Background: Migraine patients have difficulty regulating anger, so it is turned against the self. Self-regulation difficulties may due to alexithymia. Aim: Evaluate migraine patients and healthy volunteers using the TCI, DMI and TAS-20. METHODS: Outpatients and healthy controls were evaluated using the TCI temperamental dimensions, DMI and TAS-20. ICHD-II criteria were used for migraine diagnosis and DSM-IV-TR for psychiatric diagnosis. Data were analyzed using t-test, 2 and logistic regression. Results: 31 migraine patients and 40 controls. Migraine patients scored lower than controls on NS (Novelty Seeking) (t(69)=4.24, p b .05). A logistic regression was significant (2(4)=16.25, p b .05) revealing that as as scores on NS increased the probability of migraine onset decreased by 3.7%, p b .05; Migraine patients scored higher than controls on TAS-20 Factor 3 (t(69)=2.1, p b .05). A logistic regression did not reach overall significance 2(3)=5.09, p = .165; but F3 did (p b .05) demonstrating that the probability of migraine onset increased by 15.32% as F3 increased; A simplified logistic regression including only Reversal (REV) and Turning against Self (TAS) defense styles reached signifi- cance (2(2)=32.91, p b .05). Examining the odds ratios, the probability of migraine onset increased by 8% and 16%, respectively as defense styles increased. Conclusions: Low NS and increased pensée opératoire and defense styles characterize migraine patients. “Pensée opér- atoire,” and TAS style are risk factors for migraine onset. Instead NS is a protection factor.
Do temperament and defense styles characterize migraine patients?
VERDOLINI, NORMA;DE GIORGIO, GIUSEPPINA;ONOFRI, CHIARA;DENNIS, JOHN LAWRENCE;FIRENZE, Caterina;MORETTI, Patrizia;QUARTESAN, Roberto
2011
Abstract
Background: Migraine patients have difficulty regulating anger, so it is turned against the self. Self-regulation difficulties may due to alexithymia. Aim: Evaluate migraine patients and healthy volunteers using the TCI, DMI and TAS-20. METHODS: Outpatients and healthy controls were evaluated using the TCI temperamental dimensions, DMI and TAS-20. ICHD-II criteria were used for migraine diagnosis and DSM-IV-TR for psychiatric diagnosis. Data were analyzed using t-test, 2 and logistic regression. Results: 31 migraine patients and 40 controls. Migraine patients scored lower than controls on NS (Novelty Seeking) (t(69)=4.24, p b .05). A logistic regression was significant (2(4)=16.25, p b .05) revealing that as as scores on NS increased the probability of migraine onset decreased by 3.7%, p b .05; Migraine patients scored higher than controls on TAS-20 Factor 3 (t(69)=2.1, p b .05). A logistic regression did not reach overall significance 2(3)=5.09, p = .165; but F3 did (p b .05) demonstrating that the probability of migraine onset increased by 15.32% as F3 increased; A simplified logistic regression including only Reversal (REV) and Turning against Self (TAS) defense styles reached signifi- cance (2(2)=32.91, p b .05). Examining the odds ratios, the probability of migraine onset increased by 8% and 16%, respectively as defense styles increased. Conclusions: Low NS and increased pensée opératoire and defense styles characterize migraine patients. “Pensée opér- atoire,” and TAS style are risk factors for migraine onset. Instead NS is a protection factor.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
