Guitera V, Gutiérrez E, Muñoz P, Castillo J, Pascual J
Departamentos de Medicina y Psiquiatría, y Neurología, Hospital Universitario Marqués de Valdecilla, Santander.
Neurologia. 2001 Jan;16(1):11-6.
The prevalence and type of personality disorders in unselected patients with chronic daily headache (CDH) are unknown. The aim of this study was to analyze the personality profile of patients with CHD is the general population.
Eighty-nine patients with CDH taken from a sample of 1,883 unselected subjects from the general population completed the EPQ-A (Eysenck Personality Questionnaire-Adult).
Sixty percent of the patients with CDH presented a personality profile with high values in the scales measuring both the neurotic component (N scales) and the psychotic component (P scale). No significant differences were observed in the percentage of patients with high scores in these scales according to the diagnoses of transformed migraine (TM) or chronic tension headache (CTH). However, the percentage of questionnaires with high or not adapted scores was significantly greater in the patients abusing of analgesic drugs than is the non-abusers (82% versus 53%). With regard to the personality profile, we found a greater, but not significant, percentage of patients with CDH with a high grade of neuroticism in comparison with psychoticism (52% versus 36%). There were no significant differences in the personality profile between the two main subgroups of CCH, TM and CTC: 56% of the patients with TM showed high grade of neuroticism and 47% psychoticism versus 52% and 30%, respectively in the case of the patients with CTC. Sixty-eight percent of the analgesic abusers presented neurotic features and 50% psychotic features versus 47% and 32%, respectively, for the non abusers.
There is a high percentage of subjects with CDH in the general population who present high scores in the scales measuring the two basic components of the personality, such as neuroticism and psychoticism. This personality profile is still found more frequently in patients presenting symptomatic medication abuse.
未经挑选的慢性每日头痛（CDH）患者中人格障碍的患病率及类型尚不清楚。本研究的目的是分析普通人群中CDH患者的人格特征。
从普通人群的1883名未经挑选的受试者样本中选取89名CDH患者，完成艾森克人格问卷成人版（EPQ - A）。
60%的CDH患者在测量神经质成分（N量表）和精神质成分（P量表）的量表中呈现出高分的人格特征。根据转化型偏头痛（TM）或慢性紧张性头痛（CTH）的诊断，在这些量表中得分高的患者百分比未观察到显著差异。然而，滥用镇痛药的患者中问卷得分高或不适应的百分比显著高于未滥用者（82%对53%）。关于人格特征，我们发现CDH患者中神经质程度高的百分比高于精神质程度高的百分比，但差异不显著（52%对36%）。CCH的两个主要亚组TM和CTC之间的人格特征没有显著差异：TM患者中有56%表现出高度神经质，47%表现出精神质，而CTC患者分别为52%和30%。68%的镇痛药滥用者表现出神经质特征，50%表现出精神质特征，未滥用者分别为47%和32%。
普通人群中CDH患者在测量人格两个基本成分如神经质和精神质的量表中得分高的比例很高。这种人格特征在有症状性药物滥用的患者中仍更常见。
