Süreyya KARŞIKAYA, Önder KAVAKÇI, Nesim KUĞU, AYŞEGÜL SELCEN GÜLER

Post-Traumatic Stress Disorder and Anger in Migraine Patients

Amaç: Son dönemdeki çalışmalar, migren baş ağrıları ile travma sonrası stres bozukluğu (TSSB) arasında bir ilişki olduğunu ileri sürmektedir. Bu çalışmaların çoğunda TSSB tanısı klinisyen tarafından konulmamış, tarama ölçekleri ile değerlendirme yapılmıştır. Migren ve diğer kronik ağrılı bozukluklar ile öfke arasında bir ilişki olduğu da ileri sürülmüştür. Bu çalışmada, migren hastaları arasında klinik görüşme ile tanı konulan travma sonrası stres bozukluğu (TSSB) yaygınlığı ve öfke arasındaki ilişki araştırıldı. Yöntem: Nöroloji kliniğinden yönlendirilen ardışık 60 migren hastası ve benzer özelliklere sahip sağlıklı 60 kişiden oluşan kontrol grubu çalışmanın örneklem grubunu oluşturdu. Örneklem grubuna, SCID-I/CV TSSB modülü, klinisyen tarafından uygulanan TSSB Ölçeği (TSSB-Ö) uygulandı. Örneklem grubu, ayrıca sosyodemografik formu ve Spielberg Sürekli Öfke-Öfke Tarzı Ölçeğini (SÖÖTÖ) doldurdu.Bulgular: Migren grubunda 17 (%28), kontrol grubunda 5 (%8.3) kişiye TSSB tanısı konuldu. Migren grubunda istatistiksel olarak anlamlı biçimde daha yüksek oranda TSSB saptandı. Migren grubunda sürekli öfke ve öfkeiçe alt ölçek puanları, kontrol grubuna göre istatistiksel olarak anlamlı düzeyde yüksek bulundu. Migren grubunda öfke-dışa alt ölçek puan ortalaması TSSB tanısı olanlarda, olmayanlara göre istatistiksel olarak anlamlı düzeyde yüksekti. Migren grubunda TSSB olan kişilerde, sürekli öfke puanı ile TSSB-Ö puanı arasında pozitif korelasyon, öfke kontrol puanı ile TSSB-Ö puanı arasında negatif korelasyon saptandı. Sonuç: Migren hastalarında TSSB, sürekli öfke ve içe yönelik öfke sağlıklı bireylerdekinden daha yüksektir. TSSB saptanan migren hastalarında dışa yönelik öfke artmıştır. Migren hastalarında travma deneyimlerinin aranması, travma ve öfke yönelimli tedavilerin etkinliklerinin araştırılması önerilebilir

Migren hastalarında travma sonrası stres bozukluğu ve öfke

Objective: In recent studies, a relationship between migraine headaches and post-traumatic stress disorder (PTSD) has been suggested. The clinicians in most of these studies have not diagnosed PTSD; the evaluation has been carried out using screening scales. It has also been asserted that there is a relation between anger and migraine and other chronic painful disorders. This study aimed to search the prevalence of clinically diagnosed post-traumatic stress disorder (PTSD) among migraine patients and the relationship with anger.Method: Sixty consecutive migraine patients directed from neurology clinic and 60 healthy controls having similar features constituted the sample of this study. SCID-I/CV PTSD module and clinician administered posttraumatic stress disorder scale (CAPS) implemented by the clinician were administered to the sample. The sample also filled in the socio-demographic data form and Spielberg’s State-Trait Anger-Anger Expression Scale (STAXI).Results: Seventeen persons (28%) in the migraine group and 5 persons (8.3%) in the control group were diagnosed with PTSD. In the migraine group, PTSD was found at a statistically significantly higher level. The trait anger and anger in subscale scores in the migraine group were found statistically significantly higher compared to the control group. In the migraine group, the anger out subscale mean score was statistically significantly higher in the ones with PSTD than the ones without it. A positive correlation was detected between the scores of trait anger and CAPS and a negative correlation between the scores of anger control and CAPS. Conclusion: In migraine patients, PTSD, trait anger and internal anger are higher compared to the healthy ones. In migraine patients diagnosed with PTSD, the external anger has increased. It may be suggested to seek for the trauma experiences in migraine patients and search the efficiency of trauma and anger directed therapies

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