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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >Personality and Personality Disorders in Medication-Overuse Headache: A Controlled Study by SWAP-200
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Personality and Personality Disorders in Medication-Overuse Headache: A Controlled Study by SWAP-200

机译：药物滥用性头痛中的人格和人格障碍：SWAP-200的对照研究

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Background. Medication-overuse headache (MOH) is a type of chronic headache, whose mechanisms are still unknown. The impact of psychological factors has been matter of debate from different perspectives. The role of personality and personality pathology in processes involved in MOH development has been advanced but was poorly studied. The hypothesis of addiction-like behaviors sustaining the drug misuse has been examined and reached contrasting findings. Objectives. This study is aimed at detecting personality and its disorders (PDs) in MOH, with a specific attention to the addiction aspect. Methods. Eighty-eight MOH patients have been compared with two clinical populations including 99 patients with substance use disorder (SUD) and 91 with PDs using the Shedler-Westen Assessment Procedure-200 (SWAP-200), a clinician-report tool that assesses both normal and pathological personality. MANCOVAs were performed to evaluate personality differences among MOH, SUD, and PD groups, controlling for age and gender. Results. MOH patients were predominantly women and older. They showed lower traits of the SWAP-200’s cluster A and B disorders than SUD and PD patients, who presented more severe levels of personality impairment. No differences in the SWAP-200’s cluster C have been found, indicating common personality features in these populations. At levels of specific PDs, MOH patients showed higher obsessive and dysphoric traits and better overall psychological functioning than SUD and PD patients. Conclusion. Although MOH, SUD, and PD populations have been evaluated in multiple sites with different levels of expertise, the study supported the presence of a specific constellation of personality in MOH patients including obsessive (perfectionist) and dysphoric characteristics, as well as good enough psychological resources. No similarities to drug-addicted and personality-disordered patients were found. Practitioners’ careful understanding of the personality characteristics of MOH patients may be useful to provide a road map for the implementation of more effective treatment strategies and intervention programs.
机译：背景。药物过度使用性头痛（MOH）是一种慢性头痛，其机制尚不清楚。心理因素的影响一直是从不同角度进行辩论的问题。人格和人格病理学在MOH发展过程中的作用已被提高，但研究很少。滥用药物成瘾行为的假说已得到检验，并得出了相反的发现。目标。这项研究旨在检测MOH中的人格及其障碍（PDs），尤其要注意成瘾方面。方法。使用Shedler-Westen评估程序-200（SWAP-200）（一项评估两个正常值的临床医生报告工具），对88例MOH患者与两个临床人群进行了比较，其中包括99例物质滥用障碍（SUD）患者和91例PD患者和病理性人格。进行MANCOVA评估MOH，SUD和PD组之间的人格差异，并控制年龄和性别。结果。 MOH患者主要是女性和老年人。与SUD和PD患者相比，他们表现出的SWAP-200群A和B类疾病特征较低，后者的人格障碍水平更高。在SWAP-200的C组中未发现差异，表明这些人群具有共同的人格特征。与SUD和PD患者相比，在特定PD的水平下，MOH患者表现出更高的强迫症和烦躁特质以及更好的整体心理功能。结论。尽管已在多个具有不同专业知识水平的地点对MOH，SUD和PD人群进行了评估，但该研究支持MOH患者存在特定的人格特征，包括强迫症（完美主义者）和烦躁不安，以及足够的心理资源。没有发现与吸毒和性格障碍患者相似。从业者对MOH患者人格特征的仔细了解可能有助于为实施更有效的治疗策略和干预计划提供路线图。

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