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Related Experiment Videos

Psychiatric aspects of headache.

B H Shulman1

  • 1Diamond Headache Clinic, Chicago, Illinois.

The Medical Clinics of North America
|May 1, 1991
PubMed
Summary

Psychological factors significantly influence chronic headaches. Addressing psychiatric disorders like depression and anxiety is crucial for effective headache management and treatment.

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Area of Science:

  • Neurology
  • Psychiatry
  • Psychosomatic Medicine

Background:

  • Psychological factors, including stressors and personality, contribute to chronic migraine and muscle contraction headaches.
  • Co-occurring psychiatric disorders such as depression and anxiety can complicate headache management.

Purpose of the Study:

  • To present a conceptual model for differentiating psychological factors in headache etiology.
  • To provide guidelines for selecting appropriate psychiatric treatments for headache patients.

Main Methods:

  • Review of psychological and psychiatric literature relevant to headache disorders.
  • Development of a conceptual framework to categorize psychological influences.
  • Formulation of treatment selection guidelines based on psychological profiles.

Main Results:

  • Psychological stressors, personality traits, conditioning, and psychodynamic issues are implicated in headache development.
  • Commonly associated psychiatric disorders include depression, anxiety, personality disorders, conversion disorder, and hypochondriasis.
  • A structured approach to psychiatric assessment aids in tailoring treatment.

Conclusions:

  • Psychiatric diagnosis and treatment are integral to comprehensive headache care.
  • Understanding psychological factors enhances the management of chronic headache conditions.
  • The proposed model and guidelines facilitate evidence-based psychiatric interventions for headache patients.

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