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Anger and hostility in tension-type headache
J P Hatch1, L S Schoenfeld, N N Boutros
1Department of Psychiatry, University of Texas Health Science Center, San Antonio 78284-7792.
Episodic tension-type headache sufferers report higher anxiety, depression, and anger. Specifically, they exhibit greater suppressed anger compared to headache-free individuals, supporting psychosomatic theories.
Area of Science:
- Psychology
- Neurology
- Psychosomatic Medicine
Background:
- Tension-type headache (TTH) is a prevalent condition with complex etiology.
- Psychosomatic theories suggest emotional factors play a role in TTH development and maintenance.
Purpose of the Study:
- To investigate the psychological profiles of individuals with episodic tension-type headache (TTH).
- To compare emotional and anger expression patterns between TTH sufferers and healthy controls.
Main Methods:
- Standardized psychometric tests were administered to 47 episodic TTH patients and 47 headache-free controls.
- Assessment included measures of anxiety, depression, anger/hostility, expressed anger, and suppressed anger.
Main Results:
- TTH subjects exhibited significantly higher levels of anxiety, depression, and anger/hostility than controls.
- No significant difference was found in expressed anger.
- Headache sufferers demonstrated significantly greater levels of suppressed anger.
Conclusions:
- Objective data support the link between psychological distress, particularly suppressed anger, and episodic TTH.
- Findings align with psychosomatic models positing emotional factors in headache disorders.
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