Ellertsen B, Troland K, Kløve H
Cephalalgia. 1987 Jun;7(2):101-8. doi: 10.1046/j.1468-2982.1987.0702101.x.
Migraine has been associated with specific personality traits. Typically, migraine patients show elevation on the "neurotic scales" on the MMPI, and the profiles usually reported can be classified as "psychosomatic". A crucial matter is whether certain personality traits predispose to headache problems or whether they are an effect of such problems. To elucidate this problem, common and classic migraine patients (n = 13) were evaluated with the MMPI before and 2 years after biofeedback treatment. Two subgroups were identified on the basis of degree of clinical improvement. The least improved patients were significantly older and had a significantly longer headache history than the patients showing most improvement. No relationships between age, headache history, and improvement were found within subgroups. Clinical improvement was correlated with significant "normalization" of the MMPI profiles. Thus, personality traits as measured by the MMPI seem to be secondary to headache problems and not a predisposing cause.
偏头痛与特定的人格特质有关。通常，偏头痛患者在明尼苏达多相人格调查表（MMPI）的“神经质量表”上得分较高，且通常报告的剖面图可归类为“心身型”。一个关键问题是，某些人格特质是导致头痛问题的诱因，还是此类问题的结果。为阐明这一问题，对普通型和典型偏头痛患者（n = 13）在生物反馈治疗前及治疗后2年进行了MMPI评估。根据临床改善程度确定了两个亚组。改善最少的患者比改善最大的患者年龄显著更大，头痛病史也显著更长。在亚组内未发现年龄、头痛病史与改善之间的关系。临床改善与MMPI剖面图的显著“正常化”相关。因此，通过MMPI测量的人格特质似乎是头痛问题的次要因素，而非诱发原因。
