Cluster of MMPI Personality Profiles in Chronic Tension-Type Headache                     and Predictable Response to Fluoxetine

Aguirre, J; Gallardo, Ricardo; Pareja, Juan A.; Pérez-Miranda, M

doi:10.1046/j.1468-2982.2000.00010.x

Cited by 9 publications

(13 citation statements)

References 56 publications

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“…Investigations of MMPI profiles in patients with CTTH have found reliable increases in the "neurotic triad" [5,31,32]. The neurotic triad is a group of elevated scores on the MMPI's first three basic scales (ie, hypochondriasis, hysteria, and depression; Table 3).…”

Section: Mmpi-based Researchmentioning

confidence: 99%

Tension-type headache and psychiatric comorbidity

Heckman

Holroyd

2006

Current Science Inc

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Much of the contemporary literature on headache disorders focuses on migraine headaches, despite the fact that tension-type headache (TTH) is highly prevalent and can be as debilitating as migraines. This article reviews the current literature on prevalence rates of psychiatric disorders in TTH populations, psychologic factors associated with TTH, and psychiatric disorders and their relationships with treatment outcomes in TTH. Key conclusions of this review include 1) prevalence rates of TTH vary across clinical and population-based samples; 2) greater TTH chronicity is associated with increased affective distress; 3) Axis II personality disorders may play an important role in TTH prevalence rates and psychologic functioning but have been understudied to date; and 4) maladaptive coping is common in persons with TTH.

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Section: Mmpi-based Researchmentioning

confidence: 99%

Tension-type headache and psychiatric comorbidity

Heckman

Holroyd

2006

Current Science Inc

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“…[2][3][4][5][8][9][10][11][12][13] In CTTH, persistent pain has been claimed to be related to underlying psychological pathology or personality disorders. 14 Early studies of personality in patients with headache used the Minnesota Multiphasic Personality Inventory (MMPI) to distinguish between physiologic pain and psychogenic pain and to predict treatment outcome [15][16][17][18] Most studies have found a conversion V (clinical elevations on scales that measure hypochondriasis, depression and hysteria) in CTTH, thus indicating that certain personality traits participate in the formation of headaches by increasing the vulnerability of a person to suffer headaches.…”

Section: Introductionmentioning

confidence: 99%

Effect of serotonergic antidepressant therapy on temperament and character scales in patients with chronic tension‐type headache

Boz¹,

Gazioğlu²,

Altunayoglu³

et al. 2007

Psychiatry Clin Neurosci

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The purpose of the present study was to assess a group of patients with chronic tension-type headache (CTTH) and control subjects using the personality questionnaire proposed by Cloninger and to determine possible changes in the Temperament and Character Inventory (TCI) patterns of CTTH patients after therapy with serotonergic antidepressants. Forty-five patients with CTTH filled out the TCI and Beck Depression Inventory (BDI) before and after 4-month prophylactic therapy with serotonergic antidepressants. A total of 50 age-, sex-and education level-matched healthy subjects were selected as a control group. During the pretreatment period patients were found to have higher harm avoidance and lower self-directedness scores than healthy comparison subjects. During the post-treatment period, although harm avoidance scores decreased and selfdirectedness scores increased, harm avoidance scores were still significantly higher and selfdirectedness scores significantly lower in CTTH patients than in controls. After using BDI score and age as covariates at the post-treatment period, harm avoidance scores were still higher in patients with CTTH while self-directedness scores did not differ between CTTH patients and controls. These findings suggest state and trait dependence of harm avoidance, and strong state dependence of self-directedness scores in CTTH patients. When interpreting data regarding personality measured by the TCI in CTTH patients, the effects of depressive symptomatology should be taken into account.

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“…Los síntomas de ansiedad y depresión están presentes tanto en las migrañas crónicas (80%) como en las cefaleas tensionales crónicas (90%) [28][29][30][31][32][33]. También es frecuente la presencia de un perfil psicopatológico más alterado, evaluado con el MMPI-2 [34][35][36][37] o con el SCL-90-R [38] respecto a los controles sin cefalea.…”

Section: Discussionunclassified

Síntomas psicopatológicos en pacientes afectos de cefalea crónica con o sin fibromialgia

Sala

Roig²,

Amador-Campos³

et al. 2009

RevNeurol

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Introduction. The presence of psychopathological symptoms as anxiety and depression in chronic daily headache and in fibromyalgia is common. Aim. To study whether there are any difference in the psychopathological profile and treatment response between patients with chronic headache and fibromyalgia (CHFM) and patients with chronic headache without fibromyalgia (CH). Patients and methods. A comprehensive psychological test battery was administered to 30 patients with CH and 30 patients with CHFM, diagnosed by a rheumatologist. We included chronic migraine and chronic tensional headache in CH group. Patients were matched for age and gender. Depression, anxiety and obsession scores, and the profile of psychopathological symptoms (MMPI-2, SCL-90-R) were compared (t-test). Correlations between symptoms and treatment response were examined. Results. Patients with CHFM showed significant highest scores on hypochondriasis, depression, hysteria, paranoia, psychasthenia and schizophrenia (MMPI-2) and more somatization, obsession and anxiety according to SCL-90-R. A poorer response to treatment was observed in CHFM (17.85%) versus CH (42,85%) group. Conclusions. Patients with CHFM showed a psychopathological profile with highest scores and symptoms than patients without fibromyalgia. These differences correlated with the therapeutic response.

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Cluster of MMPI Personality Profiles in Chronic Tension-Type Headache and Predictable Response to Fluoxetine

Cited by 9 publications

References 56 publications

Tension-type headache and psychiatric comorbidity

Tension-type headache and psychiatric comorbidity

Effect of serotonergic antidepressant therapy on temperament and character scales in patients with chronic tension‐type headache

Síntomas psicopatológicos en pacientes afectos de cefalea crónica con o sin fibromialgia

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