Migren baş ağrısı olan hastalarda anksiyete duyarlılığı, aleksitimi, öfke ve bedensel duyumların büyümesi

Year 2024, Volume: 49 Issue: 3, 751 - 759, 30.09.2024

Selim Polat , Çiçek Hocaoğlu , Serkan Kırbaş , Ahmet Tüfekçi

https://doi.org/10.17826/cumj.1509034

Abstract

Amaç Bu çalışmada migren baş ağrısı olan hastalarda aleksitimi, anksiyete duyarlılığı, abartılı fiziksel duyumlar ve öfke dışa vurumu sağlıklı kontrol grubu ile karşılaştırıldı.
Gereç ve Yöntem: Nöroloji kliniğine başvuran ve çalışmaya dahil edilme kriterlerini karşılayan 88 migren baş ağrısı hastası ve 91 sağlıklı gönüllü çalışmaya dahil edildi. Çalışmaya dahil edilen tüm olgulara Sosyodemografik Veri Formu, Anksiyete Duyarlılık İndeksi (ASI), Fiziksel Duyum Abartma Ölçeği (BIDS), Toronto Aleksitimi Ölçeği (TAS) ve Spielberger Sürekli Öfke İfade Ölçeği (LASP) uygulandı.
Bulgular: Çalışmamızda migrenli hastaların 59'u (%67) kadın, 29'u (%33) erkek iken, kontrol grubunun 59'u (%64,8) kadın, 32'si (%35,2) erkekti. Hasta grubunun yaş ortalaması 39,07 ± 7,5 (25-55) yıl iken, kontrol grubunun yaş ortalaması 37,30 ± 8,2 (25-55) yıl idi. ASI, BIDS ve TAS puan ortalamalarına göre karşılaştırıldığında, hasta grubunun puanlarının kontrol grubunun puanlarından anlamlı derecede yüksek olduğu belirlenmiştir. Hasta grubunda öfke ifade tarzı kontrol grubuna göre daha yüksekti. İki grup arasında öfke ifadesi ve öfke kontrolü açısından anlamlı bir fark vardı. TÖAÖ ile sürekli öfke, öfke içe ve öfke dışa puanları arasında anlamlı bir ilişki bulunmuştur.
Sonuç: Bu çalışmada, migren baş ağrısı olan birçok hastada psikiyatrik bir belirti tespit edilmiştir. Hastaların mevcut tedavisini ve hastalığın seyrini etkileyen bu psikiyatrik semptomlar, klinisyenler tarafından sıklıkla göz ardı edilmekte veya yanlış teşhis edilmektedir. Çalışmamız klinikler arası konsültasyon ve irtibat ihtiyacını ortaya koymaktadır.

Keywords

Aleksitimi, öfke, anksiyete duyarlılığı, migren tipi baş ağrısı, fiziksel duyumların abartılması

Magnification of anxiety sensitivity, alexithymia, anger and bodily sensations in patients with migraine headache

Abstract

Purpose: In this study, alexithymia, anxiety sensitivity, exaggerated physical sensations and anger expression in patients with migraine headache were compared with a healthy control group.
Material and Methods: A total of 88 migraine headache patients and 91 healthy volunteers who applied to the Neurology Clinic and met the inclusion criteria were included in the study. Sociodemographic Data Form, Anxiety Sensitivity Index (ASI), Physical Sensation Exaggeration Scale (BIDS), Toronto Alexithymia Scale (TAS) and Spielberger Trait Anger Expression Scale (LASP) were administered to all subjects included in the study.
Results: In our study, 59 (67%) of the patients with migraine were female and 29 (33%) were male, while 59 (64.8%) of the control group were female and 32 (35.2%) were male. The mean age of the patient group was 39.07 ± 7.5 (25-55) years, while the mean age of the control group was 37.30 ± 8.2 (25-55) years. When compared according to the mean scores of ASI, BIDS and TAS, it was determined that the scores of the patient group were significantly higher than those of the control group. Anger expression style was higher in the patient group compared to the control group. There was a significant difference between the two groups in terms of anger expression and anger control. A significant relationship was found between TAS and trait anger, anger-in and anger-out scores.
Conclusion: In this study, many patients with migraine headache were associated with a psychiatric symptom. These psychiatric symptoms, which affect the current treatment of patients and the course of the disease, are often overlooked or misdiagnosed by clinicians. Our study demonstrates the need for inter-clinical consultation and liaison.

Keywords

Alexithymia, Anger, Anxiety sensitivity, Migraine Type Headache, Physical Sensations Exaggeration.

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