Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain

There are controversial associations between headaches and psychological symptoms. Objective To design a profile of neuroticism, a term that groups variables related to negative personality traits, in patients with chronic daily headache (CDH) when compared to episodic migraine (EM) patients, applying the Factorial Scale of Emotional Adjustment/Neuroticism (NFS). Method One hundred adult patients with CDH and forty with EM answered the NFS. Results Comorbidities of subtypes of neuroticism (p=0.006) were more common in chronic daily headache patients, with three or more disorders (p=0.0002): dependent personality disorder (p=0.0001), anxiety, reduced concentration and production (p=0.0008), depression (p<0.0001), suicidal ideation (p=0.0008) and hopelessness even without depression (p<0.0001). Conclusion Patients with CDH tend to have dependent personality disorder, low production and concentration, anxiety, depression, suicidal ideation and hopelessness, superimposing two or more psychological disorders. These factors should be pondered for a better resolution in the treatment of CDH.

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Main Authors: Zampieri,Maria Aparecida Junqueira, Tognola,Waldir Antonio, Galego,José Carlos Busto
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 2014
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000800598
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spelling oai:scielo:S0004-282X20140008005982014-08-01Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of painZampieri,Maria Aparecida JunqueiraTognola,Waldir AntonioGalego,José Carlos Busto headaches disorders migraine psychology There are controversial associations between headaches and psychological symptoms. Objective To design a profile of neuroticism, a term that groups variables related to negative personality traits, in patients with chronic daily headache (CDH) when compared to episodic migraine (EM) patients, applying the Factorial Scale of Emotional Adjustment/Neuroticism (NFS). Method One hundred adult patients with CDH and forty with EM answered the NFS. Results Comorbidities of subtypes of neuroticism (p=0.006) were more common in chronic daily headache patients, with three or more disorders (p=0.0002): dependent personality disorder (p=0.0001), anxiety, reduced concentration and production (p=0.0008), depression (p<0.0001), suicidal ideation (p=0.0008) and hopelessness even without depression (p<0.0001). Conclusion Patients with CDH tend to have dependent personality disorder, low production and concentration, anxiety, depression, suicidal ideation and hopelessness, superimposing two or more psychological disorders. These factors should be pondered for a better resolution in the treatment of CDH. info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.72 n.8 20142014-08-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000800598en10.1590/0004-282X20140084
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Zampieri,Maria Aparecida Junqueira
Tognola,Waldir Antonio
Galego,José Carlos Busto
spellingShingle Zampieri,Maria Aparecida Junqueira
Tognola,Waldir Antonio
Galego,José Carlos Busto
Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
author_facet Zampieri,Maria Aparecida Junqueira
Tognola,Waldir Antonio
Galego,José Carlos Busto
author_sort Zampieri,Maria Aparecida Junqueira
title Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
title_short Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
title_full Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
title_fullStr Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
title_full_unstemmed Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
title_sort patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
description There are controversial associations between headaches and psychological symptoms. Objective To design a profile of neuroticism, a term that groups variables related to negative personality traits, in patients with chronic daily headache (CDH) when compared to episodic migraine (EM) patients, applying the Factorial Scale of Emotional Adjustment/Neuroticism (NFS). Method One hundred adult patients with CDH and forty with EM answered the NFS. Results Comorbidities of subtypes of neuroticism (p=0.006) were more common in chronic daily headache patients, with three or more disorders (p=0.0002): dependent personality disorder (p=0.0001), anxiety, reduced concentration and production (p=0.0008), depression (p<0.0001), suicidal ideation (p=0.0008) and hopelessness even without depression (p<0.0001). Conclusion Patients with CDH tend to have dependent personality disorder, low production and concentration, anxiety, depression, suicidal ideation and hopelessness, superimposing two or more psychological disorders. These factors should be pondered for a better resolution in the treatment of CDH.
publisher Academia Brasileira de Neurologia - ABNEURO
publishDate 2014
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000800598
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