Sara Bottiroli, Alessia Renzi, Elena Ballante, Roberto De Icco, Grazia Sances, Annalisa Tanzilli, Tomaso Vecchi, Cristina Tassorelli, Federica Galli
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引用次数: 0
Abstract
Background: Chronic headache (CH) is a condition that includes different subtypes of headaches and that can impair different life domains. Personality traits can play a relevant role both in the development and in coping with this medical condition. The first aim of the present study is to realize a systematic review of the personality traits associated with CH compared to healthy controls; the second objective is to carry out a quantitative meta-analysis with the studies using the same instrument to assess personality traits.
Method: The literature search encompassed articles published from 1988 until December 2022 on the major databases in the field of health and social sciences: PubMed, Scopus, PsychInfo, and Web of Science.
Results: Thirteen studies were included in the systematic review, but only three studies were deeply explored in a meta-analysis since the only ones used a common instrument for personality assessment (Minnesota Multiphasic Personality Inventory). According to the meta-analysis, different subtypes of CH patients scored higher than healthy controls on Hypochondriasis and Hysteria Scales. The systematic review showed higher levels of depressive and anxious personality dimensions and pain catastrophizing in CH compared to healthy controls. Moreover, frequent-chronic forms and medication-overuse headache were the most symptomatic and frail categories showing higher levels of dysfunctional personality traits and psychopathological symptoms.
Conclusions: These results seem to confirm a "neurotic profile" in patients suffering from CH. The identification of the main personality traits involved in the onset and maintenance of headache disorders represents an important objective for developing psychological interventions.
背景：慢性头痛（CH）是一种包括不同亚型头痛的疾病，可损害不同的生活领域。人格特征可以在发展和应对这种疾病中发挥相关作用。本研究的第一个目的是与健康对照组相比，实现对与CH相关的人格特征的系统回顾；第二个目的是对使用相同工具评估人格特征的研究进行定量荟萃分析。方法：文献检索包括1988年至2022年12月在健康和社会科学领域主要数据库PubMed、Scopus、PsychInfo和Web of Science上发表的文章。结果：系统综述包括13项研究，但只有三项研究在荟萃分析中得到了深入探讨，因为只有三项使用了一种通用的人格评估工具（明尼苏达多相人格问卷）。根据荟萃分析，CH患者的不同亚型在线粒体和歇斯底里量表上的得分高于健康对照组。系统综述显示，与健康对照组相比，CH的抑郁和焦虑人格维度以及疼痛灾难性水平更高。此外，频繁的慢性形式和药物过度使用头痛是最有症状和最虚弱的类别，表现出更高水平的功能障碍人格特征和精神病理学症状。结论：这些结果似乎证实了CH患者的“神经质特征”。识别与头痛障碍的发作和维持有关的主要人格特征是制定心理干预措施的重要目标。
期刊介绍：
Pain Research and Management is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of pain management.
The most recent Impact Factor for Pain Research and Management is 1.685 according to the 2015 Journal Citation Reports released by Thomson Reuters in 2016.
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