Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain

There are controversial associations between headaches and psychological symptoms. Objective To design a profile of neuroticism, a term that groups variables related to negative personality traits, in patients with chronic daily headache (CDH) when compared to episodic migraine (EM) patients, apply...

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Main Authors: Maria Aparecida Junqueira Zampieri, Waldir Antonio Tognola, José Carlos Busto Galego
Format: Article
Language:English
Published: Thieme Revinter Publicações 2014-08-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000800598&lng=en&tlng=en
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author Maria Aparecida Junqueira Zampieri
Waldir Antonio Tognola
José Carlos Busto Galego
author_facet Maria Aparecida Junqueira Zampieri
Waldir Antonio Tognola
José Carlos Busto Galego
author_sort Maria Aparecida Junqueira Zampieri
collection DOAJ
description There are controversial associations between headaches and psychological symptoms. Objective To design a profile of neuroticism, a term that groups variables related to negative personality traits, in patients with chronic daily headache (CDH) when compared to episodic migraine (EM) patients, applying the Factorial Scale of Emotional Adjustment/Neuroticism (NFS). Method One hundred adult patients with CDH and forty with EM answered the NFS. Results Comorbidities of subtypes of neuroticism (p=0.006) were more common in chronic daily headache patients, with three or more disorders (p=0.0002): dependent personality disorder (p=0.0001), anxiety, reduced concentration and production (p=0.0008), depression (p<0.0001), suicidal ideation (p=0.0008) and hopelessness even without depression (p<0.0001). Conclusion Patients with CDH tend to have dependent personality disorder, low production and concentration, anxiety, depression, suicidal ideation and hopelessness, superimposing two or more psychological disorders. These factors should be pondered for a better resolution in the treatment of CDH.
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spelling doaj-art-1acf89adfb894afbbceb2087ddbe933f2025-08-20T01:59:08ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272014-08-0172859860210.1590/0004-282X20140084S0004-282X2014000800598Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of painMaria Aparecida Junqueira ZampieriWaldir Antonio TognolaJosé Carlos Busto GalegoThere are controversial associations between headaches and psychological symptoms. Objective To design a profile of neuroticism, a term that groups variables related to negative personality traits, in patients with chronic daily headache (CDH) when compared to episodic migraine (EM) patients, applying the Factorial Scale of Emotional Adjustment/Neuroticism (NFS). Method One hundred adult patients with CDH and forty with EM answered the NFS. Results Comorbidities of subtypes of neuroticism (p=0.006) were more common in chronic daily headache patients, with three or more disorders (p=0.0002): dependent personality disorder (p=0.0001), anxiety, reduced concentration and production (p=0.0008), depression (p<0.0001), suicidal ideation (p=0.0008) and hopelessness even without depression (p<0.0001). Conclusion Patients with CDH tend to have dependent personality disorder, low production and concentration, anxiety, depression, suicidal ideation and hopelessness, superimposing two or more psychological disorders. These factors should be pondered for a better resolution in the treatment of CDH.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000800598&lng=en&tlng=entranstornos da cefaleiamigraneapsicologia
spellingShingle Maria Aparecida Junqueira Zampieri
Waldir Antonio Tognola
José Carlos Busto Galego
Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
Arquivos de Neuro-Psiquiatria
transtornos da cefaleia
migranea
psicologia
title Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
title_full Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
title_fullStr Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
title_full_unstemmed Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
title_short Patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
title_sort patients with chronic headache tend to have more psychological symptoms than those with sporadic episodes of pain
topic transtornos da cefaleia
migranea
psicologia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2014000800598&lng=en&tlng=en
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AT josecarlosbustogalego patientswithchronicheadachetendtohavemorepsychologicalsymptomsthanthosewithsporadicepisodesofpain