Seden DEMİRCİ, Semih GÜRLER, Kadir DEMİRCİ

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

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

Gerilim tipi başağrısı olan hastalarda D tipi kişilik: klinik özellikler ve yaşam kalitesi ile ilişkileri

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

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1.Cathcart S, Winefield AH, Lushington K, Rolan P. Stress and tension-type headache mechanisms. Cephalalgia.2010;30:1250-67.
2.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.
3.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.
5.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 headache. Pain Res Manag.2012;17:377-80.
6.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.
7.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.
8.Lipchik GL, Penzien DB. Psychiatric comorbidities in patients with headache. Sem Pain Med.2004;2:93-105.
9.Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosom Med.2005;67:89-97.
10.Gilmour J, Williams L. Type D personality is associated with maladaptive health related behaviours. J Health Psychol.2012;17:471-8.
11.Mols F, DenolletJ. 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.
12.Denollet J. Type D personality. A potential risk factor defined. J Psychosom Res.2000;49:255-66.
13.Sher L. Type D personality: the heart, stress, and cortisol. QJM.2005;98:323-9.
14.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.
15.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).
16.The international classification of headache disorders 2nd edition. Cephalalgia.2004;24:8-160.
17.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.
18.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.
19.Bertolotti G, Vidotto G, Sanavio E, Frediani F. Psychological and emotional aspects and pain. Neurol Sci.2003;24:71-5.
20.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.
21.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.
22.Yucel B, Kora K, Ozyalcin S, Alcalar N, Ozdemir O, YucelA. Depression, automatic thoughts, alexithymia, and assertiveness in patients with tension-type headache. Headache.2002;42:194-9.
23.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.
24.Aaseth K, Grande RB, Leiknes KA, Benth J?, 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.
25.Rasmussen BK. Migraine and tension-type headache in a general population: psychosocial factors. Int J Epidemiol.1992;21:1138-43.
26.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.
27.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 on primary headache. Headache.2006;46:1377-86.
29.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.
30.Doering LV, Dracup K, Caldwell MA, MoserDK, Erickson VS, Fonarow G et al. Is coping style linked to emotional states in heart failure patients? J Card Fail.2004;10:344-9.
31.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.