Personality traits, personality disorders, and migraine: a review

Davis, Rachel; Smitherman, Todd A.; Baskin, Steven M.

doi:10.1007/s10072-013-1379-8

Cited by 42 publications

(27 citation statements)

References 30 publications

(39 reference statements)

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“…Associations between personality and headache have received considerable interest in the literature over time . Comparative studies of different headache diagnoses and personality traits have shown that patients with chronic headache and medication overuse are more likely to be socially introverted as compared to patients with episodic headaches .…”

Section: Introductionmentioning

confidence: 99%

Personality traits in migraine and medication‐overuse headache: A comparative study

et al. 2019

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Medication-overuse headache (MOH) is a disorder where frequent use of pain medication leads to an unhealthy circular process of persistent headache and increased medication intake. 1 This results in severe disability affecting all aspects of life. 2 MOH is considered a biobehavioral disorder, with both biological and psychological factors contributing to the onset. Hence, targeting both factors in treatment Objectives: Medication-overuse headache (MOH) is recognized as a biobehavioural disorder, warranting that both biological and psychological factors are targeted throughout treatment. A psychological factor of importance may be personality that could be used to tailor treatment if differences are found across headache diagnoses. The objectives were as follows: (a) To investigate if migraine patients and patients with MOH differed on personality traits, (b) To investigate if the two headache groups differed from a Danish normative sample, with respect to personality traits. Materials and Methods: The NEO-Five-Factor Inventory was completed, and an agematched cohort of episodic migraine patients (n = 94) and MOH patients (n = 94) was included. Multivariate regression models and sex-stratified comparisons were made on patients' raw scores from five personality traits; neuroticism, extraversion, openness, agreeableness, and conscientiousness. The headache groups were also compared to personality traits from a Danish normative sample (n = 1032).Results: MOH females obtained significantly lower scores on extraversion (24.4 ± 4.3 vs 27.1 ± 7.2, P < 0.01), openness (23.7 ± 3.9 vs 26.2 ± 6.4, P < 0.01), and conscientiousness (28.9 ± 3.7 vs 34.6 ± 5.8, P > 0.01) as compared to female migraineurs.Males showed no differences. Compared to the normative sample, both headache groups showed a lower score on extraversion (P < 0.01). Furthermore, MOH patients had statistically significant lower scores on conscientiousness while the migraine patients had a higher score. Conclusion:Results suggests some personality trait differences between migraine and MOH patients. Especially, females showed different personality traits, where the MOH females appeared more introvert and less socially orientated. If confirmed in larger studies, this information could be used in personalized treatment in clinical practice.

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Section: Introductionmentioning

confidence: 99%

Personality traits in migraine and medication‐overuse headache: A comparative study

et al. 2019

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“…[1][2][3][4] Migraine and tension-type headache (TTH) have separately been shown to be associated with neuroticism, depression, and reduced health-related quality of life (HRQoL). [1][2][3][4] Migraine and tension-type headache (TTH) have separately been shown to be associated with neuroticism, depression, and reduced health-related quality of life (HRQoL).…”

Section: Introductionmentioning

confidence: 99%

“…The association between psychiatric comorbidities and primary headache is well established. [1][2][3][4] Migraine and tension-type headache (TTH) have separately been shown to be associated with neuroticism, depression, and reduced health-related quality of life (HRQoL). 2,[4][5][6][7][8][9] Migraine and TTH frequently co-occur in the same individuals.…”

Section: Introductionmentioning

confidence: 99%

Neuroticism, depression and pain perception in migraine and tension-type headache

et al. 2017

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“…19,20 We hypothesized that individuals with co-morbid migraine and BD have features of more severe illness such as earlier age at onset, mixed symptoms, suicidal ideation and psychosis, more frequent, severe and variable mood during longitudinal follow-up, and more severe psychosocial risk factors such as trauma and stressful life events. Neuroticism, a tendency to experience negative affect such as depressed mood and anxiety, has been associated with both migraine, 21 and BD, 22 and we hypothesized that neuroticism would be elevated in those with migraine and BD. We hypothesized that the presentation of migraine in BD would differ by gender, specifically that women with migraine would be more likely to have BPII, rapid cycling, anxiety disorders, and suicide attempts.…”

Section: Introductionmentioning

confidence: 99%

Gender Differences, Clinical Correlates, and Longitudinal Outcome of Bipolar Disorder With Comorbid Migraine

Saunders¹,

Nazir²,

Kamali³

et al. 2014

J. Clin. Psychiatry

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Objective Migraine is a common co-morbidity of bipolar disorder (BD), and is more prevalent in women than men. We hypothesized co-morbid migraine would be associated with features of illness and psychosocial risk factors which would differ by gender and impact outcome. Methods A retrospective analysis was conducted to assess association between self-reported, physician-diagnosed migraine, clinical variables of interest and mood outcome in subjects with DSM-IV BD (N=412) and healthy controls (HC, N=157) from the Prechter Longitudinal Study of Bipolar Disorder, 2005–2010. Informed consent was obtained from all participants. Results Migraine was more common in BD (31%) than HC (6%), and had elevated risk in BD women compared to men (OR 3.5, CI 2.1, 5.8). In men, migraine was associated with BPII (OR 9.9, CI 2.3, 41.9) and mixed symptoms (OR 3.5, CI 1.0, 11.9). Migraine was associated with an earlier age at onset of BD by 2 years, more severe depression (B =.13, p=.03), and more frequent depression longitudinally (B =.13, p=.03). Migraine was associated with childhood trauma (p<.02) and high neuroticism (p<.01), and protective factors included high family adaptability (p=.05) and high extraversion (p=.01). Conclusion Migraine is a common co-morbidity with BD and may impact long-term outcome of BD, particularly depression. Clinicians should be alert for migraine co-morbidity in women, and in men with BPII. Effective treatment of migraine may impact mood outcome in BD as well as headache outcome. Joint pathophysiological mechanisms between migraine and BD may be important pathways for future study of treatments for both disorders.

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Personality traits, personality disorders, and migraine: a review

Cited by 42 publications

References 30 publications

Personality traits in migraine and medication‐overuse headache: A comparative study

Personality traits in migraine and medication‐overuse headache: A comparative study

Neuroticism, depression and pain perception in migraine and tension-type headache

Gender Differences, Clinical Correlates, and Longitudinal Outcome of Bipolar Disorder With Comorbid Migraine

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