Assessment of anger, depression symptoms, offence-related shame and guilt levels in women patients with migraine

Objective: Many psychological factors have an effect on the formation and course of migraine disease. The aim of this study is to assess the levels of anger, offence-related guilt and shame, and depression of female migraine patients and the correlation of these feelings with each other. Method: Our study included 50 patients attending the headache clinic with migraine diagnosis according to the diagnostic criteria of the International Classification of Headache Disorder 2004 and 40 control subjects. Participants completed a sociodemographic form, Offence‐Related Shame and Guilt Scale (ORSGS), State-Trait Anger Expression Inventory (STAEI), and Beck Depression Inventory (BDI). Results: Members of the migraine patient group were found to have significantly higher scores for the guilt and shame dimensions of the ORSGS, the BDI, and the trait anger and anger-out subdimensions of the STAEI compared to the control group. The scores for the shame dimension showed strong positive correlation with the anger-in subdimension. Conclusion: Migraine patients experience anger more intensely than healthy individuals. Emotions of offence-related guilt and shame may be associated with migraine headaches. Assessing guilt and especially feelings of shame in the psychological treatment of migraine is considered important.

Kaynakça

1. Headache Classification Subcommittee of the International Headache Society. The international classification of headache disorders: 2nd edition. Cephalalgia 2004;24(Suppl.1):9-160.

2. Idiman F. Last 40 years in headaches: In Bicakci S, Ozturk M, Ucler S, Karli N, Siva A (editors). Current approaches to diagnosing and treating headaches – practices of the turkish neurology association’s working group on headache. Istanbul: Galenos Publishinghouse, 2018; 10. (Turkish)

3. Materazzo F, Cathcart S, Pritchard D. Anger, depression, and coping interactions in headache activity and adjustment: a controlled study. J Psychosom Res 2000; 49:69-75.

4. 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; 6:392-399.

5. Nicholson RA, Gramling SE, Ong JC, Buenaver L. Differences in anger expression between individuals with and without headache after controlling for depression and anxiety. Headache 2003; 43:651-663.

6. Celik DB, Arkar H, Idiman F. Anger and temperament and character characteristics in patients with migraine headache. Turkish Journal of Clinical Psychiatry 2010; 13:23-35. (Turkish)

7. Boyle S, Church II WT, Byrnes E. Migraine headaches and anger. Best Pract Ment Health 2005; 1:47-58.

8. Loker A. Dreams, migraine, neuralgia. Istanbul: Altan Loker Publishing, 1993; 175-181.

9. Tangney J. P. Shame and guilt in young adulthood: a qualitative analysis. Arlington VA: The Meetings of the American Psychological Society; 1989.

10. Wolff HG. Personality features and reactions of subjects with migraine. Arch Neurol Psychiatry 1937; 37:895-921.

11. Cao M, Zhang S, Wang K, Wang Y, Wang W. Personality traits in migraine and tension-type headaches: a five-factor model study. Psychopathology. 2002; 35:254-258.

12. Ashina S, Bendtsen L, Buse DC, Lyngberg AC, Lipton RB, Jensen R. Neuroticism, depression and pain perception in migraine and tension-type headache. Acta Neurol Scand 2017; 136:470-476.

13. Merikangas KR, Stevens DE, Angst J. Headache and personality: results of a community sample of young adults. J Psychiat Res 1993; 27:187-196.

14. Passchierl J, Goudswaard P, Orlebeke JF, Verhage F. Migraine and defense mechanisms: psychophysiological relationships in young females. Soc Sci Med 1988; 26:343-350.

15. Luconi R, Bartolini M, Taffi R, Vignini A, Mazzanti L, Provinciali L, et al. Prognostic significance of personality profiles in patients with chronic migraine. Headache 2007; 47:1118-1124.

16. Abbate-Daga G, Fassino S, Lo Giudice R, Rainero I, Gramaglia C, Marech L, et al. Anger, depression and personality dimensions in patients with migraine without aura. Psychother Psychosom 2007; 76:122-128.

17. Harder DW. Shame and guilt assessment, and relationships of shame- and guilt-proneness to psychopathology: In Tangney JP, Fischer KW (editors). Self-conscious Emotions. The Psychology of Shame, Guilt, Embarrassment, and Pride. New York: The Guilford Press 1995, 368-392.

18. Fischer AH, Rodriguez Mosquera PM, van Vianen AE, Manstead AS. Gender and culture differences in emotion. Emotion 2004; 4:87-94.

19. First MB, Spitzer RL, Gibbon M, Williams JBW. Structured Clinical Interview for DSM-IV Clinical Version (SCID-I/CV, Version 2.0). New York: New York State Psychiatric Institute, 1997.

20. Corapcioglu A, Aydemir O, Yildiz M, Esen A, Koroglu E. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) Clinical Version. Ankara: HYB Publishing, 1999. (Turkish)

21. Wright K, Gudjonsson GH. The development of a scale for measuring offence-related feelings of shame and guilt. J Forens Psychiatry Psychol 2007; 18:307-316.

22. Saricam H, Akin A, Cardak M. The study on the validity and reliability of the Turkish form of Offence-related Feelings of Shame and Guilt Scale. Civil Academy Journal of Social Sciences 2012; 10:235-247. (Turkish)

23. Spielberger CD, Jacobs G, Russell S, Crane RS. Assessment of anger: the state-trait anger scale: In Spielberger CD, Butcher JN (editors). Advances in Personality Assessment. Second ed. Hillsdale NJ: Erlbaum, 1983, 159-187.

24. Ozer AK. A pilot study for trait anger (T-Anger) and anger expression (AngerEX) scales. Turkish Journal of Psychology 1994; 9:26-35. (Turkish)

25. Savasir I, Sahin NH. Assessment in cognitive-behavioral therapies: frequently used scales. Ankara: Turk Psikologlar Dernegi Yayinlari, 1997.

26. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4:561-571.

27. Hisli N. A reliability and validity study of Beck Depression Inventory in a university student sample. Turkish Journal of Psychology 1989; 7:3-13. (Turkish)

28. Kaplan H, Sadock BJ. Clinical psychiatry. Philadelphia: Lippincott Williams and Wilkins, 2004.

29. Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation, 1996.

30. Eckhardt CI, Deffenbacher JL. Diagnosis of anger disorders: In Kassinove H (editor). Anger disorders: definition, diagnosis, and treatment. Washington, DC: Taylor & Francis 1995, 27-48.

31. Haan, J. Migraine and metaphor: In Bogousslavsky J, Dieguz S (editors). Literary medicine: brain disease and doctors in novels, theatre and film. Basel: Karger, 2013, 126-135.

32. Kovács Z, Kun B, Griffiths MD, Demetrovics Z. A longitudinal study of adaption to prison after initial incarceration. Psychiatry Res 2019; 273:240-246.

33. Tangney JP, Wagner P, Fletcher C, Gramzow R. Shamed into anger? The relation of shame and guilt to anger and self-reported aggression. J Pers Soc Psychol 1992; 62:669-675.

34. Carnì S, Petrocchi N, Del Miglio C, Mancini F, Couyoumdjian A. Intrapsychic and interpersonal guilt: a critical review of the recent literature. Cogn Process 2013; 14:333-346.

35. Kim S, Thibodeau R, Jorgensen RS. Shame, guilt, and depressive symptoms: a meta-analytic review. Psychol Bull 2011; 137:68- 96.

36. Lake AE 3rd, Rains JC, Penzien DB, Lipchik GL. Headache and psychiatric comorbidity: historical context, clinical implications, and research relevance. Headache 2005; 45:493-506.

37. Alessandri SM, Lewis M. Differences in pride and shame in maltreated and nonmaltreated preschoolers. Child Dev 1996; 67:1857-1869.

38. Barrett KC, Zahn-Waxler C, Cole PM. Avoiders versus amenders: implications for the investigation of guilt and shame during toddlerhood? Cogn Emot 1993; 7:481-505.

39. Tangney JP. Self-conscious emotions: the self as a moral guide: In Tesser A, Stapel DA, Wood JV (editors). Self and motivation: emerging psychological perspectives. Washington DC: American Psychological Association, 2002, 97-117.

40. Tangney JP, Wagner P, Gramzow R. Proneness to shame, proneness to guilt, and psychopathology. J Abnorm Psychol 1992; 101:469-478.

41. Lutwak N, Panish JB, Ferrari JR, Razzino BE. Shame and guilt and their relationship to positive expectations and anger expressiveness. Adolescence 2001; 36:641-653.

42. Fedewa BA, Burns LR, Gomez AA. Positive and negative perfectionism and the shame/guilt distinction: Adaptive and maladaptive characteristics. Pers Individ Differ 2005; 38:1609- 1619.

43. Lutwak N, Ferrari JR. Moral affect and cognitive processes: differentiating shame from guilt among men and women. Pers Individ Differ 1996; 21:891-896.

44. Michl P, Meindl T, Meister F, Born C, Engel RR, Reiser M, et al. Neurobiological underpinnings of shame and guilt: a pilot fMRI study. Soc Cogn Affect Neurosci 2014; 9:150-157.

45. Maniyar FH, Sprenger T, Monteith T, Schankin C, Goadsby PJ. Brain activations in the premonitory phase of nitroglycerintriggered migraine attacks. Brain 2014; 137:232-241.

Kaynak Göster

  • ISSN: 1018-8681
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1984

5.5b 3.3b