Journal of the Korean neurological association (대한신경과학회지)

Korean Neurological Association (대한신경과학회)
권호 표지

The Psychological Characteristics of the Patients with Tension-Type Headache: Using MMPI

긴장형두통 환자의 심리적 특성: MMPI를 중심으로

Lee, Jong-Mun;Jang, Sang-Hyun;Yu, Sung-Wook;Choi, Yun-Kyeung;Koh, Seung-Beom;Park, Min-Kyu;Park, Kun-Woo;Lee, Dae-Hie
이종문;장상현;유성욱;최윤경;고성범;박민규;박건우;이대희

  • Published : 20031200
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Abstract

Background: The investigations of personality traits have been the issue of many studies on patients with tension-type headache. However, there was few comparison study of personality traits between the patients with episodic tension-type headache (ETTH) and chronic tension-type headache (CTTH) using Minnesota Multiphasic Personality Inventory (MMPI). Methods: The study was consecutively made of the personality profiles of two groups with ETTH (137 patients) and CTTH (115 patients) in accordance with the International Headache Society (IHS) criteria, employing the MMPI. Results: The two groups could be classified into three clusters by a multivariate cluster analysis, which are relatively normal profile (cluster I), somatic profile (cluster II, elevated Hs-D-Hy scales), and psychosomatic profile (cluster III, elevated Pa-Pt-Sc-Si and Hs-D-Hy scales). The proportion of the patients with CTTH in the psychosomatic profile group was stastically more significant (59.6%) than that of the patients with ETTH (40.4%) by a chi-square test. Conclusions: This study shows that the psychosomatic profile might be more common in the CTTH patients than in the ETTH patients.

Keywords

References

  1. Rasmussen BK, Jensen R, Schroll M, Olesen J. Epiemiology of headache in a general population a prevalence study. J Clin Epidemiol 1991;44:1147-1157. https://doi.org/10.1016/0895-4356(91)90147-2
  2. Schwartz BS, Stewart WF, Simon D, Lipton RB. Epidemiology of tension-type headache. JAMA 1988;279: 381-383. https://doi.org/10.1001/jama.279.5.381
  3. Headache Classification Committee of the International Headache Society. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia 1988;8(suppl 7):1-96. https://doi.org/10.1046/j.1468-2982.1988.0801001.x
  4. Rasmussen BK. Migraine and tension type headache in a general population: precipitating factors, female hormones, sleep pattern and relation to lifestyle. Pain 1993;53:65-72. https://doi.org/10.1016/0304-3959(93)90057-V
  5. Mebane AH. Antidepressant therapy for chronic pain syndromes. Clin Adv Treat Psychiar Dis 1990;4:12-16.
  6. Kim YH, Kim JH, Kim JS, Noh MR, Sin DK, Ohm TH et al. MMPI manual. Seoul; Korea Guidence; 1989.
  7. Kim JS. Minnesota Multiphasic Personality Inventory MMPI 의 임상적 해석. Seoul National University Press 1988.
  8. Kim YH. MMPI profiles in health exminees. Korean J Clinical Psychology 1996;15:185-194.
  9. Rappaport NB, McAnulty DP, Waggoner CD, Brantley PJ. Cluster analysis of Minnesota Multiphasic Personality Inventory (MMPI) profiles in a chronic headache population. J Behav Med 1987;10:49-60. https://doi.org/10.1007/BF00845127
  10. Robinson ME, Geisser ME, Dieter JN, Swedlow B. The relationship between MMPI cluster membership and diagnostic category in headache patients. Headache 1991;31:111-115. https://doi.org/10.1111/j.1526-4610.1991.hed3102111.x
  11. Prokop CK, Bradley LA, Margolis R, Gentry WD. Multivariate analysis of the MMPI profiles of patients with multiple pain complaints. J Pers Asses 1980;44:246-252. https://doi.org/10.1207/s15327752jpa4403_5
  12. Hart RR. Chronic pain: Replicated multivariate of clustering of personality profiles. J Clin Psychol 1984;40:129-133. https://doi.org/10.1002/1097-4679(198401)40:1<129::AID-JCLP2270400124>3.0.CO;2-Z
  13. MacGill JC, Lawlis GF, Selby D, Mooney V, McCoy CE. The relationship of Minnesota Multiphasic Personality Inventory (MMPI) profile clusters to pain behaviors. J Behav Med 1983;6:77-92. https://doi.org/10.1007/BF00845278
  14. Armentrout DP, Moore JE, Parker JC, Hewett JE, Feltz C. Pain-patient MMPI subgroups: the psychological dimensions of pain. J Behav Med 1982;3:201-211.
  15. Jensen R, Olsen J. Tension-type headache: an update on mechanisms and treatment. Curr Opin Neurol. 2000;13:285-289. https://doi.org/10.1097/00019052-200006000-00009
  16. Park KW. Medical therapy of tension-type headache. J Korean Med Asso 2001;44:1011-1017. https://doi.org/10.5124/jkma.2001.44.9.1011
  17. Jensen R. Mechanisms of tension-type headache. Cephalalgia. 2001;21:786-789. https://doi.org/10.1046/j.0333-1024.2001.00251.x
  18. Gamsa A. The role of psychologic factors in chronic pain. II. A critical appraisal. Pain 1994;57:17-29.
  19. Holroyd KA, France JL, Nash JM, Hursey KG. Pain state as artifact in the psychological assessment of recurrent headache sufferers. Pain 1993;53:229-235. https://doi.org/10.1016/0304-3959(93)90085-4
  20. Rasmussen BK. Migraine and tension-type headache in a general population: psychological factors. Int J Epidemiol 1992;21:1138-1143. https://doi.org/10.1093/ije/21.6.1138
  21. Mitsikostas DD, Thomas AM. Comorbidity if headache and depressive disorders. Cephalalgia 1999;19:211-217. https://doi.org/10.1046/j.1468-2982.1999.019004211.x
  22. Cao M, Zhang S, Wang K, Wang Y, Wang W. Personality traits in migraine and tension-type headache: A five-factor model study. Psychopathology 2002;35:254-258. https://doi.org/10.1159/000063829
  23. Guidetti V, Galli F, Fabrizi P, Giannantoni AS, Napoli J, Bruni O et al. Headache and psychiatric comorbidity: Clinical aspects and outcome in an 8-year follow-up study. Cephalalgia 1998;18:455-462. https://doi.org/10.1046/j.1468-2982.1998.1807455.x
  24. Edward BB, Cynthia AK, Kenneth AA, James J. The role of psychopathology in chronic headache: Cause or effect? Headache 1989;29:295-301.
  25. Cox GB, Chapman CR, Black RG. The MMPI and chronic pain: the diagnosis of psychogenic pain. J Behav Med 1978;1:437-443. https://doi.org/10.1007/BF00846699
  26. Kurman RG, Hursey KG, Mathew NT. Assessment of chronic refractory headache: the role of the MMPI-2. Headache 1992;32:432-435. https://doi.org/10.1111/j.1526-4610.1992.hed3209432.x