[Specifics of personality and mental status in children and adolescence with chronic tension-type headache].
Neurological and psychiatric examination of 334 children, aged 7-15 years, 87 (23%) of them suffering from chronic tension-type headache (CTTH) is presented. All the patients had mental (mostly depressive and anxiety) disorders and 95.3% of them--psychosomatic ones. Clinical heterogeneity of CTTH was revealed: in the cases of daily continuous headache there were depressive disorders, in daily intermittent headache--depressive and anxiety-phobic disorders and in frequent headache pattern neurasthenia was predominantly detected. Personality features of CTTH patients were as follows: high anxiety, aggressiveness, asthenia, low "Ego" power, high frustration, sensitivity, hypochondriac, depressive and hysterical tendencies, affective rigidity. Patients realized mostly non-adaptive coping styles both for high and low pain intensiveness. Combination of psychopharmacology, psychotherapy and biofeedback for the CTTH treatment is recommended.
Manevich
T M
TM
Sokolova
E D
ED
Iakhno
N N
NN
Rogovina
E G
EG
D000293:Adolescent; D001008:Anxiety Disorders / Q000453:epidemiology*; D002648:Child; D002908:Chronic Disease; D003131:Combined Modality Therapy; D003866:Depressive Disorder / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D010554:Personality Disorders / Q000453:epidemiology / Q000209:etiology*; D018781:Tension-Type Headache / Q000523:psychology* / Q000628:therapy