Department of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.
Headache Center, Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Neurol Sci. 2020 Mar;41(3):543-554. doi: 10.1007/s10072-019-04174-x. Epub 2019 Dec 12.
Despite the clinical importance of psychological factors in migraine, the relationship between personality traits, depression, and migraine has been poorly investigated.
To delineate the personality profile distinctive for migraineurs and to explore the relationship between personality traits and depression in migraineurs compared to non-migraineurs.
A systematic literature search was performed up to March 2019 using PsycInfo (PROQUEST), PubMed and Scopus. Sixteen primary studies met inclusion and exclusion criteria and were included in the meta-analysis.
The meta-analysis on the personality defined according to Psychobiological model revealed high Harm Avoidance (Hedges'g = 0.31; 95% confidence interval [CI] = 0.01-0.60), Persistence (Hedges'g = 0.37; 95% CI = 0.01to - 0.72) and low self-directedness (Hedges'g = - 0.33; 95% CI = -0.57 to - 0.09) in migraineurs. The meta-analysis on the personality defined according to Three Factor Model revealed high neuroticism (Hedges'g = 0.47; 95% CI = 0.32-0.63) and low extraversion (Hedges'g = - 0.08; 95% CI = - 0.14 to - 0.03) in migraineurs. Meta-regression analysis revealed that neuroticism moderated the relationship between depression and migraine.
The findings evidenced that migraine is characterized by specific personality traits. Among them, neuroticism influenced the severity of depression in migraineurs, and, therefore, an early evaluation of the personality traits could allow identifying patients susceptible to develop migraine-associated psychopathological symptoms.
尽管心理因素在偏头痛中具有重要的临床意义，但人格特质、抑郁与偏头痛之间的关系尚未得到充分研究。
描绘偏头痛患者特有的人格特征，并探讨与非偏头痛患者相比，人格特质与偏头痛患者抑郁之间的关系。
系统检索了截至 2019 年 3 月的 Psychobiological model 定义的人格特质的相关文献，检索源包括 PsycInfo（PROQUEST）、PubMed 和 Scopus。纳入并分析了 16 项符合纳入排除标准的原始研究。
根据 Psychobiological model 定义的人格特质的 meta 分析显示，偏头痛患者的高伤害回避（Hedges'g = 0.31；95%置信区间 [CI] = 0.01-0.60）、坚持性（Hedges'g = 0.37；95% CI = 0.01-0.72）和低自我导向性（Hedges'g = - 0.33；95% CI = -0.57 to - 0.09）。根据 Three Factor Model 定义的人格特质的 meta 分析显示，偏头痛患者的神经质（Hedges'g = 0.47；95% CI = 0.32-0.63）和低外向性（Hedges'g = - 0.08；95% CI = - 0.14 to - 0.03）较高。元回归分析表明，神经质会调节抑郁与偏头痛之间的关系。
这些发现表明偏头痛具有特定的人格特征。其中，神经质会影响偏头痛患者抑郁的严重程度，因此，早期评估人格特征可以识别出易患偏头痛相关心理病理症状的患者。
