Personality in patients with migraine evaluated with the Temperament and Character Inventory""

被引:32
作者
Sánchez-Román S. [1 ]
Télez-Zenteno J.F. [1 ,5 ]
Zerment̃o-Phols F. [2 ]
García-Ramos G. [1 ]
Velázquez A. [3 ]
Derry P. [4 ]
Hernández M. [6 ]
Resendiz A. [6 ]
Guevara-López U.M. [6 ]
机构
[1] Department of Neurology and Psychiatry, National Institute of Medical Sciences and Nutrition Salvador Zubirán, México DF. CP 14000
[2] Migraine Clinic, National Institute of Neurology and Neurosurgery Manuel Velázco Suárez, Mexico City
[3] Blood Bank, National Institute of Medical Sciences and Nutrition Salvador Zubiávn, Mexico City
[4] Department of Clinical Neurological Sciences, London Health Sciences Centre, London, ON
[5] Division of Neurology, Department of Medicine, University of Saskatchewan, Saskatoon, SK
[6] Pain and Palliative Medicine Clinic, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City
关键词
Character; Harm avoidance; Headache; Migraine; Personality; TCI; Temperament;
D O I
10.1007/s10194-007-0352-9
中图分类号
学科分类号
摘要
The objective of this study was to assess the personality profile of a sample of Mexican patients with migraine using the Temperament and Character Inventory (TCI). A cross-sectional study was performed including adult migraine patients identified from the outpatient neurology clinics of two large teaching hospitals in Mexico City. Patients were asked to voluntarily participate in the study. A physician conducted a standardised diagnostic interview adhering to the criteria of the International Headache Society (IHS). Patients were interviewed and administered the TCI. We used two healthy controls groups and a third group of non-migraine pain controls. One hundred and forty-two subjects with migraine, 108 healthy blood donors, 269 young healthy controls and 30 patients with non-migraine pain (NMP)were included in the study. Patients with migraine had higher scores inthe dimension harm avoidance (HA) and all its sub-dimensions (p <0.05) than healthy patients. Patients with non-migraine pain had high scores in HA and low scoresin novelty seeking, self-directedness and cooperativeness. Blood donors had high scores in the following subdimensions: HA1, HA4 and C3 (Cooperativeness). Personality features consistent with migraine are avoidance, rigidity, reserve and obsessivity. Our study shows that patients with chronic pain share some of the personality features of patients with migraine but their TCI profile could be indicative of cluster C avoidant personality. Blood donors were shown to have more energy, with a tendency to help other people and be moreoptimistic. The results support serotoninergic involvement as explainingthe physiopathology of migraine. © Springer-Verlag Italia 2007.
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页码:94 / 104
页数:10
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