Patterns of personality in chronic headache patients with analgesic abuse

G. Micieli, P. G. Cerutti, K. Annoni, C. Tassorelli, F. Mazzacane, G. Nappi

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)31-37
Number of pages7
JournalFunctional Neurology
Issue number6 SUPPL.
Publication statusPublished - 1992

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)


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