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Friday, 30 July 2010
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Psychological Observation on Migraine Patients


A special place in the treatment of migraine will be the psychological characteristics of patients with the disease. Many of domestic and foreign researchers showed that patients with migraine compared with healthy violation of a psychological adjustment, can be indicated by the severity of depression, reactive and personal anguish, loss of quality of life, with most suffering professional and social activity. Detection of these changes requires specific courses of anti migraine treatment, as well as a rational and positive psychotherapy.

In a complex psychological analysis in patients with migraine attacks in a period between tracks usually found nonspecific for all psychosomatic illnesses changes: high levels of anxiety, depression average, and the high level of attention, changing the time attack upwards of anxiety and depression and a lower standard of attention. The numbers dropped after the data parameters attack rates somewhat higher than the healthy.

It is a contradictory character trait of patients with migraine. In conducting structured interviews were discovered the following characteristics, the following percentage of the total number of patients. Patients themselves are active (90%), seeking to assert themselves (90%), on the other hand avoid failure (77%), a faltering (90%). They are characterized by the avoidance of responsibility (94%), a tendency to order (77%) and a motivation to success. It is difficult to deny someone (94%), although they rarely openly express their needs. It is difficult to imagine (92%). Very facing criticism, but very rarely criticized or critical behaves towards others (84%). Adapting to the stress, the patients resort to the so-called psychosomatic pattern adaptation. Describing psychological portrait of migraine patients, we can say that migraine patients active, responsible, ambitious domestic seeking to succeed, fast, while domestic hesitant, uncertain, and avoid failures modest. Contradictions in personality traits and disagreements between the different levels of behavioral act many believe are the basis for the disease.

In assessing the performance of various scientific psychological tests in patients with migraines is high anxiety. Some authors come to the conclusion that there is situational anxiety as personality traits. On the scale of nerve triad patients reliably different from the healthy and that indicates that they have a special set of emotional privacy violations, including depression, hypochondria, challenging.

Patients tend to accuracy, rigidity in the personal, critical, cold. The most typical for patients with migraine for the Ketella test personal traits of the following (in descending order of frequency of occurrence): propensity for accuracy, rigidity in the area of personal restraint, critical, demanding to see the sense of responsibility, littleness, serviceability, manageability external circumstances, conservatism, intelligence, prone to anxiety, anxiety, depression, anxiety, the need for increased attention and support.

Several researchers note in patients with migraine high fatigue, i.e. meager and tiredness. Particularly highlighted is the fact that patients often feel health and illness from the case and hope that recovery will come as a result of other people, especially doctors, i.e. external installation of the disease and treatment.

Interesting features detected in patients experiencing pain stroke at different times of day. In patients suffering from migraine sleep more pronounced aesthetic, demonstrable and depressive features. They can often be more pronounced recalcitrant, conservative and aggressive. In patients with insomnia migraine there are less demonstrable and depressive features. Ultimately, the lack of psychological strategies conducive to the accumulation of stress, the body's physiological terms and the use of protective mechanisms in the form of attacks headache. Psychological increase of emotional reactions to enrichment behavioral repertoire is one of the ways in pathological changes of this vicious circle.

Psychological data clearly show that for patients with migraine, it is very important to the rapid withdrawal of pain attack. When ineffective treatment is used - pathological cycle is shrinking, and more pain is in the patient, so the manifestation of anxiety and depression, which in turn leading to increased attacks, increasing the duration and intensity of pain.

Tags:  Headache Articles Migraine Headache Psychological Observation on Migraine Patients
 
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