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01-06-2019 | Original Article

Personality disorders are associated with more severe forms of migraine

Authors: Fang Yang, Igor Alvarenga Moreira dos Santos, Rodrigo Santiago Gomez, Arthur Kummer, Izabela Guimarães Barbosa, Antonio L. Teixeira

Published in: Acta Neurologica Belgica | Issue 2/2019

Abstract

To investigate the clinical manifestation, disease course, and prognosis of migraine patients with or without personality disorders. This cross-sectional study evaluated 61 patients with migraine diagnosed according to the criteria of the International Headache Society (IHS). Personality disorders were assessed with the Structured Clinical Interview for DSM-IV (SCID-II). Migraine severity was assessed with the Headache Impact Test-6 (HIT-6). We also used a structured clinical interview to diagnose comorbid mood disorders. Of the 61 patients, 20 (32.8%) had personality disorders. Personality disorders included obsessive–compulsive 14/61 (23.0%), avoidant 6/61 (9.8%), borderline 6/61 (9.8%), paranoid 6/61 (9.8%), schizoid 2/61 (3.3%), histrionic 1/61 (1.6%) and dependent 1/61 (1.6%) types. Compared to migraine patients without personality disorders, comorbidity with any personality disorders was associated with an increased frequency of chronic migraine (p < 0.001) and more severe headache as assessed by the HIT-6 (p < 0.001). Comorbidity with personality disorders was associated with more severe forms of migraine symptoms.

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Title: Personality disorders are associated with more severe forms of migraine
Authors: Fang Yang
Igor Alvarenga Moreira dos Santos
Rodrigo Santiago Gomez
Arthur Kummer
Izabela Guimarães Barbosa
Antonio L. Teixeira
Publication date: 01-06-2019
Publisher: Springer International Publishing
Published in: Acta Neurologica Belgica / Issue 2/2019
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI: https://doi.org/10.1007/s13760-018-1050-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Personality disorders are associated with more severe forms of migraine

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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