Analgesic abuse is one of the major factors which influences the transformation of an episodic form of headach into a chronic form. In this study we investiged the personality traits of 60 patients suffering from daily chronic headache (DCH) with and without analgesic abuse. Forty-three of these patients manifested migraine with interparoxysmal headache (MIH), while the others suffered from chronic tension-type headache (CTH). Subjects underwent a psychological evaluation which included the Rorschach test and the Hamilton Rating Scales for Anxiety (HRSA) and Depression (HRSD). The patients who abused analgesics were older, had a more frequent family history of headache, an earlier onset of disease, a longer period of chronic headache pattern and higher headache score values. Non-abusers showed higher scores for anxiety and hysteria on the Rorschach test. These data suggest that a proper definition of a patient's psychological profile may be useful for investigating the dynamic aspects which lead to analgesic abuse as well as for better describing specific features of DCH.
|Number of pages||7|
|Issue number||6 SUPPL.|
|Publication status||Published - 1992|
ASJC Scopus subject areas
- Clinical Neurology