Personality and Personality Disorders in Medication-Overuse Headache: A Controlled Study by SWAP-200
Joint Authors
Simonelli, Alessandra
Galli, Federica
Tanzilli, Annalisa
Tassorelli, Cristina
Sances, Grazia
Parolin, Micol
Cristofalo, Patrizia
Gualco, Ivan
Lingiardi, Vittorio
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-06-12
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Medication-overuse headache (MOH) is a type of chronic headache, whose mechanisms are still unknown.
The impact of psychological factors has been matter of debate from different perspectives.
The role of personality and personality pathology in processes involved in MOH development has been advanced but was poorly studied.
The hypothesis of addiction-like behaviors sustaining the drug misuse has been examined and reached contrasting findings.
Objectives.
This study is aimed at detecting personality and its disorders (PDs) in MOH, with a specific attention to the addiction aspect.
Methods.
Eighty-eight MOH patients have been compared with two clinical populations including 99 patients with substance use disorder (SUD) and 91 with PDs using the Shedler-Westen Assessment Procedure-200 (SWAP-200), a clinician-report tool that assesses both normal and pathological personality.
MANCOVAs were performed to evaluate personality differences among MOH, SUD, and PD groups, controlling for age and gender.
Results.
MOH patients were predominantly women and older.
They showed lower traits of the SWAP-200’s cluster A and B disorders than SUD and PD patients, who presented more severe levels of personality impairment.
No differences in the SWAP-200’s cluster C have been found, indicating common personality features in these populations.
At levels of specific PDs, MOH patients showed higher obsessive and dysphoric traits and better overall psychological functioning than SUD and PD patients.
Conclusion.
Although MOH, SUD, and PD populations have been evaluated in multiple sites with different levels of expertise, the study supported the presence of a specific constellation of personality in MOH patients including obsessive (perfectionist) and dysphoric characteristics, as well as good enough psychological resources.
No similarities to drug-addicted and personality-disordered patients were found.
Practitioners’ careful understanding of the personality characteristics of MOH patients may be useful to provide a road map for the implementation of more effective treatment strategies and intervention programs.
American Psychological Association (APA)
Galli, Federica& Tanzilli, Annalisa& Simonelli, Alessandra& Tassorelli, Cristina& Sances, Grazia& Parolin, Micol…[et al.]. 2019. Personality and Personality Disorders in Medication-Overuse Headache: A Controlled Study by SWAP-200. Pain Research and Management،Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1207209
Modern Language Association (MLA)
Galli, Federica…[et al.]. Personality and Personality Disorders in Medication-Overuse Headache: A Controlled Study by SWAP-200. Pain Research and Management No. 2019 (2019), pp.1-9.
https://search.emarefa.net/detail/BIM-1207209
American Medical Association (AMA)
Galli, Federica& Tanzilli, Annalisa& Simonelli, Alessandra& Tassorelli, Cristina& Sances, Grazia& Parolin, Micol…[et al.]. Personality and Personality Disorders in Medication-Overuse Headache: A Controlled Study by SWAP-200. Pain Research and Management. 2019. Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1207209
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1207209