mental disorders

Akyildiz¹,

Sercan²,

Yıldız³

et al. 2015

Dusunen Adam

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Is headache only headache? Comorbidity of headaches and mental disordersObjective: To determine the psychiatric disorders comorbid with headaches and the characteristics of these disorders. Method:Patients who admitted to the neurology outpatient clinic with a main complaint of headache (n=71), and the same number of patients matching with age and sex (n=71) who admitted to the psychiatry outpatient clinic and had a non-psychotic diagnose in axis I were included into the study. Socio-demographic data and information about their headaches were obtained from all patients. The Visual Analog Scale and MINI-scan form were obtained and psychiatric diagnoses were made after the assessment by MINI.Results: There was not any difference between headache and psychiatric patients group in terms of sociodemographic data. Headache history was found higher in the families of headache group than the psychiatric patients group. High prevalence of psychiatric comorbidity was found in patients with headache (80.3%). All of the patients with tension-type headache (TTH) fulfilled the criteria for diagnosing a pain disorder by MINI, and also the high prevalence of psychiatric comorbidity (63.4%) was still taking place after excluding the pain disorder. The most frequent diagnose of psychiatric comorbidity was found as depressive disorders (64.8%) which is compatible with the literature.Discussion: The high prevalence of psychiatric comorbidity with headache is remarkable. More common family history of headache in headache patients than the other group suggests that there is a tendency to have headache independent from a psychiatric disorder in these patients. High comorbidity rate in the presence of psychosocial stressors suggests that there is a continuum among psychiatric comorbidity, headache and psychosocial stressors.Among the psychiatric comorbidity, depressive disorders predominate. On the other hand, the higher frequency of psychiatric comorbidity in patients with TTH is remarkable. It is observed that the uncertainty between the diagnostic criteria of pain disorder in DSM-IV and diagnostic criteria of TTH (Tension Type Headache) in ICHD (International Classification of Headache Disorders) causes some problems both in diagnosing and treatment of patients and also in researches. Tartışma: Baş ağrısı hastalarında psikiyatrik eş tanı yüksekliği dikkat çekicidir. Hastaların ailelerinde baş ağrısı öyküsünün belirgin olarak daha çok olması, kişide psikiyatrik bir sorun varlığından bağımsız bir baş ağrısı eğilimini işaret etmektedir.Psikososyal stresör varlığında yüksek eş tanı oranlarının olması, psikososyal stresör, psikiyatrik eş tanı ve baş ağrısı arasında bir süreklilik olduğunu göstermektedir. Psikiyatrik eş tanılar arasında depresif bozukluklar (depresyon) ağırlık taşımaktadır. Öte yandan araştırmamız gerilim tipi baş ağrısı hastalarındaki psikiyatrik eş tanı yüksekliğine dikkat çekmektedir. DSM-IV'teki ağrı bozukluğu tanı ölçütleri ile ICHD (International Classification of Headache Disorders) gerilim tipi baş ağrısı...

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The Psychiatric Approach to Headache

Cited by 3 publications

References 41 publications

Understanding the nature of psychiatric comorbidity in migraine: a systematic review focused on interactions and treatment implications

Understanding the nature of psychiatric comorbidity in migraine: a systematic review focused on interactions and treatment implications

Shining on the Stage: Narcissism and Performing Arts / İcrada Öne Çikmak: Narsi̇si̇zm Ve Sahne Sanatlari

Is headache only headache? Comorbidity of headaches and mental disorders

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