TY - JOUR
T1 - Personality disorders are associated with more severe forms of migraine
AU - Yang, Fang
AU - dos Santos, Igor Alvarenga Moreira
AU - Gomez, Rodrigo Santiago
AU - Kummer, Arthur
AU - Barbosa, Izabela Guimarães
AU - Teixeira, Antonio L.
N1 - Publisher Copyright:
© 2018, Belgian Neurological Society.
PY - 2019/6/1
Y1 - 2019/6/1
N2 - To investigate the clinical manifestation, disease course, and prognosis of migraine patients with or without personality disorders. This cross-sectional study evaluated 61 patients with migraine diagnosed according to the criteria of the International Headache Society (IHS). Personality disorders were assessed with the Structured Clinical Interview for DSM-IV (SCID-II). Migraine severity was assessed with the Headache Impact Test-6 (HIT-6). We also used a structured clinical interview to diagnose comorbid mood disorders. Of the 61 patients, 20 (32.8%) had personality disorders. Personality disorders included obsessive–compulsive 14/61 (23.0%), avoidant 6/61 (9.8%), borderline 6/61 (9.8%), paranoid 6/61 (9.8%), schizoid 2/61 (3.3%), histrionic 1/61 (1.6%) and dependent 1/61 (1.6%) types. Compared to migraine patients without personality disorders, comorbidity with any personality disorders was associated with an increased frequency of chronic migraine (p < 0.001) and more severe headache as assessed by the HIT-6 (p < 0.001). Comorbidity with personality disorders was associated with more severe forms of migraine symptoms.
AB - To investigate the clinical manifestation, disease course, and prognosis of migraine patients with or without personality disorders. This cross-sectional study evaluated 61 patients with migraine diagnosed according to the criteria of the International Headache Society (IHS). Personality disorders were assessed with the Structured Clinical Interview for DSM-IV (SCID-II). Migraine severity was assessed with the Headache Impact Test-6 (HIT-6). We also used a structured clinical interview to diagnose comorbid mood disorders. Of the 61 patients, 20 (32.8%) had personality disorders. Personality disorders included obsessive–compulsive 14/61 (23.0%), avoidant 6/61 (9.8%), borderline 6/61 (9.8%), paranoid 6/61 (9.8%), schizoid 2/61 (3.3%), histrionic 1/61 (1.6%) and dependent 1/61 (1.6%) types. Compared to migraine patients without personality disorders, comorbidity with any personality disorders was associated with an increased frequency of chronic migraine (p < 0.001) and more severe headache as assessed by the HIT-6 (p < 0.001). Comorbidity with personality disorders was associated with more severe forms of migraine symptoms.
KW - Chronic migraine
KW - Obsessive–compulsive personality disorder
KW - Personality disorder
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U2 - 10.1007/s13760-018-1050-5
DO - 10.1007/s13760-018-1050-5
M3 - Article
C2 - 30474829
AN - SCOPUS:85057285132
SN - 0300-9009
VL - 119
SP - 201
EP - 205
JO - Acta Neurologica Belgica
JF - Acta Neurologica Belgica
IS - 2
ER -