Association between personality disorders and migraine. A narrative review
DOI:
https://doi.org/10.12775/JEHS.2024.67.51101Keywords
migraine, personality disorder, depression, migraine education, anxiety, health, education, headacheAbstract
Introduction: Migraine is one of the most prevalent types of headache and is a subject of many clinical trials. There are various risk factors associated with migraine occurrence, from hormonal and genetic to environmental. It is observed that some migraineurs have specific psychological features- sometimes called as migraine personality. This encouraged researchers to evaluate migraine patients in terms of psychiatric co-existing conditions.
Aim of study: The main aim of the study was to examine the relationship between migraine and psychiatric comorbidities, primarily personality disorders.
Materials and methods: This article is based on the literature found in PubMed and Google Scholar Database with the use of keywords such as ”migraine”, “headache factors”, “personality disorder”, “migraine personality”, “migraine education”, “borderline personality disorder”, “anxious personality disorder”, “migraine health”, “depression and migraine”, “medication over-use in migraine”, “migraine comorbidities”, “depression”, “anxiety”.
Results: Investigation of available literature revealed the connection between migraine and personality disorders. Psychiatric comorbidities worsen the treatment prognosis, are a risk factor of medication overuse and chronic headaches.
Conclusion: Psychiatric comorbidities are frequent among migraineurs. Clinical evaluation of these patients should be complex and contain psychological and psychiatric analysis, especially in patients resistant to standard treatment.
References
Rasmussen, B.K., et al., Epidemiology of headache in a general population- a prevalence study. J Clin Epidemiol, 1991. 44(11): p. 1147-57.
Stovner, L.J., et al., The global prevalence of headache: an update, with analysis of the influences of methodological factors on prevalence estimates. J Headache Pain, 2022. 23(1): p. 34.
Pescador Ruschel, M.A. and O. De Jesus, Migraine Headache, in StatPearls. 2024: Treasure Island (FL) with ineligible companies. Disclosure: Orlando De Jesus declares no relevant financial relationships with ineligible companies.
Terwindt, G.M., et al., The impact of migraine on quality of life in the general population: the GEM study. Neurology, 2000. 55(5): p. 624-9.
Disease, G.B.D., I. Injury, and C. Prevalence, Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet, 2017. 390(10100): p. 1211-1259.
Cady, R. and D.W. Dodick, Diagnosis and treatment of migraine. Mayo Clin Proc, 2002. 77(3): p. 255-61.
Zobdeh, F., et al., Pharmacological treatment of migraine: Drug classes, mechanisms of action, clinical trials and new treatments. Br J Pharmacol, 2021. 178(23): p. 4588-4607.
Ha, H. and A. Gonzalez, Migraine Headache Prophylaxis. Am Fam Physician, 2019. 99(1): p. 17-24.
Lampl, C., et al., The comparative effectiveness of migraine preventive drugs:
a systematic review and network meta-analysis. J Headache Pain, 2023. 24(1): p. 56.
Cameron, C., et al., Triptans in the Acute Treatment of Migraine: A Systematic Review and Network Meta-Analysis. Headache, 2015. 55 Suppl 4: p. 221-35.
Amiri, P., et al., Migraine: A Review on Its History, Global Epidemiology, Risk Factors, and Comorbidities. Front Neurol, 2021. 12: p. 800605.
I, M.-L.B.A., Od Flataua do... Historia migrenologii w Polsce. Polski Przegląd Neurologiczny, 2022. 18.
Wolff, H.G., Headache mechanisms. Int Arch Allergy Appl Immunol, 1955. 7(4-6): p. 210-78.
Association, A.P., Diagnostic and Statistical Manual of Mental Disorders. 4. Washington: American Psychiatric Association. 1994.
Lenzenweger, M.F., Epidemiology of personality disorders. Psychiatr Clin North Am, 2008. 31(3): p. 395-403, vi.
Munoz, I., et al., Personality traits in patients with cluster headache: a comparison with migraine patients. J Headache Pain, 2016. 17: p. 25.
Kayhan, F. and F. Ilik, Prevalence of personality disorders in patients with chronic migraine. Compr Psychiatry, 2016. 68: p. 60-4.
Piacentini, S., et al., Personality disorders in cluster headache: a study using the Millon Clinical Multiaxial Inventory-III. Neurol Sci, 2017. 38(Suppl 1): p. 181-184.
May, A., et al., Cluster headache. Nat Rev Dis Primers, 2018. 4: p. 18006.
Yang, F., et al., Personality disorders are associated with more severe forms of migraine. Acta Neurol Belg, 2019. 119(2): p. 201-205.
L, R., Personality Disorders in Migraineurs. Pract Pain Manag., 2009. 9.
Rothrock, J., et al., Borderline personality disorder and migraine. Headache, 2007. 47(1): p. 22-6.
Atasoy, H.T., et al., Psychiatric comorbidity in medication overuse headache patients with pre-existing headache type of episodic tension-type headache. Eur J Pain, 2005. 9(3): p. 285-91.
Antonaci, F., et al., Migraine and psychiatric comorbidity: a review of clinical findings. J Headache Pain, 2011. 12(2): p. 115-25.
De Felice, M., et al., Triptan-induced latent sensitization: a possible basis for medication overuse headache. Ann Neurol, 2010. 67(3): p. 325-37.
Lake, A.E., 3rd, J.R. Saper, and R.L. Hamel, Comprehensive inpatient treatment of refractory chronic daily headache. Headache, 2009. 49(4): p. 555-62.
Benyamin, R., et al., Opioid complications and side effects. Pain Physician, 2008. 11 (2 Suppl): p. S105-20.
Saper, J.R. and A.E. Lake, 3rd, Borderline personality disorder and the chronic headache patient: review and management recommendations. Headache, 2002. 42(7): p. 663-74.
Brandes, M. and O.J. Bienvenu, Personality and anxiety disorders. Curr Psychiatry Rep, 2006. 8(4): p. 263-9.
Sanderson, W.C., et al., Prevalence of personality disorders among patients with anxiety disorders. Psychiatry Res, 1994. 51(2): p. 167-74.
Breslau, N., K. Merikangas, and C.L. Bowden, Comorbidity of migraine and major affective disorders. Neurology, 1994. 44(10 Suppl 7): p. S17-22.
Lipton, R.B., et al., Migraine, quality of life, and depression: a population-based case-control study. Neurology, 2000. 55(5): p. 629-35.
Merikangas, K.R. and D.E. Stevens, Comorbidity of migraine and psychiatric disorders. Neurol Clin, 1997. 15(1): p. 115-23.
Jette, N., et al., Comorbidity of migraine and psychiatric disorders--a national population-based study. Headache, 2008. 48(4): p. 501-16.
Samaan, Z., et al., Migraine in recurrent depression: case-control study. Br J Psychiatry, 2009. 194(4): p. 350-4.
Sanchez-Roman, S., et al., Personality in patients with migraine evaluated with the "Temperament and Character Inventory". J Headache Pain, 2007. 8(2): p. 94-104.
Crisp, A.H., et al., Some clinical, social and psychological characteristics of migraine subjects in the general population. Postgrad Med J, 1977. 53(625): p. 691-7.
Guidetti, V., et al., Headache and psychiatric comorbidity: clinical aspects and outcome in an 8-year follow-up study. Cephalalgia, 1998. 18(7): p. 455-62.
Kuehner, C., Why is depression more common among women than among men? Lancet Psychiatry, 2017. 4(2): p. 146-158.
Breslau, N. and G.C. Davis, Migraine, physical health and psychiatric disorder:
a prospective epidemiologic study in young adults. J Psychiatr Res, 1993. 27(2): p. 211-21.
Swartz, K.L., et al., Mental disorders and the incidence of migraine headaches in
a community sample: results from the Baltimore Epidemiologic Catchment area follow-up study. Arch Gen Psychiatry, 2000. 57(10): p. 945-50.
Merikangas, K.R., J. Angst, and H. Isler, Migraine and psychopathology. Results of the Zurich cohort study of young adults. Arch Gen Psychiatry, 1990. 47(9): p. 849-53.
Masi, G., et al., Somatic symptoms in children and adolescents referred for emotional and behavioral disorders. Psychiatry, 2000. 63(2): p. 140-9.
Galli, F., et al., Psychiatric disorders and headache familial recurrence: a study on 200 children and their parents. J Headache Pain, 2009. 10(3): p. 187-97.
Viana, M., et al., Factors associated to chronic migraine with medication overuse:
A cross-sectional study. Cephalalgia, 2018. 38(14): p. 2045-2057.
Suh, G.I., J.W. Park, and H.E. Shin, Differences in Clinical Features and Disability according to the Frequency of Medication Use in Patients with Chronic Migraine.
J Clin Neurol, 2012. 8(3): p. 198-203.
Abbate-Daga, G., et al., Anger, depression and personality dimensions in patients with migraine without aura. Psychother Psychosom, 2007. 76(2): p. 122-8.
Mose, L.S., et al., Personality traits in migraine and medication-overuse headache:
A comparative study. Acta Neurol Scand, 2019. 140(2): p. 116-122.
Huber, D. and G. Henrich, Personality traits and stress sensitivity in migraine patients. Behav Med, 2003. 29(1): p. 4-13.
Simon, G.E., Social and economic burden of mood disorders. Biol Psychiatry, 2003. 54(3): p. 208-15.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Ewa Olek, Oliwia Szewczyk, Karolina Czarnecka, Anna Korczak, Katarzyna Burda, Emilia Wójcik, Olga Łopacińska, Katarzyna Stańczyk, Aleksandra Korn, Justyna Jędrzejczyk
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 166
Number of citations: 0
