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Journal of Rational-Emotive & Cognitive-Behavior Therapy

Gepubliceerd in:

06-05-2020

Defense Mechanisms, Dissociation, Alexithymia and Childhood Traumas in Chronic Migraine Patients

Auteurs: Filiz Özsoy, İrem Taşcı

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 1/2021

Abstract

Objective

The aim of the present study was to investigate the childhood traumas, dissociation and alexithymia levels and defense mechanisms used by migraine patients.

Materials and Methods

This study included 100 patients diagnosed with migraine-type headaches according to the International Pain Association criteria. Of these 100 patients, 66 (66%) had chronic migraine, 24 (24%) episodic migraine without aura and 10 (10%) episodic migraine with aura. In addition, a control group of 90 age- and gender-matched healthy subjects was also included in the study. All participants completed a Standardized Sociodemographic Data Collection Form, and were administered multiple scales including Beck Depression Inventory, Toronto Alexithymia Scale, Childhood Traumas Questionnaire, the Defensive Style Questionnaire and the Dissociative Experiences Scale.

Findings

The patients had significantly higher dissociation scores and were found to more likely employ immature defense mechanisms compared to healthy controls (p < 0.001 for both). Similarly, the alexithymia scores for the emotional abuse and neglect subdimensions and the total alexithymia scores were higher in the patient group compared to the control group (p < 0.001 for all).

Conclusion

These results indicated that migraine patients had a higher prevalence of childhood traumas, tended to have higher alexithymia, depression and dissociation scores, and were likely to employ immature defense mechanisms compared to healthy individuals. Based on these findings, we suggest that extensive evaluation of migraine patients by healthcare practitioners could be highly beneficial to better understand their clinical features, discover and treat their hidden psychiatric comorbidities, provide better assistance for these patients and improve their functionality.

vorige artikel How are Experiential Avoidance and Cognitive Fusion Associated with Alexithymia?

volgende artikel Coping Matters Even with Math Performance Stress: Adolescents’ Cognitive Coping with Math Performance Stress and Behavior Problems

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.

Andrews, G., Singh, M., & Bond, M. (1993). The defense style questionnaire. The Journal of Nervous and Mental Disease, 181, 246–256.PubMed

Antonaci, F., Nappi, G., Galli, F., Manzoni, G. C., Calabresi, P., & Costa, A. (2011). Migraine and psychiatric comorbidity: A review of clinical findings. The Journal of Headache and Pain, 12, 115–125.PubMedPubMedCentral

Ashina, S., Bendtsen, L., Lyngberg, A. C., Lipton, R. B., Hajiyeva, N., & Jensen, R. (2015). Prevalence of neck pain in migraine and tension-type headache: A population study. Cephalalgia, 35(3), 211–219.PubMed

Ashina, S., Serrano, D., Lipton, R. B., et al. (2012). Depression and risk of transformation of episodic to chronic migraine. The Journal of Headache and Pain, 13, 615–624.PubMedPubMedCentral

Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty item Toronto Alexithymia Scale–I: Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38(23–32), 18.

Baskin, S. M., Lipchik, G. L., & Smitherman, T. A. (2006). Mood and anxiety disorders in chronic headache. Headache, 46(3), 76–87.

Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.PubMed

Bernstein, D. P., Fink, L., Handelsman, L., et al. (1994). Initial reliability and validity of a new retrospective measure of child abuse and neglect. American Journal of Psychiatry, 151, 1132–1136.

Bernstein, E. M., & Putnam, F. W. (1986). Development, reliability, and validity of a dissociation scale. The Journal of Nervous and Mental Disease, 174, 727–735.PubMed

Bottiroli, S., Galli, F., Viana, M., Sances, G., & Tassorelli, C. (2018). Traumatic experiences, stressful events, and alexithymia in chronic migraine with medication overuse. Frontiers in Psychology, 9, 704.PubMedPubMedCentral

Cevoli, S., Giannini, G., Favoni, V., Pierangeli, G., & Cortelli, P. (2012). Migraine and sleep disorders. Neurological Sciences, 33(1), 43–46.

Colovic, O., Tosevski, D. L., Mladenovic, I. P., Milosavljevic, M., & Munjiza, A. (2016). Defense mechanisms in “pure” anxiety and “pure” depressive disorders. The Journal of Nervous and Mental Disease, 204, 746–751.PubMed

Demiryürek, E. Ö., Demiryürek, B. E., Tekin, A., Güzey, Y. A., Güngen, B. D., & Erdoğan, S. (2017). The association between childhood traumatic events and headache-related parameters in patients with migraine: A cross-sectional study in turkish population. Archives of Neuropsychiatry, 54, 291–294.PubMedPubMedCentral

Dikmen, P. Y., Aysevener, E. O., Kosak, S., Aydınlar, E. I., & Kocaman, A. S. (2017). Relationship between MIDAS, depression, anxiety and alexithymia in migraine patients. Acta Neurologica Belgica, 16, 1–8.

Dodick, D. W. (2009). Review of comorbidities and risk factors for the development of migraine complications (infarct and chronic migraine). Cephalalgia, 29(3), 7–14.PubMed

Fornaro, M., & Stubbs, B. (2015). A meta-analysis investigating the prevalence and moderators of migraines among people with bipolar disorder. Journal of Affective Disorders, 178, 88–97.PubMed

Freud, A. (2004). Ben ve savunma mekanizmaları. (Y. Erim, Trans.). İstanbul: Metis Publications.

Frewen, P. A., Lanius, R. A., Dozois, D. J., et al. (2008). Clinical and neural correlates of alexityhymia in posttraumatic stress disorder. Journal of Abnormal Psychology, 117, 171–181.PubMed

Fuller-Thomson, E., Baker, T. M., & Brennenstuhl, S. (2010). Investigating the association be-tween childhood physical abuse and migraine. Headache, 50, 749–760.PubMed

Galli, F., Caputi, M., Sances, G., Vegni, E., Bottiroli, S., Nappi, G., et al. (2017). Alexithymia in chronic and episodic migraine: A comparative study. Journal of Mental Health, 26, 192–196.PubMed

Gordon-Smith, K., Forty, L., Chan, C., et al. (2015). Rapid cycling as a feature of bipolar disorder and comorbid migraine. Journal of Affective Disorders, 175, 320–324.PubMedPubMedCentral

Güleç, H., Köse, S., Yazıcı Güleç, M., et al. (2009). Psychometric properties of the Turkish version 20 item Toronto alexithymia scala: According to cut-off score. Klinik Psikiyatri, 19, 213–219.

Hisli-Sahin, N. (1988). Beck Depresyon Envanterinin geçerliği üzerine bir çalışma. Psikoloji Dergisi, 6, 118–126.

Honkalampi, K., Koivumaa-Honkanen, H., Hintikka, J., et al. (2004). Do stressful life-events or sociodemographic variables associate with depression and alexithymia among a general population? A 3-year follow-up study. Comprehensive Psychiatry, 45, 254–260.PubMed

Karşıkaya, S., Kavakcı, Ö., Kuğu, N., & Güler, A. S. (2013). Post-traumatic stress disorder in migraine patients: Migraine, trauma and alexithymia. Nöro Psikiyatr Arşivi, 50, 263.

Kucukgoncu, S., Ornek, F. Y., Cabalar, M., Bestepe, E., & Yayla, V. (2004). Childhood trauma and dissociation in tertiary care patients with migraine and tension type headache: a controlled study. Journal of Psychosomatic Research, 77, 40–44.

Louter, M. A., Piipers, J. A., Wardenaar, K. J., et al. (2015). Symptom dimensions of affective disorders in migraine patients. Journal of Psychosomatic Research, 79, 458–463.PubMed

Nickel, R., & Egle, U. T. (2006). Psychological defense styles, childhood adversities and psychopathology in adulthood. Child Abuse and Neglect, 30, 157–170.PubMed

Peck, K. R., Smitherman, T. A., & Baskin, S. M. (2015). Traditional and alternative treatments for depression: Implications for migraine management. Headache, 55, 351–355.PubMed

Peres, M. F. P., Mercante, J. P., Tobo, P. R., Kamei, H., & Bigal, M. E. (2017). Anxiety and depression symptoms and migraine: A symptom-based approach research. The Journal of Headache and Pain, 18, 37.PubMedPubMedCentral

Peterlin, B. L., Ward, T. N., Lidicker, J. R., & Levin, M. (2007). A retrospective, comparative study on the frequency of abuse in migraine and chronic daily headache. Headache, 47, 397–401.PubMed

Price, D. D., McGrath, P. A., Rafii, A., & Buckingham, B. (1983). The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain, 17, 45–56.PubMed

Şar, V., Öztürk, E., & İkikardeş, E. (2012). Çocukluk Çağı Ruhsal Travma Ölçeğinin Türkçe Uyarlamasının Geçerlilik ve Güvenilirliği. Türkiye Klinikleri Journal of Medical Sciences, 32, 1054–1063.

Savilahti, E. M., Haravuori, H., Rytilä-Manninen, M., Lindberg, N., Kettunen, K., & Marttunen, M. (2018). High beck depression inventory 21 scores in adolescents without depression are associated with negative self-image and immature defense style. Psychiatry Research, 263, 61–68.PubMed

Silberstein, S. D., Olesen, J., & Bousser, M. G. (2005). Headache classification subcommittee of the international headache society. ‘The international classification of headache disorders’. Cephalalgia, 25, 1–151.

Taycan, O., Özdemir, A., & Erdoğan, S. (2017). Alexithymia and somatization in depressed patients: The role of the type of somatic symptom attribution. Archives of Neuropsychiatry, 54, 99–104.PubMedPubMedCentral

Tietjen, G. E., Brandes, J. L., Digre, K. B., et al. (2007). History of child-hood maltreatment is associated with comorbid depression in women with migraine. Neurology, 69, 959–968.PubMed

Tietjen, G. E., Brandes, J. L., Peterlin, B. L., et al. (2010). Childhood maltreatment and migraine (part I). Prevalence and adult revictimization: A multicenter headache clinic survey. Headache, 50, 20–31.PubMed

Tütüncü, R., & Hüseyin, G. H. (2011). Kronik ağrı, psikolojik etmenler ve depresyon/Chronic pain, psychological factors and depression. Dicle Medical Journal, 38, 257–262.

Üçler, S. (2018). Migren ve Gerilim Tipi Baş Ağrılarında Patofizyoloji. Turkiye Klinikleri Journal of Neurology Special Topics, 11, 21–27.

Yargıç, İ., Tutkun, H., & Şar, V. (1995). The reliability and validity of the Turkish version of the dissociative experiences scale. Dissociation, 8, 10–13.

Yılmaz, N., Gençöz, T., & Ak, M. (2007). Savunma biçimleri testinin psikometrik özellikleri: güvenilirlik ve geçerlik çalışması. Türk Psikiyatri Dergisi, 18, 1–10.

Zhang, L., Wang, X., Zhu, Y., et al. (2017). Selective impairment of decision making under ambiguity in alexithymia. BMC Psychiatry, 17, 378.PubMedPubMedCentral

Titel: Defense Mechanisms, Dissociation, Alexithymia and Childhood Traumas in Chronic Migraine Patients
Auteurs: Filiz Özsoy
İrem Taşcı
Publicatiedatum: 06-05-2020
Uitgeverij: Springer US
Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 1/2021
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI: https://doi.org/10.1007/s10942-020-00357-0

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Abstract

Objective

Materials and Methods

Findings

Conclusion

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