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[Statistical study in psychosomatic headache (author's transl)]

M Timsit, E Urbain, J Sabatier

    MMW, Munchener Medizinische Wochenschrift
    |September 19, 1975
    PubMed
    Summary
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    Psychosomatic headache patients exhibit distinct characteristics, including family history of psychosomatic illness and specific demographic traits. These findings suggest a potential defensive function of selective somatization in headache disorders.

    Area of Science:

    • Psychiatry
    • Neurology
    • Psychosomatic Medicine

    Background:

    • Headache is a common ailment with diverse etiologies.
    • Distinguishing between primary psychosomatic headache and symptomatic headache is crucial for effective treatment.
    • Understanding the specific characteristics of psychosomatic headache can aid in diagnosis and management.

    Purpose of the Study:

    • To statistically compare the characteristics of patients diagnosed with psychosomatic headache versus symptomatic headache and headache-free individuals.
    • To identify specific demographic, familial, and psychological factors associated with psychosomatic headache.
    • To explore the potential defensive role of somatization in psychosomatic headache.

    Main Methods:

    • Statistical comparison of three patient groups: psychosomatic headache (n=79), symptomatic headache (n=450), and headache-free controls (n=850).

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  • Analysis of patient characteristics including family history, birth order, living environment, marital status, children, education, weight, ego strength, and other psychosomatic complaints.

    • Main Results:

    • Patients with psychosomatic headache were more likely to have a family history of psychosomatic diseases.
    • They were often the eldest child, lived in urban areas, were married with two children, and were of average intellectual level.
    • This group was characterized by being overweight, having ego-strength with compulsive features, a tendency towards oral abuse, and fewer other psychosomatic complaints compared to the symptomatic headache group.

    Conclusions:

    • Psychosomatic headache is associated with a unique profile of familial, demographic, and psychological factors.
    • The findings support the hypothesis that selective somatization may serve a defensive function in patients with psychosomatic headache.
    • Further research into the psychological mechanisms underlying psychosomatic headache is warranted.