PSYCHOPATHOLOGICAL SYMPTOMS IN PATIENTS SUFFERING FROM CHRONIC CEPHALEA WITH OR WITHOUT FIBROMYALGIA
Por:
Sala, I, Roig, C, Amador-Campos, JA, Garcia-Sanchez, C, Rodriguez, A, Diaz, C, Gich, I
Publicada:
16 sep 2009
Resumen:
Introduction. The presence of psychopathological symptoms as anxiety and depression in chronic daily headache and in fibromyalgia is common. Aim. To study, whether there are an), difference in the psychopathological profile and treatment response between patients with chronic headache and fibromyalgia (CHFM) and patients with chronic headache without fibromyalgia (CH). Patients and methods. A comprehensive psychological test battery was administered to 30 patients with CH and 30 patients with CHFM, diagnosed by a rheumatologist. We included chronic migraine and chronic tensional headache in CH group. Patients were matched for age and gender Depression, anxiety and obsession scores, and the profile of psychopathological symptoms (MMPI-2, SCL-90-R) were compared (t-test). Correlations between symptoms and treatment response were examined. Results. Patients with CHFM showed significant highest scores on hypochondriasis, depression, hysteria, paranoia, psychasthenia and schizophrenia (MMPI-2) and more somatization, obsession and anxiety according to SCL-90-R. A poorer response to treatment was observed in CHFM (17.85%) versus CH (42,85%) group. Conclusions. Patients with CHFM showed a psychopathological profile with highest scores and symptoms than patients without fibromyalgia. These differences correlated with the therapeutic response. [REV NEUROL 2009; 49: 281-7]
Filiaciones:
Sala, I:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Unidad Neuropsicol, E-08025 Barcelona, Spain
Univ Barcelona, Dept Personalidad Evaluac & Tratamientos Psicol, Fac Psicol, Barcelona, Spain
Roig, C:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Dept Neurol, Serv Neurol, E-08025 Barcelona, Spain
Amador-Campos, JA:
Univ Barcelona, Dept Personalidad Evaluac & Tratamientos Psicol, Fac Psicol, Barcelona, Spain
Garcia-Sanchez, C:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Unidad Neuropsicol, E-08025 Barcelona, Spain
Rodriguez, A:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Secc Reumatol, E-08025 Barcelona, Spain
Diaz, C:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Secc Reumatol, E-08025 Barcelona, Spain
Gich, I:
Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Serv Epidemiol Clin, E-08025 Barcelona, Spain
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