Personality disorders are associated with more severe forms of migraine

• Autor(a) principal: Fangyang
• Data de Publicação: 2018
• Outros Autores: Igor Alvarenga Moreira Dos Santos, Rodrigo Santiago Gomez, Arthur Kummer, Izabela Guimarães Barbosa, Antonio l. Teixeira
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: https://doi.org/10.1007/s13760-018-1050-5; http://hdl.handle.net/1843/56550
• topic: Chronic migraine; Obsessive–compulsive personality disorder; Personality disorder; Cefaléia crônica; Transtorno da Personalidade Compulsiva; Transtornos da Personalidade

To investigate the clinical manifestation, disease course, and prognosis of migraine patients with or without personality disorders. This cross-sectional study evaluated 61 patients with migraine diagnosed according to the criteria of the International Headache Society (IHS). Personality disorders were assessed with the Structured Clinical Interview for DSM-IV (SCID-II). Migraine severity was assessed with the Headache Impact Test-6 (HIT-6). We also used a structured clinical interview to diagnose comorbid mood disorders. Of the 61 patients, 20 (32.8%) had personality disorders. Personality disorders included obsessive–compulsive 14/61 (23.0%), avoidant 6/61 (9.8%), borderline 6/61 (9.8%), paranoid 6/61 (9.8%), schizoid 2/61 (3.3%), histrionic 1/61 (1.6%) and dependent 1/61 (1.6%) types. Compared to migraine patients without personality disorders, comorbidity with any personality disorders was associated with an increased frequency of chronic migraine (p<0.001) and more severe headache as assessed by the HIT-6 (p<0.001). Comorbidity with personality disorders was associated with more severe forms of migraine symptoms.