Migren Tipi Baş Ağrısının Psikiyatrik Yönü

Yıl 2018, Cilt: 6 Sayı: 1, 19 - 23, 08.01.2018

Prof. Dr. Çiçek Hocaoğlu

Öz

Öz

Baş ağrısı, genel hasta poliklinikleri ve nöroloji polikliniklerine başvuran hastaların enyoğun yakınmasıdır. Ağrı şiddeti, hayat kalitesine etkisi, kişisel ve ülke ekonomisine etkisine bakıldığında, migren, bilinmesi gereken en önemli konudur ki, dünyada yaklaşık 700 milyon migren hastası vardır. Migren tipi baş ağrısı, ataklarla seyreden ve günlerce devameden, çoğunlukla tek taraflı yerleşimli, zonklayıcı özellikte, şiddetli ve kişinin günlük aktivitelerini olumsuz etkileyen kronik bir baş ağrısıdır. Hastalarda eş zamanlı psikiyatrik bozukluk görülme oranları oldukça yüksek düzeylerde olduğu gibi, migren oluşunda ve gidişinde etkili olduğu gösterilmiş birçok psikolojik etken de tanımlanmıştır. Ancak kullanılan tanı ölçütleri, ölçekler ve çalışmaların yapıldığı popülasyonların farklılığı, tipik özelliklerin saptanmasını güçleştirmektedir. Psikiyatrik belirtilerin  migren tipi baş ağrısı içinbir risk faktörü olduğu ileri sürülmüştür. Anksiyete ve öfke  uzun zamandır migren atak-ları  ile ilişkilendirilmiştir. Bu gözden geçirme yazısında migren tipi baş ağrısı nedenlerive psikiyatrik belirtiler arasındaki ilişkisinin incelenmesi amaçlanmıştır.

Anahtar Kelimeler

Migren Tipi Baş Ağrısı, Ank-siyete, Aleksitimi, BedenselDuyumları Abartma, öfke

Psychiatric Aspects of Migraine Type Headache

Öz

Abstract

Headache is the most common complaint of the patients, who applied to general orneurology outpatient clinics. While considering headache intensity and its impact on lifequality and individual or national economy; migraine type headache can be accepted asone of the most important problems that affected approximately 700 million of world population. Migraine type headache is a chronic disease that generally has unilateral localization and characterized by severe and pulsating headache which could be continuousfor days and affecting people’s daily activities negatively. As well as it is common to havehigh incidence of concurrent psychiatric disorders in patients, many psychological factors have been shown to be effective in the onset and course of migraine type headache.However, the used different diagnostic criteria, scale and patient populations makes the determination of typical characteristics difficult. Psychiatric symptoms has been suggested as a risk factor for migraine type headache. Anxiety and anger. have long been associated with migraine type headache. The aim of this review article is to investigate theetiology of migraine type headache and relationship between psychiatric symptoms.

Anahtar Kelimeler

Migraine Type Headache, An-xiety, Alexithymia, Somatosen-sory Amplification, anger

Kaynakça

• Kaynaklar 1.Lipton RB, Zivadinov R, Willheim K, Jurjevic A, Sepic-GrahovacD,Bucuk M. Prevalance of Migraine in Croatia: A Population-BasedSurvey. Headache. 2001; 41: 805-808. 2.Siva A. Baş ağrısı epidemiyolojisi. Türkiye Klinikleri NörolojiDergisi 2003; 1:94-97. 3.Çakmak G, Yayla V, Muhan A, Gülersönmez M, Apak İ. Migrenli has-talarda sosyodemografik değerlendirme. Beyin Damar Hastalıkla-rı Dergisi 1996;2:29-31. 4.Headache Classification Committee of the InternationalHeadacheSociety. The International Classification of Headache Disorders. Se-cond Ed. Cephalalgia 2004; 24(Suppl.1):9-160. 5.Çelebi A, Özcan H. Baş ağrıları, kranial nevraljiler ve yüz arıları-nın sınıflanması ve tanı kriterleri. Uluslararası Başağrısı Derneği,Başağrıları Sınıflama Komitesi Orhanlar Matbaası,1990. 6.Penzien DB, Andrew ME, Knowitron GE. Computer-aided systemfor headache diagnosis wıth the IHS headache diagnostic criteria:Development and validation. Cephalalgia 1991; 11 (suppl 11): 325-326. 7.Lipton RB, Stewart WF. Evaluating the IHS criteria. Cephalalgia.1994; 14: 23-27. 8.Rasmussen BK. Migraine and tension-type headache are separatedisorders. Cephalalgia. 1996; 16: 218-220. 9.Merikangas KR, Frances A. Development of diagnostic criteria forheadache syndromes: lessons from psychiatry. Cephalalgia. 1993;13 (suppl 12): 34-38. 10.Sjaastad O, Stovner JL. The IHS classification for common migrai-ne. Is it ideal ?. Headache. 1993; 33: 372-5. 11.Karlıdere T. Baş ağrısına psikiyatrik yaklaşım. Türkiye Klinikleri Der-gisi - KBB Özel Sayısı 2010; 3:58-65. 12.Akyıldız K, Sercan M, Yıldız N, Çevik A, Kıyan A. Baş ağrısı yalnız-ca baş ağrısı mıdır? Baş ağrısı ile ruhsal bozuklukların eştanısı. Dü-şünen Adam The Journal of Psychiatry and Neurological Sciences2015;28:34-46. 13.Jacobson SA, Folstein MF.Psychiatric perspectives on headache andfacial pain. Otolaryngol Clin North Am. 2003;36:1187-1200. 14.Breslau N, Lipton RB, Stewart WF, Schultz LR, Welch KM. Comor-bidity of migrain eand depression: investigation potential etiologyand prognosis. Neurology. 2003;60:1308-1312. 15.Matta AP, Moreira Filho PF. Depressive symptoms and anxiety inpatients with chronicand episodic tension-type headache Arq neu-ropsiquiatr. 2003; 61:991-994. 16.Lilienfold SO, Turner SM, ,Jakob RG. Further comments on the na-ture and measurement of anxiety sensitivity: A reply to Taylor. J An-xiety Disord. 1996; 10:411-424. 17.Taylor S, Koch WJ, Woody S. Anxiety sensitivity and depression:Howare they related? J Abnorm Psychol 1996; 105: 474-479. 18.Powers SW, Gilman DK, Hershey AD. Headache and psycholo-gical functioning in children and adolescents Headache. 2006;46:1404 1415. 19.Norton PJ, Asmundson GJG. Anxiety sensitivity, fear, and avoidan-ce behavior in headache pain. Pain 2004;111:218-23 20.Sifneos PE. Alexithymia: past and present. Am J Psychiatry 1996;153:137-42. 21.Bankier B, Aigner M, Bach M. Alexithymia in DSM-IV disorder: com-parative evaluation of somatoform disorder, panic disorder, obses-sive-compulsive disorder and depression. Psychosomatics 2001;42:235-240. 22.Zackheim L. Alexithymia: the expanding realm of research. JPsychosom Res 2007; 63:345-347. 23.Ogrodniczuk JS, Piper WE, Joyce AS. Effect of alexithymia on theprocess and outcome of psychotherapy: a programmatic review.Psychiatry Res 2011; 190:43-48. 24.Grabe HJ, Frommer J, Ankerhold A, Ulrich C, Groger R, Franke GHet al. Alexithymia and outcome in psychotherapy. PsychotherPsychosom 2008; 77:189-194. 25.Taylor GJ. Recent developments in alexithymia theory and research.Can J Psychiatry 2001; 45:13-142. 26.Hatch JP. Anger and hostility in tension-type headache. Headache1991; 31:302-304. 27.Leeuw R, Schmidt JE, Carlson CR. Traumatic stressors and postt-raumatic stress disorder symptoms in headache patients. Headac-he 2005; 45:1365-1374. 28.Peterlin BL, Tietgen G, Meng S, Lidicker J, Bigal M. Posttrauma-tic stress disorder in episodic and chronic migraine. Headache 2008;48:517-522. 29.Sayar K, Gulec H, Topbas M. Alexithymia and anger in patients withfibromyalgia. Clin Rheumatol 2004; 23:441-448. 30.Martin R, Watson D, Wan CK. A three-factor model of trait anger:Dimensions of affect, behavior and cognition. Journal of Persona-lity, 2000;68, 870-897. 31.Kassinove H, Sukhodolsky DG. Anger disorders: Basic science andpractice issues. In H. Kassinove (Ed) Anger Disorders: Definition, Di-agnosis and Treatment. Washington: Taylor & Francis. 1995,1-26. 32.Kassinove, H. ve Tafrate, R.C. Anger Management: The CompleteTreatment Guidebook for Practitioners. California: Impact Publis-hers, Inc. 2002,30-45. 33.Robins S, Novaco RW. Systems conceptualization and treatment ofanger.J Clin Psychology 1999; 55: 325-337. 34.Zelin ML, Adler G, Myerson PG. Anger self-report: An objective ques-tionnaire for the measurement of aggression. J Consulting and ClinPsychology 1972;39, 340–352. 35.Spielberger CD. State Trait Anger Expression Inventory. Odessa FL:Psychological Assessment Resources. Inc.1988,52-63. 36.Balkaya F, Sahin NH. Çok boyutlu öfke ölçeği. Türk Psikiyatri Der-gisi 2003; 14: 192-202. 37.Wacogne C, Lacoste JP, Guillibert E, Hugues FC, Le Jeunne C. Stress,anxiety, depression and migraine. Cephalalgia 2003; 23: 451-455. 38.Çelik C, Özdemir B, Çaycı T. Esansiyel hipertansiyonda öfke düze-yi ve öfke ifade tarzı. Gülhane Tıp Derg 2009; 51: 158-161 39.Perozzo P, Savi L, Castelli L. Anger and emotional distress in pa-tients with migraine and tension-type headache. J Headache Pain2005; 6: 392-399. 40.Erdem M, Celik C, Yetkin S, Ozgen F. Anger level and anger exp-ression in generalized anxiety disorder. Anadolu Psikiyatri Dergi-si 2008; 9: 203-207. 41.Nicholson RA, Gramling SE, Ong JC, Buenaver L. Differences in an-ger expression between individuals with and without headache aftercontrolling for depression and anxiety. Headache 2003; 43: 651-663. 42.Lipowski ZJ.Somatization: The Concept and Its Clinical Applicati-on. Am J Psychiatry 1988; 145:1358-1368. 43.Barsky AJ, Wyshak G, Klerman GL. The Somatosensory Amplifica-tion Scale and its relationship to hypochondriasis. J Psychiatry Res1990; 24:323-334. 44.Barsky AJ. Amplification, somatization, and the somatoform disor-ders. Psychosomatics 1992; 33:28-34. 45.Barsky AJ, Goodson JD, Lane RS.The amplification of somaticsymptoms. Psychosom Med 1988; 50:510-519. 46.Aronson KR, Barrett LF, Quigley KS. Feeling your body or feelingbadly: evidence for the limited validity of the omatosensory Ampli-fication Scale as an index of somatic sensitivity. J Psychosom Res2001; 51:387-394. 47.Kosturek A, Gregory RJ, Sousou AJ, Trief P. Alexithymia and soma-tic amplification in chronic pain. Psychosomatics 1998; 39:399-404. 48.Nimnuan C, Asawavichienjinda T, Srikiatkhachorn A. Potential riskfactors for psychiatric disorders in patients with headache. Headac-he 2012; 52:90-98. 49.Chiros C, O’Brien WH. Acceptance, appraisals, and coping in re-lation to migraine headache: an evaluation of interrelationships usingdaily diary methods. J Behav Med 2011; 34:307-320.