Passchier J, Goudswaard P, Orlebeke J F, Verhage F
Department of Medical Psychology and Psychotherapy, Eramus University, Rotterdam, The Netherlands.
Soc Sci Med. 1988;26(3):343-50. doi: 10.1016/0277-9536(88)90399-1.
Two psychological defense mechanisms, repression and self aggression, were studied in 23 young female migraine patients who had not been receiving treatment for their complaints and in 23 relatively headache free matched controls. All subjects were psychology students. Each subject was classified as high or low on repression and self aggression using the defense mechanism inventory. During three separate sessions: adaptation, intelligence test and real-life stress (an examination which was part of the psychology curriculum) pulse amplitudes of the temporal and digital arteries, frontal, temporal and corrugator EMGs, forehead temperature, skin conductance, and heart and respiration rate were measured. The migraine patients showed a trend towards more repression of their emotions and significantly more self aggression than the controls. Self aggression appeared to be positively associated with the headache frequency in the migraine group. With regard to the physiological measurements, in both groups repressors showed a modest tendency to enhanced sympathetic activity. Self aggression was not found to be related to any physiological measure of sympathetic activity, but, instead, related to less temporal blood flow. In general, associations were found between psychological defense mechanisms and physiological activity, which is suggestive of the existence of physiological pathways along which emotional inhibition might contribute to an attack of migraine after a stressful situation.
对23名未因偏头痛症状接受治疗的年轻女性偏头痛患者以及23名与之匹配的相对无头痛症状的对照者，研究了两种心理防御机制——压抑和自我攻击。所有受试者均为心理学专业学生。使用防御机制量表将每位受试者在压抑和自我攻击方面分为高分组或低分组。在三个不同阶段：适应阶段、智力测试阶段和现实生活压力阶段（心理学课程中的一项考试），测量颞动脉和指动脉的脉搏振幅、额肌、颞肌和皱眉肌的肌电图、前额温度、皮肤电导率以及心率和呼吸率。偏头痛患者比对照组表现出更多压抑情绪的倾向，且自我攻击明显更多。在偏头痛组中，自我攻击似乎与头痛频率呈正相关。关于生理测量，在两组中，压抑者均表现出交感神经活动增强的适度倾向。未发现自我攻击与交感神经活动的任何生理指标有关，相反，它与颞部血流量减少有关。总体而言，发现心理防御机制与生理活动之间存在关联，这表明存在生理途径，在压力情境后，情绪抑制可能通过这些途径促成偏头痛发作。
