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Type D personality in patients with tension-type headache: relationships with clinical features and quality of life

Year 2016, Volume: 41 Issue: 3, 521 - 527, 30.09.2016
https://doi.org/10.17826/cukmedj.237506

Abstract

Purpose: The aim of this study was to investigate the associations between Type D personality and clinical features and quality of life in patients with tension-type headache (TTH).

Material and Methods: Eighty-three patients with TTH were enrolled in this study. Headache characteristics of the patients were recorded and the severity of headache was evaluated by Visual Analogue Scale (VAS). Type D personality was assessed using Type D Scale and quality of life was assessed using 36-Item Short-Form Health Survey (SF-36).

Results: We found that physical and mental subscales of SF-36 scores were significantly lower in TTH patients with type D personality than those without type D personality. The scores of total Type D Scale were found to be positively correlated with headache frequency  and negatively correlated with the scores of physical and mental subscales of SF-36). In multivariate linear regression analysis total score of the type D scale was found to be independently associated with the physical and mental subscale of the SF-36  and headache frequency.

Conclusion: Type D personality traits may lead to an increase in headache frequency and decrease in quality of life in patients with TTH. Therefore, early recognition of type D personality and providing psychological support may contribute to better quality of life in patients with TTH.

References

  • Cathcart S, Winefield AH, Lushington K, Rolan P. Stress and tension-type headache mechanisms. Cephalalgia. 2010;30:1250-67.
  • Stovner Lj, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27:193-210.
  • Speciali JG, Eckeli AL, Dach F. Tension-type headache. Expert Rev Neurother. 2008;8:839-53. 4. Olesen J. Clinical and pathophysiological
  • observations in migraine and tension-type headache
  • explained by integration of vascular, supra-spinal and
  • myofascial inputs. Pain. 1991;46:125-32.
  • Cathcart S, Bhullar N, Immink M, Della Vedova C, Hayball J. Pain sensitivity mediates the relationship between stress and headache intensity in chronic tension-type 2012;17:377-80. Pain Res Manag.
  • Bera SC, Khandelwal SK, Sood M, Goyal V. A comparative study of psychiatric comorbidity, quality of life and disability in patients with migraine and tension type headache. Neurol India. 2014;62:516-20.
  • Boz C, Gazioglu S, Altunayoglu V, Hocaoglu C. Effect of serotonergic antidepressant therapy on temperament and character scales in patients with chronic tension-type headache. Psychiatry Clin Neurosci. 2007;61:534-42.
  • Lipchik GL, Penzien DB. Psychiatric comorbidities in patients with headache. Sem Pain Med. 2004;2:93- 105.
  • Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med. 2005;67:89-97.
  • Gilmour J, Williams L. Type D personality is associated with maladaptive health related behaviours. J Health Psychol. 2012;17:471-8.
  • Mols F, Denollet J. Type D personality in the general population: a systematic review of health status, mechanisms of disease, and work-related problems. Health Qual Life Outcomes. 2010;8:9.
  • Denollet J. Type D personality. A potential risk factor defined. J Psychosom Res. 2000;49:255-66.
  • Sher L. Type D personality: the heart, stress, and cortisol. QJM. 2005;98:323-9.
  • Erkol İnal E, Demirci K, Doğru A, Şahin M. Ankylosing Spondylitis patients with Type D personality have worse clinical status. Mod Rheumatol. 2016;26:138-45.
  • Van Middendorp H, Kool MB, Van Beugen S, Denollet J, Lumley MA, Geenen R. Prevalence and relevance of Type D personality in fibromyalgia. Gen Hosp Psychiatry. 2015 (in press).
  • The international classification of headache disorders 2nd edition. Cephalalgia. 2004;24:8-160.
  • Alçelik A, Yıldırım O, Canan F, Eroğlu M, Aktaş G, Şavlı H. A Preliminary psychometric evaluation of the type d personality construct in Turkish hemodialysis patients. Journal of Mood Disorders. 2012;2:1-5.
  • Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Kısa Form-36 (KF-36)’nın Türkçe versiyonu’nun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi [Turkish]. 1999;12:102-6.
  • Bertolotti G, Vidotto G, Sanavio E, Frediani F. Psychological and emotional aspects and pain. Neurol Sci. 2003;24:71-5.
  • Perozzo P, Savi L, Castelli L, Valfrè W, Lo Giudice R, Gentile S et al. Anger and emotional distress in patients with migraine and tension-type headache. J Headache Pain. 2005;6:392-9.
  • Bag B, Hacihasanoglu R, Tufekci FG. Examination of anxiety, hostility and psychiatric disorders in patients with migraine and tension-type headache. Int J Clin Pract. 2005;59:515-21.
  • Yucel B, Kora K, Ozyalcin S, Alcalar N, Ozdemir O, Yucel A. Depression, automatic thoughts, alexithymia, and assertiveness in patients with tension-type headache. Headache. 2002;42:194-9.
  • Ozdemir O, Aykan F, Ozdemir PG. Coping Strategies and personality traits in women patients with migraine and tension type headache. Journal of Mood Disorders. 2014;4:59-65.
  • Aaseth K, Grande RB, Leiknes KA, Benth JŠ, Lundqvist C, Russell MB. Personality traits and psychological distress in persons with chronic tension-type headache. The Akershus study of chronic headache. Acta Neurol Scand. 2011;124:375- 82.
  • Rasmussen BK. Migraine and tension-type headache in a general population: psychosocial factors. Int J Epidemiol. 1992;21:1138–43.
  • Chen W, Yu S, Zhu J, Chai H, He W, Wang W. Personality characteristics of male sufferers of chronic tension-type and cervicogenic headache. J Clin Neurol. 2012;8:69-74.
  • Boz C, Velioglu S, Ozmenoglu M, Sayar K, Alioglu Z, Yalman B et al. Temperament and character profiles of patients with tension-type headache and migraine. Psychiatry Clin Neurosci. 2004;58:536-43. 28. Nash JM, Thebarge RW. Understanding psychological stress, its biological processes, and impact 2006;46:1377-86. headache. Headache.
  • Nachit‑Ouinekh F, Dartigues JF, Henry P, Becg JP, Chastan G, Lemaire N et al. Use of the headache impact test (HIT‑6) in general practice: Relationship with quality of life and severity. Eur J Neurol. 2005;12:189‑93.
  • Doering LV, Dracup K, Caldwell MA, Moser DK, Erickson VS, Fonarow G et al. Is coping style linked to emotional states in heart failure patients? J Card Fail. 2004;10:344-9.
  • Williams L, O'Connor RC, Howard S, Hughes BM, Johnston DW, Hay JL et al. Type-D personality mechanisms of effect: the role of health-related behavior and social support. J Psychosom Res. 2008;64:63–9.

Gerilim tipi başağrısı olan hastalarda D tipi kişilik: Klinik özellikler ve yaşam kalitesi ile ilişkiler

Year 2016, Volume: 41 Issue: 3, 521 - 527, 30.09.2016
https://doi.org/10.17826/cukmedj.237506

Abstract

Amaç: Bu çalışmanın amacı, gerilim tipi başağrısı (GTBA) olan hastalarda, D tipi kişilik ile klinik özellikler ve yaşam kalitesi arasındaki ilişkinin incelenmesidir. 

Gereç ve Yöntem: Çalışmaya GTBA tanısı konmuş 83 hasta dahil edildi. Hastaların başağrısı özellikleri kaydedildi ve başağrısı şiddeti Görsel Analog Skala ile değerlendirildi. D tipi kişilik D tipi Kişilik Ölçeği ile değerlendirildi. Yaşam kalitesi ise Kısa Form-36 (SF-36) Yaşam Kalitesi Ölçeği ile değerlendirildi.

Bulgular: D tipi kişiliği olan GTBA hastalarında SF-36 fiziksel ve mental bölümü skorları D tipi kişiliği olmayanlara göre istatistiksel olarak anlamlı düzeyde düşük saptandı. Toplam D tipi kişilik Ölçeği puanı ile başağrısı sıklığı arasında anlamlı pozitif  ve SF-36 fiziksel ve mental bölümü puanları arasında anlamlı negatif ilişki bulundu. Çok değişkenli lineer regresyon analizinde D tipi kişiliğin SF-36 fiziksel ve mental bölümleriyle ile başağrısı sıklığı üzerine bağımsız etkisi olduğu saptandı. 

Sonuç: D tipi kişilik özellikleri GTBA hastalarında başağrısı sıklığında artışa ve yaşam kalitesinde azalmaya yol açabilir. Bu nedenle, GTBA hastalarında D tipi kişiliğin erken tanınması ve psikolojik destek sağlanması daha iyi yaşam kalitesine katkı sağlayabilir. 


References

  • Cathcart S, Winefield AH, Lushington K, Rolan P. Stress and tension-type headache mechanisms. Cephalalgia. 2010;30:1250-67.
  • Stovner Lj, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia. 2007;27:193-210.
  • Speciali JG, Eckeli AL, Dach F. Tension-type headache. Expert Rev Neurother. 2008;8:839-53. 4. Olesen J. Clinical and pathophysiological
  • observations in migraine and tension-type headache
  • explained by integration of vascular, supra-spinal and
  • myofascial inputs. Pain. 1991;46:125-32.
  • Cathcart S, Bhullar N, Immink M, Della Vedova C, Hayball J. Pain sensitivity mediates the relationship between stress and headache intensity in chronic tension-type 2012;17:377-80. Pain Res Manag.
  • Bera SC, Khandelwal SK, Sood M, Goyal V. A comparative study of psychiatric comorbidity, quality of life and disability in patients with migraine and tension type headache. Neurol India. 2014;62:516-20.
  • Boz C, Gazioglu S, Altunayoglu V, Hocaoglu C. Effect of serotonergic antidepressant therapy on temperament and character scales in patients with chronic tension-type headache. Psychiatry Clin Neurosci. 2007;61:534-42.
  • Lipchik GL, Penzien DB. Psychiatric comorbidities in patients with headache. Sem Pain Med. 2004;2:93- 105.
  • Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med. 2005;67:89-97.
  • Gilmour J, Williams L. Type D personality is associated with maladaptive health related behaviours. J Health Psychol. 2012;17:471-8.
  • Mols F, Denollet J. Type D personality in the general population: a systematic review of health status, mechanisms of disease, and work-related problems. Health Qual Life Outcomes. 2010;8:9.
  • Denollet J. Type D personality. A potential risk factor defined. J Psychosom Res. 2000;49:255-66.
  • Sher L. Type D personality: the heart, stress, and cortisol. QJM. 2005;98:323-9.
  • Erkol İnal E, Demirci K, Doğru A, Şahin M. Ankylosing Spondylitis patients with Type D personality have worse clinical status. Mod Rheumatol. 2016;26:138-45.
  • Van Middendorp H, Kool MB, Van Beugen S, Denollet J, Lumley MA, Geenen R. Prevalence and relevance of Type D personality in fibromyalgia. Gen Hosp Psychiatry. 2015 (in press).
  • The international classification of headache disorders 2nd edition. Cephalalgia. 2004;24:8-160.
  • Alçelik A, Yıldırım O, Canan F, Eroğlu M, Aktaş G, Şavlı H. A Preliminary psychometric evaluation of the type d personality construct in Turkish hemodialysis patients. Journal of Mood Disorders. 2012;2:1-5.
  • Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Kısa Form-36 (KF-36)’nın Türkçe versiyonu’nun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi [Turkish]. 1999;12:102-6.
  • Bertolotti G, Vidotto G, Sanavio E, Frediani F. Psychological and emotional aspects and pain. Neurol Sci. 2003;24:71-5.
  • Perozzo P, Savi L, Castelli L, Valfrè W, Lo Giudice R, Gentile S et al. Anger and emotional distress in patients with migraine and tension-type headache. J Headache Pain. 2005;6:392-9.
  • Bag B, Hacihasanoglu R, Tufekci FG. Examination of anxiety, hostility and psychiatric disorders in patients with migraine and tension-type headache. Int J Clin Pract. 2005;59:515-21.
  • Yucel B, Kora K, Ozyalcin S, Alcalar N, Ozdemir O, Yucel A. Depression, automatic thoughts, alexithymia, and assertiveness in patients with tension-type headache. Headache. 2002;42:194-9.
  • Ozdemir O, Aykan F, Ozdemir PG. Coping Strategies and personality traits in women patients with migraine and tension type headache. Journal of Mood Disorders. 2014;4:59-65.
  • Aaseth K, Grande RB, Leiknes KA, Benth JŠ, Lundqvist C, Russell MB. Personality traits and psychological distress in persons with chronic tension-type headache. The Akershus study of chronic headache. Acta Neurol Scand. 2011;124:375- 82.
  • Rasmussen BK. Migraine and tension-type headache in a general population: psychosocial factors. Int J Epidemiol. 1992;21:1138–43.
  • Chen W, Yu S, Zhu J, Chai H, He W, Wang W. Personality characteristics of male sufferers of chronic tension-type and cervicogenic headache. J Clin Neurol. 2012;8:69-74.
  • Boz C, Velioglu S, Ozmenoglu M, Sayar K, Alioglu Z, Yalman B et al. Temperament and character profiles of patients with tension-type headache and migraine. Psychiatry Clin Neurosci. 2004;58:536-43. 28. Nash JM, Thebarge RW. Understanding psychological stress, its biological processes, and impact 2006;46:1377-86. headache. Headache.
  • Nachit‑Ouinekh F, Dartigues JF, Henry P, Becg JP, Chastan G, Lemaire N et al. Use of the headache impact test (HIT‑6) in general practice: Relationship with quality of life and severity. Eur J Neurol. 2005;12:189‑93.
  • Doering LV, Dracup K, Caldwell MA, Moser DK, Erickson VS, Fonarow G et al. Is coping style linked to emotional states in heart failure patients? J Card Fail. 2004;10:344-9.
  • Williams L, O'Connor RC, Howard S, Hughes BM, Johnston DW, Hay JL et al. Type-D personality mechanisms of effect: the role of health-related behavior and social support. J Psychosom Res. 2008;64:63–9.
There are 32 citations in total.

Details

Subjects Health Care Administration
Journal Section Research
Authors

Seden Demirci

Semih Gürler This is me

Kadir Demirci This is me

Publication Date September 30, 2016
Acceptance Date March 17, 2016
Published in Issue Year 2016 Volume: 41 Issue: 3

Cite

MLA Demirci, Seden et al. “Type D Personality in Patients With Tension-Type Headache: Relationships With Clinical Features and Quality of Life”. Cukurova Medical Journal, vol. 41, no. 3, 2016, pp. 521-7, doi:10.17826/cukmedj.237506.