Albayrak Güneş Seda, Saçmacı Hikmet, Albayrak Levent, Bozkurt Gurbet, Karaaslan Özgül, İnan Levent Ertuğrul
Bozok University Medical School, Turkey.
Ministry of Health Ankara Research and Training Hospital, Turkey.
Clin Neurol Neurosurg. 2023 Apr;227:107641. doi: 10.1016/j.clineuro.2023.107641. Epub 2023 Mar 1.
Migraine, is a common neurological disorder that may be associated with certain personality traits. This study aims to identify and compare the personality traits accompanying the clinical and sociodemographic profiles in migraine groups.
The study included a cohort of chronic, episodic migraine (CM - EM) and healthy controls (HC). Migraine was diagnosed according to the International Classification of Headache Disorders-3β criteria. Age, gender, migraine-related disease duration, number of days with a headache each month, and headache intensity of the patients were recorded. The Minnesota Multiphasic Personality Inventory-2 (MMPI-2) was used to determine personality traits.
The study groups were similar in terms of sociodemographic characteristics (70 CM, 70 EM, and 70 HC). The visual analog scale (VAS) score was significantly higher in CM (p < 0.05). No statistically significant difference was found between the groups concerning symptoms of migraine such as osmophobia, photophobia, phonophobia, and nausea (p > 0.05). When the personality traits were examined, the mean scores of the MMPI test results of migraine patients were found to be higher than healthy controls in line personality disorders (p < 0.05 for all personality traits). In CM patients, the 'hysteria' score was found to be higher in subgroup evaluation (p < 0.05).
EM and CM patients had more evidence of personality disorders than healthy controls. CM patients had higher hysteria scores than EM patients. In addition to pain treatment, determining personality traits and providing appropriate management with a multidisciplinary approach can benefit both in terms of treatment, cost, and time.
偏头痛是一种常见的神经系统疾病，可能与某些人格特质有关。本研究旨在识别和比较偏头痛组中伴随临床和社会人口学特征的人格特质。
该研究纳入了一组慢性发作性偏头痛（CM - EM）患者和健康对照（HC）。偏头痛根据《国际头痛疾病分类-3β标准》进行诊断。记录患者的年龄、性别、偏头痛相关疾病持续时间、每月头痛天数以及头痛强度。使用明尼苏达多相人格调查表-2（MMPI-2）来确定人格特质。
研究组在社会人口学特征方面相似（70例CM患者、70例EM患者和70例HC）。CM患者的视觉模拟量表（VAS）评分显著更高（p < 0.05）。在恐水症、畏光症、畏声症和恶心等偏头痛症状方面，各组之间未发现统计学上的显著差异（p > 0.05）。在检查人格特质时，发现偏头痛患者MMPI测试结果的平均得分在偏执型人格障碍方面高于健康对照（所有人格特质p < 0.05）。在CM患者中，亚组评估发现“癔症”得分更高（p < 0.05）。
EM和CM患者比健康对照有更多人格障碍的证据。CM患者的癔症得分高于EM患者。除了疼痛治疗外，确定人格特质并采用多学科方法进行适当管理在治疗、成本和时间方面均有益处。
