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[Behavioral dependence on analgesics in medication overuse headache]
Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|March 27, 2013
Summary
Patients with chronic headache show similar psychological profiles, regardless of medication overuse. This suggests a behavioral pattern in medication overuse headache (MOH) that requires further study for better management and relapse prevention.
Area of Science:
- Neurology
- Psychiatry
- Clinical Psychology
Background:
- Medication overuse headache (MOH) is a common condition.
- Understanding the psychological factors contributing to MOH is crucial for effective treatment.
Purpose of the Study:
- To compare the clinical and psychological profiles of patients with MOH, chronic headache without overuse, and episodic migraine.
- To investigate the role of psychological factors and behavioral patterns in the development and progression of MOH.
Main Methods:
- Clinical and neurological examinations were performed.
- Patients completed validated questionnaires including the McGill questionnaire, Beck Depression Inventory, Spielberger-Khanin test, Toronto alexithymia scale, Leonhard personality inventory, and the Benzodiazepine Dependence Self-Report Questionnaire (BDSRQ).
- Three patient groups were studied: MOH, chronic headache without overuse, and episodic migraine.
Main Results:
- Patients with chronic headache exhibited similar clinical and psychological profiles, irrespective of medication overuse.
- Benzodiazepine Dependence Self-Report Questionnaire (BDSRQ) scores differed between groups.
- A progressive disease course with a distinct behavioral pattern was identified in patients with chronic headache.
Conclusions:
- Chronic headache patients share similar psychological characteristics, whether or not they overuse medication.
- The development of a specific behavioral pattern suggests a need for further research into the causes of analgesic dependence.
- Improved management strategies and relapse prevention for MOH are necessary.
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