Migren Hastalarında Empati ve Mükemmelliyetçilik

Abstract

Amaç: Migren, merkezi sinir sistemini etkileyen yansımaları nedeniyle kişilik değişkenleriyle birlikte görülebilen yaygın bir baş ağrısı bozukluğudur. Araştırmanın amacı hastaların özellikleri ve migren kliniği, empati puanları ayrıca mükemmeliyetçilik puanları arasındaki ilişkiyi araştırmaktır. Yöntemler: Çalışma, kontrol grubu için (>18 yaş) 104 migrenli ve 104 sağlıklı birey ile gerçekleştirildi. Ağrıya yönelik empati “Empathy for Pain Scale” ile, mükemmeliyetçilik ise “Short Form of Perfectionism Scale” ile belirlendi. Migrenlilerin son 6 aydaki atak sıklığı, atak süresi, ailede migren öyküsü, herhangi bir kronik hastalık varlığı, profilaktik tedavi, çoklu analjezik kullanımı ve sosyodemografik özellikleri araştırıldı. Bulgular: Migrenlilerin empati yeteneği kontrol grubuna göre yüksekti (p<0,05). Çocuğu olmayan migrenlilerin empati puanı, çocuğu/çocukları olan migrenlilere göre daha yüksekti (p<0,05). Migrenlilerde mükemmeliyetçilik puanının kontrol grubuna göre biraz daha yüksek olduğu saptandı ancak kontrol grubundan farklı değildi (p>0,05). Sonuç: Migrenlilerin başkalarının acısı için hissettikleri tiksinme, kaçınma özelliklerinin yüksek (p<0,05) olması, muhtemelen bu hastaların dolaylı duyumlarının (p<0,05) ve dolaylı ağrılarının (p<0,005) artması sonucu olabilir. Aile öyküsü olmayan hastalarda atak sıklığının yüksek olması (p<0,05), migren atak sıklığında çevresel faktörlerin önemine dikkat çekmektedir. Bununla birlikte, sigara kullanan migrenlilerde, muhtemelen oksidatif stresin yüksek olması sebebiyle empati azalmış (p<0,05) ve 6 ayda atak sıklığı artmış (p<0,05) olarak tespit edilmiştir.

Keywords

• migren
• empati
• mükemmelliyetçilik

Empathy and Perfectionism in Migraine

Abstract

Abstract Objective: Migraine is a common headache disorder which can be seen with personality variables because of the projections effecting the central nervous system. The aim of the study is to investigate the relationship between patients’ characteristics and the migraine clinic, the empathy scores, also the perfectionism scores. Methods: The study performed with (>18 age) 104 migraineurs, and 104 healtly individuals for control group. Empathy for pain was determined via "Empathy for Pain Scale" and the perfectionism via "Short Form of Perfectionism Scale". The attack frequency in last 6 months, the duration of attacks, family history of migraine, presence of any chronic disease, prophylactic treatment, use of multiple analgesics of migraineurs and their sociodemographic characteristics were also investigated. Results: Empathy of migraineurs was high according to control group (p<0,05). The childless migraineurs had higher scores of empathy compared to migraineurs with a child/children (p<0,05). Perfectionism score in migraineurs was slightly more than the neutral option, but it was not different from the control group (p>0,05). Conclusions: Disgust, avoidance properties of migraineurs was high (p<0,05), probably because of increased vicarious sensations (p<0,05), and vicarious pain (p<0,005) of these patients. The high frequency of attacks without a family history (p<0,05) draws attention to the importance of environmental factors in the frequency of migraine attacks. Besides, probably higher oxidative stress in cigarette user migraineurs is related to decreased empathy (p<0,05), and also higher frequency of attacks in 6 months (p<0,05).

Keywords

• migraine
• empathy
• perfectionism

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