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Human psyche and headache: tension-type headache.

Paola Torelli1, Giorgia Abrignani, Paola Castellini

  • 1Headache Centre Section of Neurology Department of Neuroscience, University of Parma, c/o Ospedale Maggiore Via Gramsci 14, 43100 Parma, Italy. paolatorelli@libero.it

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
|July 17, 2008
PubMed
Summary

Psychological factors like stress and difficulty expressing emotions are linked to tension-type headache (TTH). These factors may contribute to TTH development and severity, highlighting the mind-body connection in headache disorders.

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Area of Science:

  • Neuroscience
  • Psychology
  • Medical Research

Background:

  • Psychological factors are increasingly recognized in headache disorders, particularly tension-type headache (TTH).
  • The relationship between personality, emotional expression, and TTH is complex and under investigation.
  • Comorbidity between TTH and psychiatric disorders like depression and anxiety has been observed.

Purpose of the Study:

  • To investigate the role of psychological factors, including personality traits and emotional processing, in tension-type headache.
  • To explore the potential of TTH as a non-verbal communication of emotional distress.
  • To identify psychological risk factors associated with TTH development and chronicity.

Main Methods:

  • Comparison of psychological assessments (automatic thoughts, alexithymia, assertiveness) between TTH patients and healthy controls.
  • Analysis of psychological differences between episodic and chronic TTH patient groups.
  • Review of existing evidence on psychological factors and emotional disturbances as TTH risk factors.

Main Results:

  • TTH subjects exhibited higher levels of automatic thoughts and alexithymia, and lower assertiveness compared to controls.
  • Chronic TTH patients showed higher automatic thoughts scores than episodic TTH patients.
  • Findings suggest potential difficulties in emotional expression among individuals with TTH.

Conclusions:

  • Psychological factors, including stress, mental tension, and alexithymia, are significant risk factors for TTH.
  • TTH may represent a manifestation of underlying emotional distress and communication difficulties.
  • Further research is needed to confirm these findings in broader populations and explore therapeutic implications.