Seden Demirci, Semih Gürler, Kadir Demirci

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

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.

Anahtar Kelimeler:

Gerilim tipi başağrısı, D tipi kişilik, başağrısı, yaşam kalitesi

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

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.

Keywords:

Tension-type headache, Type D personality, headache, quality of life,

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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.