MMPI personality profiles in patients with primary chronic daily headache: a case-control study.
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| Title: | MMPI personality profiles in patients with primary chronic daily headache: a case-control study. |
|---|---|
| Authors: | Bigal, M. E., Sheftell, F. D., Rapoport, A. M., Tepper, S. J., Weeks, R., Baskin, S. M. |
| Source: | Neurological Sciences. Oct2003, Vol. 24 Issue 3, p103-110. 8p. |
| Subjects: | Headache, Personality, Pain management, Personality tests, Migraine, Pathological psychology, Hypomania |
| Abstract: | We assessed the psychological profile of a large sample of patients with chronic daily headache (CDH) seen in tertiary care. We used a case-control design to study 791 patients who fell into the following categories: ARH group, chronic migraine with analgesic overuse (analgesic rebound headache, ARH), n=399; CM group, chronic migraine (CM) without analgesic overuse, n=158; and new daily persistent headache (NDPH) group, n=69. These groups were compared to two control groups: 1, migraine, n=100; 2, chronic post- traumatic headache (CPTH), n=65. We assessed personality and psychopathology with the Minnesota multiphasic personality inventory (MMPI)-2. The number of patients with T- scores ≥65 and ≤40 were analyzed by the two-sided Fischer's exact test. The ARH and CM groups had a higher number of subjects with T-scores ≥65, when compared to the migraine group, on the following scales: 1 (hypochondrias), 2 (depression), 8 (schizophrenia) and 0 (social introversion). No differences were observed between the NDPH and migraine groups. Considering CPTH as the control group, the pattern we found was quite the opposite of that described above: NDPH group presented a higher number of subjects with T-scores ≥65 on the following scales: 1, 2, 7 (psychasthenia) and 8. ARH and CM groups had significantly higher T-scores for scale 7 alone. NDPH showed T-scores ≤40 in scale 9 when compared to both control groups. We conclude that: (1) psychopathological factors are common in CDH patients, and appear to be a consequence of the chronification process; (2) low scores on scale 9 (hypomania) may relate to the development of NDPH; (3) psychopathological profiles differ among the subgroups of CDH and the MMPI-2 is reliable in identifying such patterns; and (4) psychological assessment is an essential step in the evaluation and treatment of patients with CDH. [ABSTRACT FROM AUTHOR] |
| Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 16647212 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: MMPI personality profiles in patients with primary chronic daily headache: a case-control study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Bigal%2C+M%2E+E%2E%22">Bigal, M. E.</searchLink><br /><searchLink fieldCode="AR" term="%22Sheftell%2C+F%2E+D%2E%22">Sheftell, F. D.</searchLink><br /><searchLink fieldCode="AR" term="%22Rapoport%2C+A%2E+M%2E%22">Rapoport, A. M.</searchLink><br /><searchLink fieldCode="AR" term="%22Tepper%2C+S%2E+J%2E%22">Tepper, S. J.</searchLink><br /><searchLink fieldCode="AR" term="%22Weeks%2C+R%2E%22">Weeks, R.</searchLink><br /><searchLink fieldCode="AR" term="%22Baskin%2C+S%2E+M%2E%22">Baskin, S. M.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Neurological+Sciences%22">Neurological Sciences</searchLink>. Oct2003, Vol. 24 Issue 3, p103-110. 8p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Headache%22">Headache</searchLink><br /><searchLink fieldCode="DE" term="%22Personality%22">Personality</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink><br /><searchLink fieldCode="DE" term="%22Personality+tests%22">Personality tests</searchLink><br /><searchLink fieldCode="DE" term="%22Migraine%22">Migraine</searchLink><br /><searchLink fieldCode="DE" term="%22Pathological+psychology%22">Pathological psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Hypomania%22">Hypomania</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: We assessed the psychological profile of a large sample of patients with chronic daily headache (CDH) seen in tertiary care. We used a case-control design to study 791 patients who fell into the following categories: ARH group, chronic migraine with analgesic overuse (analgesic rebound headache, ARH), n=399; CM group, chronic migraine (CM) without analgesic overuse, n=158; and new daily persistent headache (NDPH) group, n=69. These groups were compared to two control groups: 1, migraine, n=100; 2, chronic post- traumatic headache (CPTH), n=65. We assessed personality and psychopathology with the Minnesota multiphasic personality inventory (MMPI)-2. The number of patients with T- scores ≥65 and ≤40 were analyzed by the two-sided Fischer's exact test. The ARH and CM groups had a higher number of subjects with T-scores ≥65, when compared to the migraine group, on the following scales: 1 (hypochondrias), 2 (depression), 8 (schizophrenia) and 0 (social introversion). No differences were observed between the NDPH and migraine groups. Considering CPTH as the control group, the pattern we found was quite the opposite of that described above: NDPH group presented a higher number of subjects with T-scores ≥65 on the following scales: 1, 2, 7 (psychasthenia) and 8. ARH and CM groups had significantly higher T-scores for scale 7 alone. NDPH showed T-scores ≤40 in scale 9 when compared to both control groups. We conclude that: (1) psychopathological factors are common in CDH patients, and appear to be a consequence of the chronification process; (2) low scores on scale 9 (hypomania) may relate to the development of NDPH; (3) psychopathological profiles differ among the subgroups of CDH and the MMPI-2 is reliable in identifying such patterns; and (4) psychological assessment is an essential step in the evaluation and treatment of patients with CDH. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10072-003-0094-2 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 103 Subjects: – SubjectFull: Headache Type: general – SubjectFull: Personality Type: general – SubjectFull: Pain management Type: general – SubjectFull: Personality tests Type: general – SubjectFull: Migraine Type: general – SubjectFull: Pathological psychology Type: general – SubjectFull: Hypomania Type: general Titles: – TitleFull: MMPI personality profiles in patients with primary chronic daily headache: a case-control study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Bigal, M. E. – PersonEntity: Name: NameFull: Sheftell, F. D. – PersonEntity: Name: NameFull: Rapoport, A. M. – PersonEntity: Name: NameFull: Tepper, S. J. – PersonEntity: Name: NameFull: Weeks, R. – PersonEntity: Name: NameFull: Baskin, S. M. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2003 Type: published Y: 2003 Identifiers: – Type: issn-print Value: 15901874 Numbering: – Type: volume Value: 24 – Type: issue Value: 3 Titles: – TitleFull: Neurological Sciences Type: main |
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